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Litigated Claims Jobs in Riverside, CA (NOW HIRING)

Coordinate with and manage defense counsel on litigated claims * Communicate effectively with claimants, providers, vendors, and clients regarding claim status and issues * Establish and maintain ...

Approximately 85% of the claims in this role are litigated, requiring strong critical thinking, negotiation, and litigation management skills. This position offers the opportunity to grow your ...

Approximately 85% of the claims in this role are litigated, requiring strong critical thinking, negotiation, and litigation management skills. This position offers the opportunity to grow your ...

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Litigated Claims information

See Riverside, CA salary details

$42.8K

$79.3K

$103.3K

How much do litigated claims jobs pay per year?

As of Aug 6, 2026, the average yearly pay for litigated claims in Riverside, CA is $79,329.00, according to ZipRecruiter salary data. Most workers in this role earn between $68,900.00 and $89,200.00 per year, depending on experience, location, and employer.

What are common challenges faced by professionals handling litigated claims, and how can they effectively manage them?

Professionals managing litigated claims often encounter challenges such as managing large volumes of complex documentation, meeting tight court deadlines, and coordinating with multiple stakeholders including attorneys, clients, and experts. Effective management relies on strong organizational skills, clear communication, and the ability to prioritize tasks under pressure. Utilizing case management software and developing efficient workflows can also help in tracking important dates and ensuring thorough preparation for hearings and depositions.

What are litigated claims?

Litigated claims refer to insurance claims or legal disputes that have proceeded to formal litigation, meaning they are being resolved through the court system rather than through negotiation or settlement outside of court. This typically happens when parties cannot agree on liability or the amount of compensation. Litigated claims often involve attorneys, legal filings, and potentially a trial, making the process more complex and time-consuming compared to non-litigated claims. Handling litigated claims requires a thorough understanding of legal procedures and strong negotiation skills.

What are the key skills and qualifications needed to thrive as a litigated claims adjuster, and why are they important?

To thrive as a Litigated Claims Adjuster, you need a solid understanding of insurance policies, legal principles, and claims investigation, often supported by a bachelor's degree in a relevant field and experience in claims handling. Familiarity with claims management systems, legal research tools, and sometimes certifications like the Associate in Claims (AIC) are commonly required. Strong negotiation, analytical thinking, and effective communication skills help resolve disputes and collaborate with attorneys and stakeholders. These skills ensure accurate assessment, fair resolution, and effective management of complex litigated claims.

What is the difference between Litigated Claims vs Insurance Claims Adjuster?

AspectLitigated ClaimsInsurance Claims Adjuster
Required CredentialsLegal knowledge, sometimes law degree or paralegal certificationInsurance licensing, certifications like AIC or CPCU
Work EnvironmentLegal settings, courts, or law firmsInsurance companies, claims offices, field work
Employer & IndustryLaw firms, insurance companies, government agenciesInsurance companies, third-party administrators
Common Search & ComparisonLegal process, court cases, litigationClaims processing, settlement, investigation

Litigated Claims involve legal proceedings and court cases, requiring legal expertise and often working within law firms or legal departments. Insurance Claims Adjusters focus on evaluating and settling insurance claims, typically working within insurance companies. While both roles deal with claims, Litigated Claims are more legal-centric, whereas Adjusters handle the initial assessment and settlement process.

What are popular job titles related to Litigated Claims jobs in Riverside, CA? For Litigated Claims jobs in Riverside, CA, the most frequently searched job titles are:
What cities near Riverside, CA are hiring for Litigated Claims jobs? Cities near Riverside, CA with the most Litigated Claims job openings:
Infographic showing various Litigated Claims job openings in Riverside, CA as of August 2026, with employment types broken down into 87% Full Time, 11% Part Time, and 2% Contract. Highlights an 85% Physical, 4% Hybrid, and 11% Remote job distribution, with an average salary of $79,329 per year, or $38.1 per hour.

Workers Compensation Claims Examiner CA

Imagine Staffing Technology

Orange, CA โ€ข Remote

$72/hr

Full-time

This job post hasย expired 1 day ago.ย Applications are no longer accepted.


Job description

Job Profile
Job Title: Claims Examiner
Location: Orange, CA -must live in CA
Hire Type: Contingent
Pay Range: $72
Work Model: Remote/Onsite
Work Shift: Monday-Friday 8 am – 4:30 pm
Recruiter Contact: Sean Craft I sean@marykraft.com I 443-345-3305
Nature & Scope:
Positional Overview
Imagine Staffing is seeking an experienced Workers' Compensation Claims Examiner to support a leading national claims management organization. This role is responsible for managing complex California workers' compensation claims from investigation through resolution while ensuring compliance with state regulations, client expectations, and industry best practices.
Please Note:
  • Only former Sedgwick employees will be considered.
  • Position is available remote within California or onsite in Orange, CA.
  • California Workers' Compensation Adjuster Certification is required.
  • Minimum 3 years of recent California Workers' Compensation claims experience required.
Role & Responsibility:
Tasks That Will Lead to Your Success
  • Manage a caseload of complex California workers' compensation claims from inception through closure.
  • Investigate claims to determine compensability, liability, and benefit eligibility.
  • Develop strategic action plans to drive timely and appropriate claim resolution.
  • Establish, monitor, and adjust claim reserves throughout the life of each claim.
  • Calculate and issue indemnity and medical benefit payments accurately and within statutory guidelines.
  • Negotiate settlements within assigned authority while maintaining cost-effective claim outcomes.
  • Manage litigated claims by coordinating with defense counsel, medical providers, and other vendors.
  • Prepare and file all required California workers' compensation documentation within regulatory deadlines.
  • Identify subrogation opportunities and pursue available recoveries when applicable.
  • Coordinate investigations, independent medical evaluations (IMEs), surveillance, and additional vendor services as needed.
  • Communicate professionally with injured workers, employers, attorneys, medical providers, and clients regarding claim activity and status.
  • Maintain accurate electronic claim files, documentation, and coding.
  • Escalate complex issues to management when appropriate.
  • Support quality assurance initiatives and perform additional duties as assigned
Skills & Experience
Qualifications That Will Help You Thrive
  • California Workers' Compensation Adjuster Certification.
  • Former Sedgwick employee (required).
  • Minimum 3 years of recent California workers' compensation claims experience.
  • Strong experience handling complex and litigated workers' compensation claims.
  • Thorough understanding of California workers' compensation laws, regulations, and claims administration.
  • Experience managing reserves, settlements, litigation, and claim recoveries.
Preferred
  • Bachelor's degree from an accredited college or university.
  • Professional claims certifications.
Skills & Experience
  • Extensive knowledge of California workers' compensation claims handling practices.
  • Strong understanding of insurance principles, litigation management, and cost containment strategies.
  • Excellent analytical, investigative, and decision-making skills.
  • Outstanding written and verbal communication skills.
  • Strong negotiation and conflict-resolution abilities.
  • Proficiency with Microsoft Office and electronic claims management systems.
  • Highly organized with the ability to manage multiple priorities in a fast-paced environment.
  • Ability to work independently while collaborating effectively with clients and internal teams.