Workers Compensation Claims Examiner Jobs in California
Workers Compensation Claims Examiner jobs in California represent one of the most active markets in the country, with demand concentrated in insurance carriers, third-party administrators, and self-insured employers across Los Angeles, Sacramento, and the San Francisco Bay Area. Established employers with consistent California hiring include Sedgwick, Gallagher Bassett, and EMPLOYERS Holdings. The most sought-after specialties are complex litigation, medical-only claims, and large-loss case management, with openings at every level from trainee examiner through senior and supervisory roles. Find a role that fits below and apply directly.
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Showing 5 of 18+ Workers Compensation Claims Examiner 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
Workers Compensation Claims Examiner - CA | On-Site or RemoteAre 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?
- Apply your knowledge and experience to adjudicate complex workers compensation claims in the context of an energetic culture.
- Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations.
- Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
- Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights.
- Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
- Enjoy flexibility and autonomy in your daily work, your location, and your career path.
- Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.
ARE YOU AN IDEAL CANDIDATE? Seeking a seasoned California Workers Compensation Examiner who values strong client partnerships, enjoys a reasonable caseload, and works within a well‑managed intake environment.
OFFICE LOCATIONS:
RIVERSIDE, CA
ONTARIO, CA
ROSEVILLE, CA
REMOTE OPTIONS MAY BE AVAILABLE
PRIMARY PURPOSE OF THE ROLE: To analyze Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
ESSENTIAL RESPONSIBLITIES MAY INCLUDE
- Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
- Negotiating settlement of claims within designated authority.
- Communicating claim activity and processing with the claimant and the client.
- Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.
QUALIFICATIONS
Education & Licensing: 3 years of claims management experience or equivalent combination of education and experience required.
- High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.
- Professional certification as applicable to line of business preferred.
Licensing / Jurisdiction Knowledge: 3 or more years California workers compensation jurisdictional knowledge required, SIP required or must be obtained within one (1) year of employment
TAKING CARE OF YOU
Flexible work schedule.
Referral incentive program.
Career development and promotional growth opportunities.
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 $85-95K. 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.
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
#LI-REMOTE #LI-HYBRID
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
Workers Compensation Claims Examiner - CA | On-Site or RemoteAre 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?
- Apply your knowledge and experience to adjudicate complex workers compensation claims in the context of an energetic culture.
- Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations.
- Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
- Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights.
- Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
- Enjoy flexibility and autonomy in your daily work, your location, and your career path.
- Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.
ARE YOU AN IDEAL CANDIDATE? Seeking a seasoned California Workers Compensation Examiner who values strong client partnerships, enjoys a reasonable caseload, and works within a well‑managed intake environment.
OFFICE LOCATIONS:
RIVERSIDE, CA
ONTARIO, CA
ROSEVILLE, CA
REMOTE OPTIONS MAY BE AVAILABLE
PRIMARY PURPOSE OF THE ROLE: To analyze Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
ESSENTIAL RESPONSIBLITIES MAY INCLUDE
- Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
- Negotiating settlement of claims within designated authority.
- Communicating claim activity and processing with the claimant and the client.
- Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.
QUALIFICATIONS
Education & Licensing: 3 years of claims management experience or equivalent combination of education and experience required.
- High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.
- Professional certification as applicable to line of business preferred.
Licensing / Jurisdiction Knowledge: 3 or more years California workers compensation jurisdictional knowledge required, SIP required or must be obtained within one (1) year of employment
TAKING CARE OF YOU
Flexible work schedule.
Referral incentive program.
Career development and promotional growth opportunities.
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 $85-95K. 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.
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
#LI-REMOTE #LI-HYBRID
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 18 Workers Compensation Claims Examiner Jobs in California
Find roles in California that match your experience and apply in just a few clicks.
Find JobsWorkers Compensation Claims Examiner Jobs by City in California
Where California roles are concentrated, by current openings.
Workers Compensation Claims Examiner Job Market in California
A snapshot from current California openings, updated as new roles post.
Who's Hiring
- Sedgwick13
- TRISTAR2
- AIMS1
- Gallagher1
- ICW1
Top Industries Hiring
- Government & Public Sector
What California Employers Look For
The qualifications that appear most often in workers compensation claims examiner jobs across California.
- Active California Self-Insurance certification or insurer-issued claims authority per California Department of Industrial Relations standards
- Working knowledge of California Labor Code and Division of Workers Compensation regulations
- Experience managing indemnity claims from first report through closure and settlement
- Familiarity with California Medical Provider Networks and Official Medical Fee Schedule billing
- Strong written communication skills for preparing reserves, reports, and denial letters
- Proficiency with claims management systems such as Guidewire, Origami, or similar platforms
Workers Compensation Claims Examiner Jobs in California: Frequently Asked Questions
How do you become a workers compensation claims examiner in California?
California does not require a state license to work as a workers compensation claims examiner in the private insurance or third-party administrator sector, but self-insured employers must designate certified examiners through the California Department of Industrial Relations Self-Insurance Plans program. Most California employers expect at minimum an associate or bachelor's degree alongside on-the-job training in California Labor Code. Earning the Claims Professional designation through the California Workers Compensation Institute strengthens your candidacy considerably.
How much do workers compensation claims examiners make in California?
Workers compensation claims examiners in California earn a median of about $91,790 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $60,020 for the lowest 10% to over $124,990 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire workers compensation claims examiners in California?
Employers hiring workers compensation claims examiners in California right now include Sedgwick, TRISTAR, and AIMS, based on current listings on Migrate Mate as of September 2026. California's large self-insured public agencies, county governments, and major insurers create particularly consistent openings compared with most other states.
Which California cities have the most workers compensation claims examiner jobs?
The cities with the most workers compensation claims examiner openings in California are Brea, Orange, and Riverside. Los Angeles leads because it is home to the largest concentration of insurance carriers, third-party administrators, and self-insured corporations in the state, while Sacramento draws significant volume from state government agencies and public-entity pools, and smaller hubs reflect the regional offices of national TPA firms.
Are there remote workers compensation claims examiner jobs in California?
Yes, and more than many comparable roles, since workers compensation claims examination is primarily a desk-based, analytical function that does not require an on-site presence. About 94% of workers compensation claims examiner openings tied to California are remote or hybrid as of September 2026, reflecting the role's suitability for distributed work. Litigation coordination and complex indemnity management are the sub-functions most commonly offered on a fully remote basis by California employers.
How can I get hired as a workers compensation claims examiner in California with little or no experience?
The most realistic entry path is starting as a claims assistant or medical-only examiner at a California third-party administrator such as Sedgwick, Gallagher Bassett, or York Risk Services, where structured training programs introduce California Labor Code and claims systems before you handle indemnity files independently. Adjacent roles in medical billing, disability case management, or paralegal work within California workers compensation defense firms also transfer well. Completing the California Workers Compensation Institute's foundational coursework before applying gives candidates a measurable edge with California-based hiring managers.
Where can I find and apply to workers compensation claims examiner jobs in California?
You can find and apply to workers compensation claims examiner jobs in California on Migrate Mate, which lists current California openings updated regularly. Find roles that match your experience level and location, then apply directly to the employer through the listing.
See All 18 Workers Compensation Claims Examiner Jobs in California
Find roles in California that match your experience and apply in just a few clicks.
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