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Workers Compensation Investigator Jobs in Riverside, CA

Jobot

Defense Attorney (Workers' Compensation)

Anaheim, CA · On-site +1

$100K - $250K/yr

Representing clients at every stage of workers' comp litigation -- investigations, depositions ... compensation defense experience Strong grasp of CA workers' comp laws and regulations Sharp ...

CCMSI

Workers' Compensation Claim Supervisor

Irvine, CA · Remote

$90K - $105K/yr

Investigate, evaluate, adjust, reserve, and resolve claims within established authority levels and industry best practices. * Oversee claim-related expenses, payments, settlements, and vendor ...

CCMSI

Workers' Compensation Insurance Adjuster

Irvine, CA · On-site

$70K - $85K/yr

Overview Workers' Compensation Insurance Adjuster Location: Irvine, CA (reporting remotely ... Investigate, evaluate and adjust claims in accordance with established claim handling standards and ...

TEEMA Group

Workers Compensation Claims Examiner

Chino, CA · Remote

$93K - $104K/yr

Claims Examiner (Workers' Compensation) Position Summary Our client is seeking an experienced ... Conduct timely and thorough investigations to determine claim compensability * Administer benefits ...

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

Workers Compensation Investigator information

See Riverside, CA salary details

$33.4K

$78.6K

$136.7K

How much do workers compensation investigator jobs pay per year?

As of Aug 24, 2026, the average yearly pay for workers compensation investigator in Riverside, CA is $78,584.00, according to ZipRecruiter salary data. Most workers in this role earn between $54,800.00 and $102,800.00 per year, depending on experience, location, and employer.

What does a workers compensation investigator do?

A Workers Compensation Investigator is responsible for examining claims made by employees who allege work-related injuries or illnesses. Their main job is to verify the legitimacy of these claims by conducting interviews, reviewing medical and employment records, performing surveillance, and gathering evidence. Investigators work to identify potential fraud and ensure that only valid claims are approved, helping to protect employers and insurance companies from false or exaggerated claims. They may also prepare detailed reports and testify in legal proceedings if necessary.

What are the key skills and qualifications needed to thrive as a workers compensation investigator?

To thrive as a Workers Compensation Investigator, you need a solid understanding of insurance laws, investigative techniques, and report writing, often supported by a background in criminal justice or related fields. Proficiency with case management software, surveillance equipment, and legal research tools is typically required. Strong analytical thinking, attention to detail, and excellent interpersonal skills help distinguish top performers in this role. These competencies are crucial for effectively identifying fraudulent claims, ensuring legal compliance, and protecting organizational resources.

What are some common challenges faced by workers compensation investigators, and how can these be addressed?

Workers Compensation Investigators often encounter challenges such as gathering accurate information from reluctant witnesses, managing cases with limited documentation, and staying current with evolving legal standards. To address these challenges, investigators typically rely on strong communication skills, persistence in follow-up, and ongoing training in investigative techniques and regulatory updates. Collaboration with legal teams, medical professionals, and insurance adjusters also plays a key role in ensuring thorough and fair investigations.

What is the difference between Workers Compensation Investigator vs Claims Adjuster?

AspectWorkers Compensation InvestigatorClaims Adjuster
CredentialsTypically requires investigative or insurance-related certificationsRequires insurance licenses and adjuster certifications
Work EnvironmentField investigations, interviews, surveillanceOffice-based, claims review, client communication
Industry UsageInsurance companies, third-party administratorsInsurance companies, third-party administrators
Search & Comparison IntentUnderstanding investigative roles in workers' compUnderstanding claims processing and adjustment

While both roles are integral to the insurance industry, a Workers Compensation Investigator focuses on verifying claims through investigations, surveillance, and interviews. In contrast, a Claims Adjuster handles the overall claims process, including evaluation, settlement, and communication with claimants. Both positions often require insurance-related certifications and work within similar environments, but their core responsibilities differ significantly.

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

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

Workers Compensation Investigator jobs near you
Infographic showing various Workers Compensation Investigator job openings in Riverside, CA as of August 2026, with employment types broken down into 86% Full Time, 7% Part Time, 5% Temporary, and 2% Contract. Highlights an 86% In-person, 7% Hybrid, and 7% Remote job distribution, with an average salary of $78,584 per year, or $37.8 per hour.

Workers' Compensation Supervisor

KPC GLOBAL MEDICAL CENTERS INC.

Corona, CA • On-site

$95K - $125K/yr

Full-time

Re-posted 24 days ago

Job description

Department: Human Resources/Legal
Reports To: Legal Department (Primary) and Chief Human Resources Officer (CHRO)
Location: Corporate Headquarters (HQ)
FLSA Status: Exempt

SUMMARY

The Workers' Compensation Supervisor provides strategic leadership, oversight, and administration of KPC Healthcare's Workers' Compensation Program across all KPC facilities. Reporting primarily to the Legal Department and secondarily to the Chief Human Resources Officer (CHRO), this position is responsible for ensuring regulatory compliance, minimizing organizational risk, overseeing claims administration, directing return-to-work initiatives, and providing enterprise-wide leadership for workers' compensation operations.

REQUIREMENTS

Required Qualifications

  • Bachelor's degree in Human Resources, Business Administration, Risk Management, Healthcare Administration, or related field required. or equivalent of 7+ years of experience.
  • Master's degree preferred.
  • Minimum five (5) years of progressively responsible Workers' Compensation experience.
  • Minimum two (2) years of supervisory experience required.
  • Healthcare experience strongly preferred.
  • California Workers' Compensation experience required.
  • WCCA, WCCP, ARM, CPCU, or similar certification preferred.

Preferred Qualifications

  • Comprehensive knowledge of California Workers' Compensation laws.
  • Knowledge of OSHA, ADA, FEHA, FMLA, CFRA, and return-to-work requirements.
  • Strong analytical, negotiation, leadership, and communication skills.
  • Ability to prepare executive reports and build collaborative relationships.

Physical Requirements

Ability to travel between KPC facilities as needed. Prolonged periods of sitting and computer use. Ability to occasionally lift up to 20 pounds.

Working Conditions

This position is based at KPC Corporate Headquarters and supports all KPC Healthcare facilities. Periodic travel to hospitals and other company locations is required.

DUTIES AND RESPONSIBILITIES

Essential Duties and Responsibilities

  • Supervise the corporate Workers' Compensation program for all KPC facilities.
  • Provide leadership and direction to Workers' Compensation staff and departmental workflow.
  • Oversee occupational injury and illness claims from injury through closure.
  • Review accident reports for completeness, accuracy, and compliance.
  • Serve as the primary liaison with TPAs, insurance carriers, legal counsel, medical providers, and investigators.
  • Partner with Legal on litigation strategy, hearings, settlements, subpoenas, and depositions.
  • Direct Modified Duty and Return-to-Work programs across all facilities.
  • Collaborate with HR, Employee Health, Safety, and operational leadership to ensure compliance with ADA, FEHA, FMLA, CFRA, and applicable laws.
  • Monitor claim reserves, settlement recommendations, and TPA performance.
  • Conduct quarterly claims reviews and present executive reporting.
  • Develop policies, procedures, injury prevention initiatives, and executive dashboards.
  • Participate in regulatory audits and maintain confidentiality.
  • Perform other related duties as assigned.

Leadership Responsibilities

  • Supervise Workers' Compensation staff and departmental operations.
  • Establish departmental goals and performance standards.
  • Coach, mentor, and evaluate staff.
  • Lead continuous process improvement initiatives.
  • Build collaborative relationships across all KPC facilities.
KPC Health logo

About KPC Health

Sourced by ZipRecruiter

KPC Health has an integrated approach to serving the people of Riverside, San Bernardino and Orange County. Our acute care medical centers provide high quality, comprehensive and affordable healthcare for the entire family. For us, healthcare is not just about caring for our patients, but also about investing in the people throughout our communities. We are one team with one mission and that mission is for all our patients, and their families to Enjoy Life in Great Health.

Industry

Health care and social assistance

Company size

201 - 500 Employees

Headquarters location

Santa Ana, CA, US

Year founded

2004

Social media

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