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Remote Workers Compensation Claims Assistant Jobs in Riverside, CA

Claims Examiner (Workers' Compensation) Position Summary Our client is seeking an experienced Claims Examiner to independently manage a full-cycle caseload of workers' compensation claim from ...

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Remote Workers Compensation Claims Assistant information

See Riverside, CA salary details

$13

$27

$46

How much do remote workers compensation claims assistant jobs pay per hour?

As of Jul 27, 2026, the average hourly pay for remote workers compensation claims assistant in Riverside, CA is $27.62, according to ZipRecruiter salary data. Most workers in this role earn between $21.06 and $34.09 per hour, depending on experience, location, and employer.

What is the difference between Remote Workers Compensation Claims Assistant vs Remote Insurance Claims Processor?

AspectRemote Workers Compensation Claims AssistantRemote Insurance Claims Processor
CredentialsBasic insurance knowledge, certification preferredInsurance industry certifications often required
Work EnvironmentRemote, office-based or hybridRemote, office-based or hybrid
Industry UsagePrimarily in workers' compensation sectorBroader insurance industry, including health, auto, property
Job FocusHandling workers' compensation claims specificallyProcessing various types of insurance claims

The Remote Workers Compensation Claims Assistant specializes in managing workers' compensation claims, focusing on injury reports and employer interactions. In contrast, the Remote Insurance Claims Processor handles a wider range of insurance claims across multiple sectors. While both roles require insurance knowledge and often remote work setups, their industry focus and claim types differ significantly.

What are popular job titles related to Remote Workers Compensation Claims Assistant jobs in Riverside, CA? For Remote Workers Compensation Claims Assistant jobs in Riverside, CA, the most frequently searched job titles are:
What cities near Riverside, CA are hiring for Remote Workers Compensation Claims Assistant jobs? Cities near Riverside, CA with the most Remote Workers Compensation Claims Assistant job openings:
Infographic showing various Remote Workers Compensation Claims Assistant job openings in Riverside, CA as of July 2026, with employment types broken down into 86% Full Time, 7% Part Time, and 7% Contract. Highlights an 100% Remote job distribution, with an average salary of $57,443 per year, or $27.6 per hour.
Workers Compensation Claims Examiner CA

Workers Compensation Claims Examiner CA

Imagine Staffing Technology

Orange, CA โ€ข Remote

$72/hr

Full-time

Posted 6 days ago


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 โ€“ 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.