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Workers Compensation Assistant Jobs in Riverside, CA

CCMSI

Workers Compensation Insurance Adjuster

Irvine, CA · On-site

$70K - $85K/yr

Workers' Compensation Insurance Adjuster Location: Irvine, CA (reporting remotely) Schedule: 7:30am ... * Assist in the selection, referral and supervision of designated claim files sent to outside ...

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All JobsWorkers Compensation JobsWorkers Compensation Assistant JobsWorkers Compensation Assistant Jobs in Riverside, CA

Workers Compensation Assistant information

See Riverside, CA salary details

$13

$20

$29

How much do workers compensation assistant jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for workers compensation assistant in Riverside, CA is $20.69, according to ZipRecruiter salary data. Most workers in this role earn between $17.22 and $24.26 per hour, depending on experience, location, and employer.

How to become a workers compensation assistant?

To become a workers compensation assistant, candidates typically need a high school diploma or equivalent and strong organizational and communication skills. Relevant experience in insurance, claims processing, or administrative roles can be beneficial, and familiarity with workers' compensation laws and claim management software may improve job prospects.

What is the difference between Workers Compensation Assistant vs Claims Specialist?

AspectWorkers Compensation AssistantClaims Specialist
Required CredentialsHigh school diploma, certification in workers' compensation or insuranceHigh school diploma, often additional insurance or claims processing certifications
Work EnvironmentOffice setting, supporting claims processing and administrative tasksOffice or remote, handling complex claims and customer interactions
Employer & Industry UsageInsurance companies, employers, third-party administratorsInsurance firms, third-party administrators, legal firms
Search & Comparison IntentUnderstanding administrative roles in workers' compensationHandling complex claims and insurance processes

The main difference is that a Workers Compensation Assistant primarily provides administrative support within workers' compensation claims, while a Claims Specialist handles more complex claims processing and decision-making. Both roles require similar certifications and work in related environments, but Claims Specialists typically have more responsibility for managing claims from start to finish.

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

To excel as a Workers Compensation Assistant, you need a solid understanding of workers compensation laws, claims processing, and administrative procedures, often supported by experience in insurance or human resources. Familiarity with claims management software, MS Office Suite, and sometimes certifications like Associate in Claims (AIC) are typically valuable. Strong attention to detail, organizational skills, and effective communication are essential soft skills for managing sensitive information and coordinating with various stakeholders. These abilities ensure accurate processing of claims, compliance with regulations, and efficient support for injured employees and employers.

What does a workers compensation assistant do?

A Workers Compensation Assistant supports the administration of workers’ compensation claims within an organization. Their duties typically include processing claim forms, maintaining records, communicating with insurance providers, employees, and healthcare professionals, and ensuring compliance with relevant laws and company policies. They play a key role in helping injured employees navigate the claims process and return to work safely. Attention to detail, strong organizational skills, and knowledge of workers’ compensation regulations are important for this role.

What are some typical challenges a workers compensation assistant faces, and how can they be managed effectively?

As a Workers Compensation Assistant, one common challenge is balancing a high volume of case files while ensuring accuracy and compliance with regulatory deadlines. The role often involves coordinating between injured employees, healthcare providers, insurers, and internal HR teams, which can be fast-paced and detail-oriented. Effective time management, strong organizational skills, and clear communication are crucial to managing these challenges. Familiarity with claims management software and ongoing training in workers' compensation laws can also help assistants stay current and efficient in their responsibilities.

What are the most commonly searched types of Workers Compensation jobs in Riverside, CA?

The most popular types of Workers Compensation jobs in Riverside, CA are:

What are popular job titles related to Workers Compensation Assistant jobs in Riverside, CA?

For Workers Compensation Assistant jobs in Riverside, CA, the most frequently searched job titles are:

What job categories do people searching Workers Compensation Assistant jobs in Riverside, CA look for?

The top searched job categories for Workers Compensation Assistant jobs in Riverside, CA are:

What cities near Riverside, CA are hiring for Workers Compensation Assistant jobs?

Cities near Riverside, CA with the most Workers Compensation Assistant job openings:

Workers Compensation Assistant jobs near you
Infographic showing various Workers Compensation Assistant job openings in Riverside, CA as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 18% Part Time, and 4% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $43,044 per year, or $20.7 per hour.

Hearing Representative - Workers' Compensation

Ethos Risk Services

Lake Forest, CA

$24.50 - $33.75/hr

Full-time

Re-posted 15 days ago

Job description

ABOUT US:

Ethos Risk Services is a leading provider of workers' compensation medical management, investigations, and claims solutions, dedicated to helping clients make better decisions through industry expertise, innovation, and exceptional service. As we continue to grow, we're expanding our cost containment capabilities through Definiti, a national leader in medical bill review, pharmacy benefit management, PPO network solutions, and reimbursement services. Together, we're building a comprehensive suite of solutions that helps clients reduce costs, improve efficiency, and achieve better claim outcomes.

JOB SUMMARY:

Our dynamic Bill Review team is seeking a full-time Hearing Representative to represent our organization and clients throughout the California workers' compensation lien resolution process. This role is responsible for resolving complex lien disputes, negotiating settlements, preparing legal documentation, and supporting administrative hearings while partnering closely with providers, attorneys, claims professionals, and bill review teams.

Our ideal candidate has experience in California workers' compensation, strong analytical and negotiation skills, and enjoys solving complex reimbursement challenges in a fast-paced environment.

KEY RESPONSIBILITIES:

  • Attend Hearings – Participate in California Workers' Compensation Appeals Board (WCAB) lien conferences, settlement conferences, status conferences, and lien trials while representing client interests.
  • Represent Clients – Advocate on behalf of Ethos and its clients during lien proceedings, negotiations, and administrative hearings.
  • Negotiate Settlements – Work directly with providers, attorneys, and hearing representatives to resolve disputed liens and achieve favorable settlement outcomes.
  • Review & Resolve Appeals – Evaluate provider appeals, reconsideration requests, and disputed lien claims while identifying appropriate resolutions.
  • Prepare Legal Documentation – Draft Minutes of Hearing, appeal responses, hearing exhibits, and other supporting legal documentation.
  • Research Regulations – Interpret California workers' compensation statutes, fee schedules, regulations, and case law to support case strategy and compliance.
  • Support Litigation – Assist attorneys with hearing preparation, case analysis, and litigation support activities.
  • Perform Technical Bill Review – Analyze workers' compensation medical bills, reimbursement issues, and complex payment disputes.
  • Manage Complex Cases – Maintain accurate documentation, prioritize multiple cases, and ensure deadlines are consistently met.
  • Collaborate Across Teams – Partner with claims professionals, bill review operations, providers, attorneys, and internal stakeholders to deliver timely and effective claim resolutions.

QUALIFICATIONS:

Education: High school diploma or equivalent (required). Associate's degree or higher is preferred.

Experience:

  • Minimum of 2 to 5 years of experience in workers' compensation, legal assistant, paralegal, claims, hearing representative, lien resolution, litigation support, or related experience (required).
  • Experience with California's workers' compensation lien procedure and regulations (required).
  • Experience attending WCAB proceedings, negotiating liens, preparing hearing exhibits, responding to provider disputes, and handling appeals (preferred).
  • Experience preparing legal exhibits and hearing documentation (preferred).
  • Experience in Conduent Strataware software (preferred).

Certifications: Certification in medical cording or medical terminology (preferred).

Skills:

  • Excellent negotiation and conflict resolution skills
  • Strong written and verbal communication
  • Ability to analyze medical billing, reimbursement, and regulatory issues
  • Excellent organizational, time management, and prioritization skills

WORKING CONDITIONS:

This position offers flexible work arrangements, including hybrid or full on-site options, based on business needs and management approval. The office is located at 26445 Rancho Parkway Street, Lake Forest, CA 92630.

Flexible start times are available between 6:00 a.m. and 9:00 a.m., with eligibility for a 9/80 alternate work schedule (every other Monday or Friday off) following successful completion of training, satisfactory performance, business needs, and management approval. Occasional travel and overnight stay may be required to attend California Workers' Compensation Appeals Board (WCAB) proceedings.

Ethos Risk Services and Definiti Comp Solutions is an equal opportunity employer that does not discriminate on the basis of religious creed, sex, national origin, race, veteran status, disability, age, marital status, color or sexual orientation or any other characteristic.

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