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Worker Compensation Jobs in Riverside, CA (NOW HIRING)

CCMSI

Workers' Compensation Claim Specialist

Irvine, CA · On-site

$85K - $95K/yr

Overview Workers' Compensation Claim Specialist Location: Irvine, CA (reporting remotely) Schedule: 8:00am - 4:30pm Salary Range: $85,000 - $95,000 Build Your Career With Purpose at CCMSI At CCMSI ...

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Showing results 21-40

All JobsWorker Compensation JobsWorker Compensation Jobs in Riverside, CA

Worker Compensation information

See Riverside, CA salary details

$38.6K

$97K

$168K

How much do worker compensation jobs pay per year?

As of Aug 7, 2026, the average yearly pay for worker compensation in Riverside, CA is $96,982.00, according to ZipRecruiter salary data. Most workers in this role earn between $72,500.00 and $117,400.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a workers' compensation specialist, and why are they important?

To thrive as a Workers' Compensation Specialist, you need a solid understanding of workers’ compensation laws, claims processing, and insurance principles, often supported by relevant education or industry certification. Familiarity with claims management software, medical billing systems, and legal compliance tools is essential. Strong attention to detail, empathy, and effective communication skills help navigate complex cases and support injured employees. These skills ensure accurate claims handling, regulatory compliance, and positive outcomes for both organizations and employees.

What are some common challenges faced by professionals working in workers' compensation roles?

Professionals in workers' compensation often encounter challenges such as managing complex claims, navigating ever-changing regulations, and balancing the needs of both employees and employers. Handling sensitive medical information, coordinating with healthcare providers, and ensuring timely communication can also be demanding. Staying organized and up-to-date with state and federal laws is crucial to effectively support claimants and prevent costly errors.

What is the difference between Worker Compensation vs Nurse?

AspectWorker CompensationNurse
Required CredentialsNone specific, varies by injuryRN license, certifications
Work EnvironmentWorkplace injury claims, insurance processingHospitals, clinics, patient care settings
Employer & Industry UsageInsurance providers, HR departmentsHealthcare facilities, medical industry

Worker Compensation involves managing injury claims and insurance for workplace injuries, while nurses provide direct patient care. Although both relate to workplace health, Worker Compensation focuses on injury coverage, whereas nurses are healthcare providers. Understanding these roles helps clarify their distinct functions within the employment and healthcare sectors.

What is a workers' compensation specialist?

A workers' compensation specialist is a professional who manages claims and processes related to employees who are injured or become ill as a result of their job. They ensure that workers receive the benefits and medical care they're entitled to under state or federal workers' compensation laws. These specialists review claims, communicate with medical providers and insurance companies, and help both employers and employees navigate the claims process. Their goal is to ensure compliance with legal requirements and to facilitate a fair outcome for all parties involved.
What cities near Riverside, CA are hiring for Worker Compensation jobs? Cities near Riverside, CA with the most Worker Compensation job openings:
Worker Compensation jobs near you
Infographic showing various Worker Compensation job openings in Riverside, CA as of August 2026, with employment types broken down into 83% Full Time, and 17% Part Time. Highlights an 83% In-person, and 17% Remote job distribution, with an average salary of $96,982 per year, or $46.6 per hour.

Workers Compensation Claims Examiner

TEEMA Group

Chino, CA • Remote

$93K - $104K/yr

Full-time

Re-posted 17 days ago

Job description


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 inception through resolution. This role requires strong technical expertise, sound judgment, and the ability to handle highly complex indemnity claims within established authority limits.

This is a highly interactive role requiring regular communication with clients, claimants, attorneys, medical providers, and internal stakeholders. Consistent, reliable attendance and strong organizational discipline are essential to success.

Key Responsibilities

  • Manage a caseload of 150–180 workers’ compensation claims, including complex indemnity cases

  • Conduct timely and thorough investigations to determine claim compensability

  • Administer benefits in accordance with state regulations and company guidelines

  • Oversee medical treatment plans and authorize medical services and billing as appropriate

  • 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 appropriate claim reserves within authority guidelines

  • Negotiate and finalize claim settlements within designated authority levels

  • Maintain accurate and up-to-date claim documentation and diary systems

  • Provide clients with timely updates, including injury trends and risk insights

  • Conduct independent file reviews and ensure compliance with internal policies

  • Perform additional duties as assigned

Qualifications

Education & Experience

  • Bachelor’s degree in a related field (preferred)

  • 5+ years of workers’ compensation claims experience or equivalent combination of education and experience
    Must have an active California SIP certification - Self Insurance Plans)

Knowledge, Skills & Abilities

  • Strong knowledge of workers’ compensation laws and regulations

  • Familiarity with medical terminology and claims processes

  • Excellent analytical and problem-solving skills

  • Strong written and verbal communication skills

  • Ability to manage high-volume, complex caseloads independently

  • Proficiency in Microsoft Office (Word, Excel preferred)

  • Ability to collaborate effectively with stakeholders at all levels

Certifications

  • Relevant state licenses and/or certifications as required

Work Environment & Physical Requirements

  • Primarily office-based role requiring extended periods of sitting and computer use

  • Frequent communication via phone and email

  • Occasional light physical activity (lifting, reaching, etc.) consistent with a standard office environment

Why This Opportunity Stands Out

This is not an entry-level examiner role. If you’re used to handling basic claims, you’ll get exposed here. This role is built for someone who:

  • Wants ownership of complex files

  • Is confident making decisions within authority

  • Can handle volume without sacrificing quality

If that’s you, this is a strong platform to grow and be recognized.