Claims Examiner

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Always be on the lookout for job scams! Learn more about identity theft Opens in new window Help information , opens a new window. First Job Previous Job 1,034 of 6,590 Next Job Last Job Share More Like This Between $45.00 and $52.00 Per Hour DOE (Depends on Experience) Claims Examiner TechLink Systems Inc

Occupation:

Claims Adjusters, Examiners, and Investigators

Location:

Irvine, CA - 92614

Job Type:

Contract, Full Time (30 Hours or More), Permanent Employment, Day Shift

Posted:

07/01/2026 Positions available: 5

Source:

CalJOBS

Web Site:

CalJOBS Onsite /

Remote:

Work at home all of the time

Updated:

07/02/2026

Expires:

08/30/2026 Job #: 19860357 Job Requirements and Properties Help for Job Requirements and Properties. Opens a new window. Telework & Remote Full Time Education Associate's Degree Experience 2 Month(s) Schedule Full Time Job Type Contract Duration Permanent Employment Shift Day Shift Public Transit Available Job Description Help for Job Description. Opens a new window.

Job Title:

Claims Examiner - Workers Compensation Location (On-site, Remote, or Hybrid?): Remote in CA

Contract Duration:

Contract until 09/25/2026

Work Hours:

8:00 - 4:30

PRIMARY PURPOSE:

To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.

ESSENTIAL

FUNCTIONS and

RESPONSIBILITIES

Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution. Negotiates settlement of claims within designated authority. Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim. Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level. Prepares necessary state fillings within statutory limits. Manages the litigation process; ensures timely and cost effective claims resolution. Coordinates vendor referrals for additional investigation and/or litigation management. Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients. Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner. Communicates claim activity and processing with the claimant and the client; maintains professional client relationships. Ensures claim files are properly documented and claims coding is correct. Refers cases as appropriate to supervisor and management.

ADDITIONAL

FUNCTIONS and

RESPONSIBILITIES

Performs other duties as assigned. Supports the organization's quality program(s). Travels as required.

SKILLS:

QUALIFICATION

Education & Licensing:

Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.

Experience:

Five (5) years of claims management experience or equivalent combination of education and experience required.

SKILLS & KNOWLEDGE

Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business. Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Good interpersonal skills Excellent negotiation skills Ability to work in a team environment Ability to meet or exceed Service Expectations TechLink Systems Inc Is a Private Sector employer with 4 locations https://www.techlinksystems.com/

Company Profile:

TechLink Systems Inc is a leading staffing and workforce solutions firm founded in 1998 and headquartered in San Francisco California. The company provides high-quality staffing services across industries including IT Engineering Healthcare Finance and Life Sciences. TechLink offers a wide range of services such as contract staffing direct hire RPO SOW consulting and employer-of-record payrolling solutions. It is a certified Womens Business Enterprise WBE Minority Business Enterprise MBE and Women-Owned Small Business WOSB. With offices across major US cities and a development center in Bangalore India TechLink serves both national and global clients. The firm combines the responsiveness of a boutique agency with the scale of an enterprise-level provider. TechLink has received numerous accolades including recognition from Inc 5000 San Francisco Business Times and TAPFINs Premier Partner award 100-249 employees Connect with TechLink Systems Inc Location/Work Site Information Help for Location/Work Site Information. Opens a new window. Cost of Living Calculator Help for Cost of Living Calculator. Opens a new window. Compensation and Benefits Help for Compensation and Benefits. Opens a new window. Job Type and Required Hours Help for Job Type and Required Hours. Opens a new window. Work Experience Help for Work Experience. Opens a new window. Education and Training Help for Education and Training. Opens a new window. Skills Required Help for Skills Required. Opens a new window. Specialized Job Requirements Help for Specialized Job Requirements. Opens a new window. Occupation Information for Claims Adjusters, Examiners, and Investigators Help for Occupation Information for Claims Adjusters, Examiners, and Investigators. Opens a new window. Other Jobs and Employers Help for Other Jobs and Employers. Opens a new window. Career Ladder Help for Career Ladder. Opens a new window. Personal Requirements Help for Personal Requirements. Opens a new window. Nature of the Work Help for Nature of the Work. Opens a new window. Work Values and Activities Help for Work Values and Activities. Opens a new window. Change Job Search Criteria Print Job Order Opens in new window [ Do you have a comment or concern about this job posting? ] About Sign In / Register Home Site Map Site Search Explore CalJOBS Settings Accessibility Statement Preferred Settings Page Preferences Languages Services For Individuals For Employers Labor Market Mobile App Legal Privacy Statement Terms of Use Disclaimer Equal Employment Opportunity Resources Protect Yourself Assistance CalJOBS Contact Us Statewide Sacramento, CA 94280 Copyright © 1998-2026 Geographic Solutions, Inc. All Rights Reserved. Virtual OneStop® - VOS Sapphire AI v24