Job Title
Workers Compensation Specialist
Department
Human Resources Claims
Location
Corporate Headquarters Cerritos CA
Classification
Full-Time Non-Exempt
Reports To
Claims Manager
Position Summary
The Workers Compensation Specialist manages and administers the organizations workers compensation program and ensures compliance with all applicable federal and California state regulations. This role oversees the full employee injury and claims process including coordination with insurance carriers third-party administrators medical providers and legal counsel. The position supports modified duty and return-to-work efforts while maintaining accurate and confidential claim documentation.
This role requires hands-on workers compensation experience strong communication skills and the ability to balance employee advocacy with the organizations legal and financial interests. The Specialist works closely with Human Resources operations safety teams and external partners to ensure timely compliant and efficient claims handling.
Key Responsibilities
- Manage workers compensation claims from initial incident reporting through closure ensuring timely filing and documentation
- Ensure compliance with California workers compensation laws OSHA reporting requirements and internal policies
- Serve as the primary point of contact for employees insurance carriers third-party administrators medical providers and attorneys
- Review incident reports gather statements and support investigations to determine claim compensability
- Maintain accurate organized and confidential claims files and system records
- Monitor claim progress medical status benefit payments and litigation activity as applicable
- Participate in settlement discussions and provide recommendations when appropriate
- Coordinate and track return-to-work and modified duty programs in partnership with Human Resources and management
- Prepare routine and ad hoc reports for leadership related to claim status trends costs and risk exposure
- Identify injury trends and support safety and injury prevention initiatives
- Assist with internal and external audits including carrier and regulatory reviews
- Maintain current knowledge of workers compensation legislation policies and best practices
Qualifications and Skills
- Associates or Bachelors degree in Human Resources Business Administration Risk Management or a related field preferred
- Three to five years of experience managing workers compensation claims or working in a risk or insurance-related role
- Strong working knowledge of California workers compensation regulations and claims processes
- Experience working with insurance carriers and third-party administrators
- Bilingual in English and Spanish required
- Strong communication skills with the ability to interact professionally and empathetically with employees
- Excellent organizational analytical and documentation skills with strong attention to detail
- Proficiency in Microsoft Office and familiarity with HR or claims management systems
- Ability to manage multiple priorities maintain confidentiality and work effectively in a fast-paced environment
Physical Demands and Work Environment
- Primarily sedentary work requiring extended periods of sitting and computer use
- Occasional standing and walking
- Some travel may be required
Required Experience:
IC
Details:Job TitleWorkers Compensation SpecialistDepartmentHuman Resources ClaimsLocationCorporate Headquarters Cerritos CAClassificationFull-Time Non-ExemptReports ToClaims ManagerPosition SummaryThe Workers Compensation Specialist manages and administers the organizations workers compensation pro...
Job Title
Workers Compensation Specialist
Department
Human Resources Claims
Location
Corporate Headquarters Cerritos CA
Classification
Full-Time Non-Exempt
Reports To
Claims Manager
Position Summary
The Workers Compensation Specialist manages and administers the organizations workers compensation program and ensures compliance with all applicable federal and California state regulations. This role oversees the full employee injury and claims process including coordination with insurance carriers third-party administrators medical providers and legal counsel. The position supports modified duty and return-to-work efforts while maintaining accurate and confidential claim documentation.
This role requires hands-on workers compensation experience strong communication skills and the ability to balance employee advocacy with the organizations legal and financial interests. The Specialist works closely with Human Resources operations safety teams and external partners to ensure timely compliant and efficient claims handling.
Key Responsibilities
- Manage workers compensation claims from initial incident reporting through closure ensuring timely filing and documentation
- Ensure compliance with California workers compensation laws OSHA reporting requirements and internal policies
- Serve as the primary point of contact for employees insurance carriers third-party administrators medical providers and attorneys
- Review incident reports gather statements and support investigations to determine claim compensability
- Maintain accurate organized and confidential claims files and system records
- Monitor claim progress medical status benefit payments and litigation activity as applicable
- Participate in settlement discussions and provide recommendations when appropriate
- Coordinate and track return-to-work and modified duty programs in partnership with Human Resources and management
- Prepare routine and ad hoc reports for leadership related to claim status trends costs and risk exposure
- Identify injury trends and support safety and injury prevention initiatives
- Assist with internal and external audits including carrier and regulatory reviews
- Maintain current knowledge of workers compensation legislation policies and best practices
Qualifications and Skills
- Associates or Bachelors degree in Human Resources Business Administration Risk Management or a related field preferred
- Three to five years of experience managing workers compensation claims or working in a risk or insurance-related role
- Strong working knowledge of California workers compensation regulations and claims processes
- Experience working with insurance carriers and third-party administrators
- Bilingual in English and Spanish required
- Strong communication skills with the ability to interact professionally and empathetically with employees
- Excellent organizational analytical and documentation skills with strong attention to detail
- Proficiency in Microsoft Office and familiarity with HR or claims management systems
- Ability to manage multiple priorities maintain confidentiality and work effectively in a fast-paced environment
Physical Demands and Work Environment
- Primarily sedentary work requiring extended periods of sitting and computer use
- Occasional standing and walking
- Some travel may be required
Required Experience:
IC
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