Workers Compensation Claims Administrator

Workers' Compensation Claims Administrator Rancho Cordova, CA Job Details Full-time $25 - $34 an hour 17 hours ago Benefits Profit sharing Paid holidays Health insurance Unlimited paid time off Dental insurance 401(k) Paid time off Pension plan Parental leave Employee assistance program Vision insurance 401(k) matching Employee discount Life insurance Retirement plan Qualifications OSHA (regulatory compliance area) Record keeping Workers' compensation law Teamwork Caseload management Regulatory compliance in claims processing Bachelor's degree in business Mid-level Financial fraud detection Litigation Bachelor's degree Workers' compensation claims Organizational skills Productivity software 1 year Claims documentation management Business Escalation handling Communication skills Regulatory compliance management File organization

Full Job Description Who We Are:

EmployInsure LLC delivers Engineered Employment Products designed​ to eliminate gaps ​from antiquated practices ​and enable Frictionless Employment for customers across the employment ​value chain. Our Mission is to inspire and redefine the relationship between industry and individual by transparently connecting all buyers and sellers of talent to create maximum value . Our diverse team is powered by forward-thinkers, innovators, and rapid problem-solvers. We are committed to making a significant impact to scale the company. We believe in fostering a collaborative and inclusive work environment where every voice is heard and valued.

Our Core Values:

Entrepreneurial Spirit:

A mindset that involves seeking out change, taking risks, and pursuing new opportunities. Quest for a

Deeper Understanding :

A true professional never stops getting better at their craft. They practice and measure and debate over their understanding of the truth, embodying a growth mindset.

The Stockdale Paradox:

We confront the brutal honesty of our current reality while always maintaining an unwavering faith in our ability to overcome all challenges that get in our way. We have toughness, determination, and passionate belief!

Key Responsibilities:

The Workers' Compensation Claims Administrator manages the end-to-end claims intake process for work-related injuries across our multi-state employer of record and PEO client portfolio. This role is a critical risk management function that protects EmployInsure's financial exposure while supporting injured workers through efficient, compliant claims handling.

Claims Intake & Management:

Receive, process, and document new workers' compensation claims; gather required documentation; establish claim files per applicable state jurisdiction requirements.

Multi-State Compliance:

Ensure all claims handling adheres to applicable statutes and regulations across operating jurisdictions; stay current on state-specific regulatory changes.

Carrier & TPA Coordination:

Interface with third-party administrators and medical providers; escalate complex and catastrophic claims appropriately.

Return-to-Work:

Partner with client managers to coordinate modified duty and return-to-work programs; work to reduce lost-time claim frequency and duration.

Litigation Support:

Prepare claim documentation and file summaries as requested.

Fraud Detection:

Identify and escalate suspected fraudulent claims; document red flags per company protocol and carrier guidelines.

Reporting & Metrics:

Produce regular claims metrics and loss reports for internal leadership; support loss control reporting and client-facing summaries.

Employer & Client Communication:

Serve as the primary WC contact for internal managers and PEO/EOR clients; educate on claims reporting obligations, timelines, and prevention best practices.

Basic Qualifications:

Bachelor's degree in Risk Management, Business, or related field preferred; equivalent experience considered. 1+ years of workers' compensation claims administration or adjusting experience required; multi-state experience required. California workers' compensation knowledge required; experience in additional jurisdictions strongly preferred. Familiarity with PEO, EOR, or staffing environments is highly preferred. Working knowledge of OSHA recordkeeping requirements and return-to-work program best practices. Proficiency with claims management systems and Microsoft Office Suite. Strong communication and organizational skills; ability to manage a high-volume, multi-jurisdiction claims caseload. We Offer a Best-in-Class Professional Benefits Package to Support our

Employees:

Comprehensive premium healthcare coverage: Medical, dental, and vision plans: Employees are 100% covered by the company. Low deductibles for spouse/partner and dependents

Generous Paid Time Off:

Unlimited paid time off policy and paid holidays

Profit Sharing Plan:

Share in the success of the company

Retirement Savings Plans:

401(k) with a 5% company match to help you secure your financial future Lifetime pension plan: Vest into our pension plan for a lifetime income

Wellness Support:

Access to wellness programs, mental health resources, financial counseling, legal support, and employee assistance programs.

Professional Growth Opportunities:

Learning resources to help you thrive.

Death Benefits:

Company-paid to protect you and your loved ones.

Exclusive Perks:

Employee discounts, Babble Language Learning, and more. Join us and experience a benefits package designed to empower your well-being, career growth, and personal goals! Samuel Hale is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law. Samuel Hale is an E-Verify company. For more information, please review our Participation and Your Right to Work . California Privacy Notice for Job Applicants If you are a California resident, we collect and use the personal information you provide in your application for recruiting, hiring, and compliance purposes in accordance with the

CCPA/CPRA.

We do not sell or share applicant personal information as those terms are defined by law. For details about what we collect, how we use it, and your privacy rights, please review our California Applicant & Employee Privacy Notice at https://samuelhale.com/ccpa-cpra/ or contact us at .

Pay:

$25.00 - $34.00 per hour

Benefits:

401(k) 401(k) matching Dental insurance Employee assistance program Health insurance Life insurance Paid time off Parental leave Retirement plan Vision insurance

Experience:

Workers' Compensation Claims Administration:

3 years (Preferred) Ability to

Commute:

Rancho Cordova, CA 95670 (Required)

Work Location:

In person