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Claims Associate Workers Compensation Jobs (NOW HIRING)

Metis

P&C Claims Associate

Roanoke, VA · On-site

$15.50 - $21/hr

Job Summary The Property & Casualty Claims Associate manages and resolves workers' compensation claims. This role involves assessing and evaluating claims, conducting investigations, and ensuring ...

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Workers Compensation Claims

Los Angeles, CA · Remote

$85K - $95K/yr

We're looking for a Workers' Compensation Claims professional to support clients and internal teams within a retail insurance brokerage. This role acts as the bridge between clients, carriers, and ...

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How much do claims associate workers compensation jobs pay per hour?

As of Jun 9, 2026, the average hourly pay for claims associate workers compensation in the United States is $20.99, according to ZipRecruiter salary data. Most workers in this role earn between $17.07 and $23.08 per hour, depending on experience, location, and employer.

What does a Claims Associate for Workers Compensation do?

A Claims Associate for Workers Compensation is responsible for reviewing, processing, and managing claims filed by employees who have been injured on the job. Their duties include investigating the circumstances of the injury, verifying coverage, determining the validity of claims, and ensuring timely payments to claimants. They work closely with medical professionals, employers, and sometimes legal representatives to gather necessary documentation and resolve claims efficiently. Their role is crucial in helping injured workers receive the benefits they are entitled to while protecting employers from fraudulent or exaggerated claims.

What are some common challenges faced by Claims Associates in Workers Compensation, and how can they be managed?

Claims Associates in Workers Compensation often encounter challenges such as managing a high caseload, interpreting complex medical and legal documents, and handling sensitive communications with claimants and employers. Staying organized and prioritizing tasks can help manage workload, while ongoing training and collaboration with medical professionals and legal teams enhance understanding of complex cases. Building strong communication skills is also crucial for navigating difficult conversations and ensuring all parties are informed throughout the claims process.

What are the key skills and qualifications needed to thrive as a Claims Associate in Workers Compensation, and why are they important?

To thrive as a Claims Associate in Workers Compensation, you need a solid understanding of insurance principles, claims processing, and relevant state regulations, typically supported by a bachelor's degree or relevant work experience. Familiarity with claims management software (such as Guidewire or ClaimCenter), as well as industry certifications like AIC (Associate in Claims), is often required. Attention to detail, strong organizational skills, and effective communication set top performers apart in this role. These skills ensure accurate claim handling, compliance with legal standards, and excellent customer service for both claimants and employers.
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Claims Associate Workers Compensation jobs near you
Workers Compensation Claims Associate | Brea, CA

Workers Compensation Claims Associate | Brea, CA

Sedgwick

Brea, CA • On-site

$31/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 9 days ago

Sedgwick rating

7.5

Company rating: 7.5 out of 10

Based on 306 frontline employees who took The Breakroom Quiz

194th of 260 rated insurance

Job description

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 Associate | Brea, CA
Are you looking for an impactful job requiring no prior experience that offers an opportunity to develop a professional career?
  • A stable and consistent work environment in an office and/or virtual setting
  • Career development and promotional growth opportunities through increasing responsibilities
  • A diverse and comprehensive benefits package to take care of your mental, physical, financial and professional needs

ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
OFFICE LOCATIONS
Brea, California (On-site)
PRIMARY PURPOSE OF THE ROLE: Analyze reported lower-level workers compensation claims to determine benefits eligibility and ensure ongoing adjudication aligns with company standards and industry best practices.
ESSENTIAL RESPONSIBLITIES MAY INCLUDE
  • Handles medical-only and minor lost-time workers compensation claims under supervision.
  • Assists senior claims staff with complex cases as needed.
  • Determines compensability and benefits; ensures reserve accuracy and files required documentation.
  • Communicates claim status with claimants, clients, and medical contacts.
  • Maintains accurate documentation and correct claims coding.
  • Processes routine payments, prescriptions, and status reports for ongoing medical claims.
  • Builds and maintains professional client relationships.

QUALIFICATIONS
Education & Licensing: 1 year of general office experience or equivalent combination of education and experience required. Claims industry experience preferred.
  • 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.

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
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, travel as required
Auditory/Visual: Hearing, vision and talking
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.
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 $31/hr. 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.
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.
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.

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