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Workers Compensation Claims Assistant Jobs in Riverside, CA

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Workers Compensation Claims Assistant information

See Riverside, CA salary details

$13

$27

$46

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

As of Jul 31, 2026, the average hourly pay for 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 are the key skills and qualifications needed to thrive in the Workers Compensation Claims Assistant position, and why are they important?

Success as a Workers Compensation Claims Assistant requires strong organizational skills, attention to detail, and a basic understanding of workers compensation laws and insurance practices, usually supported by a high school diploma or equivalent. Familiarity with claims management software, document imaging systems, and Microsoft Office Suite is often needed, and some employers may value prior experience or certification in claims handling. Excellent communication, empathy, and problem-solving skills help you interact professionally with claimants, providers, and internal teams. These abilities ensure accurate processing of claims, efficient workflow, and positive experiences for all stakeholders involved.

What is a Workers Compensation Claims Assistant job?

A Workers Compensation Claims Assistant provides administrative support to claims adjusters and examiners in managing workers' compensation claims. They help gather and organize documentation, communicate with claimants, medical providers, and employers, and ensure compliance with company policies and legal regulations. Their role is crucial in maintaining accurate claim records and facilitating timely claim processing.

What are the typical daily responsibilities of a Workers Compensation Claims Assistant?

As a Workers Compensation Claims Assistant, your day typically involves processing incoming claims documentation, maintaining accurate case files, and communicating with claimants, healthcare providers, and insurance adjusters to gather or verify information. You'll often assist with data entry, scheduling medical appointments, and tracking the progress of claims to ensure deadlines are met. Collaboration with claims examiners and other team members is common to help resolve issues promptly and keep cases moving forward. This role supports the efficient functioning of the claims department and helps ensure that injured workers receive timely service.

What are popular job titles related to Workers Compensation Claims Assistant jobs in Riverside, CA? For Workers Compensation Claims Assistant jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Workers Compensation Claims Assistant jobs in Riverside, CA look for? The top searched job categories for Workers Compensation Claims Assistant jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Workers Compensation Claims Assistant jobs? Cities near Riverside, CA with the most Workers Compensation Claims Assistant job openings:
Workers Compensation Claims Assistant jobs near you
Infographic showing various Workers Compensation Claims Assistant job openings in Riverside, CA as of July 2026, with employment types broken down into 79% Full Time, 16% Part Time, and 5% Temporary. Highlights an 82% In-person, 5% Hybrid, and 13% Remote job distribution, with an average salary of $57,443 per year, or $27.6 per hour.

Workers Compensation Claims Examiner

TEEMA Group

Chino, CA • Remote

$93K - $104K/yr

Full-time

Re-posted 9 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.