CA Workers' Comp Lien & Medical Management Adjuster – Remote (Rep I)

We are seeking an experienced Workers’ Compensation Claim Representative I to handle California jurisdiction claims with a focus on lien resolution and lifetime medical management. This remote position supports multiple accounts within the staffing and transportation industries.

Requirements

• Investigate, evaluate, and adjust workers’ compensation claims in accordance with established procedures and California regulations.
• Negotiate and settle liens with lien claimants, medical providers, and applicant attorneys.
• Handle future medical/lifetime medical claims, ensuring timely authorization and payment of treatment, services, and prescriptions.
• Review medical reports, legal correspondence, and billing to determine reasonableness and relatedness to ongoing claims.
• Coordinate with defense counsel and vendors to resolve complex lien disputes.
• Maintain current and accurate diary, documentation, and billing records.
• Ensure compliance with CCMSI standards, client requirements, and jurisdictional timeframes.
• Deliver exceptional customer service to clients, claimants, and internal partners.

Benefits

• 4 weeks PTO + 10 paid holidays in the first year
• Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance
• Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP)
• Career growth: Internal training and advancement opportunities
• Culture: A supportive, team-based work environment