Remote Workers Compensation Specialist Jobs
Remote Workers Compensation Specialist jobs are open across the U.S. at insurance carriers, third-party administrators, and self-insured corporations that run distributed claims and risk management teams. Employers hiring remote workers compensation specialists right now include Gallagher, Sedgwick, and The Hartford, with active demand across Government & Public Sector, Insurance, and Staffing & Recruiting. Find a role that fits below and apply directly.
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Showing 5 of 125+ Remote Workers Compensation Specialist jobs
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.
Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies
Certified as a Great Place to Work®
Fortune Best Workplaces in Financial Services & Insurance
REMOTE WORKERS COMPENSATION CLAIMS EXAMINER | CA JURISDICTION
Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?
- Open to candidates located in the U.S. with California workers' compensation claims experience. SIP certification preferred/required depending on client assignment and state of residence.
ARE YOU AN IDEAL CANDIDATE? We're looking for claims professionals with California workers' compensation experience who enjoy solving complex problems and delivering outstanding service. The ideal candidate has experience handling litigated and high-exposure claims, understands California jurisdictional requirements, and can confidently manage claims through investigation, benefit determination, settlement negotiation, and resolution.
PRIMARY PURPOSE OF THE ROLE To analyze complex or technically difficult California workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.
ESSENTIAL RESPONSIBILITIES MAY INCLUDE
- Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
- Negotiates settlement of claims within designated authority.
- Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
- Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles claims within designated authority level.
- Prepares necessary state filings within statutory limits.
- Manages the litigation process; ensures timely and cost effective claims resolution.
- Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.
QUALIFICATIONS
Education & Licensing: Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.
Experience: Three (3) years of California workers compensation claims management experience or equivalent combination of education and experience required.
Licensing / Jurisdiction Knowledge: California jurisdictional knowledge required; SIP required or must be obtained within one year of hire date.
TAKING CARE OF YOU
- Flexible work schedule.
- Referral incentive program.
- Career development and promotional growth opportunities.
- A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
WORK ENVIRONMENT REQUIREMENTS INCLUDE
When applicable and appropriate, consideration will be given to reasonable accommodations.
Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
Physical: Computer keyboarding.
Auditory/Visual: Hearing, vision and talking.
As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $80,000 - $105,000. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
Claims #ClaimsExaminer #LI-REMOTE #LI-HYBRID #TPA #insurance #nowhiring #work-at-home #telecommuter
Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.
Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies
Certified as a Great Place to Work®
Fortune Best Workplaces in Financial Services & Insurance
REMOTE WORKERS COMPENSATION CLAIMS EXAMINER | CA JURISDICTION
Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?
- Open to candidates located in the U.S. with California workers' compensation claims experience. SIP certification preferred/required depending on client assignment and state of residence.
ARE YOU AN IDEAL CANDIDATE? We're looking for claims professionals with California workers' compensation experience who enjoy solving complex problems and delivering outstanding service. The ideal candidate has experience handling litigated and high-exposure claims, understands California jurisdictional requirements, and can confidently manage claims through investigation, benefit determination, settlement negotiation, and resolution.
PRIMARY PURPOSE OF THE ROLE To analyze complex or technically difficult California workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.
ESSENTIAL RESPONSIBILITIES MAY INCLUDE
- Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
- Negotiates settlement of claims within designated authority.
- Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
- Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles claims within designated authority level.
- Prepares necessary state filings within statutory limits.
- Manages the litigation process; ensures timely and cost effective claims resolution.
- Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.
QUALIFICATIONS
Education & Licensing: Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.
Experience: Three (3) years of California workers compensation claims management experience or equivalent combination of education and experience required.
Licensing / Jurisdiction Knowledge: California jurisdictional knowledge required; SIP required or must be obtained within one year of hire date.
TAKING CARE OF YOU
- Flexible work schedule.
- Referral incentive program.
- Career development and promotional growth opportunities.
- A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
WORK ENVIRONMENT REQUIREMENTS INCLUDE
When applicable and appropriate, consideration will be given to reasonable accommodations.
Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
Physical: Computer keyboarding.
Auditory/Visual: Hearing, vision and talking.
As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $80,000 - $105,000. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
Claims #ClaimsExaminer #LI-REMOTE #LI-HYBRID #TPA #insurance #nowhiring #work-at-home #telecommuter
Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.
See All 125+ Remote Workers Compensation Specialist Jobs
Find roles that match your experience and apply in just a few clicks.
Find JobsRemote Workers Compensation Specialist Job Market
Who's Hiring
- Gallagher44
- Sedgwick15
- The Hartford4
- PMA Companies4
- CCMSI3
Top Industries Hiring
- Government & Public Sector
- Insurance
- Staffing & Recruiting
What Employers Look For
The qualifications that appear most often in remote workers compensation specialist jobs.
- 2-5 years of workers compensation claims adjusting or case management experience
- Working knowledge of state-specific workers compensation statutes and regulations
- Experience with claims management software such as Guidewire, Origami Risk, or similar platforms
- Active state adjuster license or willingness to obtain licensure within a defined period
- Ability to manage a high-volume caseload and meet statutory response deadlines
- Associate or bachelor's degree in business, risk management, healthcare, or a related field
Tips for Your Remote Workers Compensation Specialist Job Search
Apply early to remote roles that fit
Migrate Mate lists remote workers compensation specialist openings from across the U.S. in one place, so you can find roles that match your claims experience and apply directly before postings fill. Remote roles at established carriers close fast.
Show async claims coordination in your resume
Remote employers want proof you can manage a claim file without in-person check-ins. Describe how you coordinated with adjusters, medical providers, and attorneys over email and claims platforms, and highlight the outcomes you drove independently.
Get licensed in multiple states before you apply
Remote workers compensation specialists often handle claims across state lines, and employers prefer candidates who already hold adjuster licenses in multiple jurisdictions. Adding two or three state licenses before you apply makes you a stronger candidate for distributed teams.
Prepare for remote interview scenarios on claims decisions
Remote hiring managers use structured scenario questions to assess judgment: how you'd handle a disputed medical treatment request, a claimant who stops responding, or a return-to-work disagreement. Prepare specific examples that show how you reached decisions and communicated them in writing.
Remote Workers Compensation Specialist Jobs: Frequently Asked Questions
How do I get a remote workers compensation specialist job?
Target insurance carriers, third-party administrators, and large self-insured employers that already run distributed claims teams, because those organizations have the infrastructure and culture for remote workers compensation work. Remote employers screen heavily for self-direction, precise written communication, and fluency with claims management systems, since you won't have a supervisor down the hall to clarify adjudication decisions or coordinate return-to-work plans. Demonstrating experience closing claims independently and communicating outcomes in writing gives you a clear edge over candidates with identical credentials.
Which companies hire remote workers compensation specialists?
Companies hiring remote workers compensation specialists right now include Gallagher, Sedgwick, and The Hartford, based on current remote listings on Migrate Mate as of September 2026. Insurance carriers, third-party administrators, and large self-insured corporations in healthcare, manufacturing, and logistics are the most consistent sources of remote openings for this role.
Can you get a remote workers compensation specialist job with no experience?
Yes, but remote entry-level roles are harder to land because employers expect you to manage claim files and coordinate with medical providers independently from day one. Third-party administrators and staffing-focused insurance firms are most likely to hire entry-level candidates remotely. Showing familiarity with claims management software, completing a workers compensation certificate program, or completing an internship in a claims or risk environment can substitute for direct experience and open remote doors.
Do you need a degree for remote workers compensation specialist jobs?
Not always. Many remote employers weigh state adjuster licensing, claims management system proficiency, and a record of successfully closed claims as heavily as a degree. A bachelor's in business, human resources, or a related field strengthens your application, but candidates who hold an active adjuster license and can demonstrate independent case management often move through remote hiring pipelines without one.
Which industries hire the most remote workers compensation specialists?
Most remote workers compensation specialist openings sit in Government & Public Sector, Insurance, and Staffing & Recruiting, per current remote listings on Migrate Mate as of September 2026. Those sectors hire workers compensation specialists remotely because their distributed workforces and multi-state operations require centralized claims expertise that does not need to be co-located with injured workers or HR teams.
See All 125+ Remote Workers Compensation Specialist Jobs
Find roles that match your experience and apply in just a few clicks.
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