Workers' Compensation Claims Manager

Department: Claims Administration & Adjusting

Employment Type: Permanent - Full Time

Location: San Diego, CA

Reporting To: Roxann Struble

Compensation: $105,000 - $118,000 / year

• Supervise and mentor a team of WC adjusters, ensuring timely and accurate claim handling.
• Oversee claims involving medical treatment, indemnity benefits, and litigation, requiring strong multi-jurisdictional expertise. 
• Review and approve reserves, settlements, and claim strategies within financial authority. 
• Ensure compliance with state-specific WC laws, including EDI reporting and excess carrier notification. 
• Collaborate with legal counsel, medical providers, and return-to-work coordinators. 
• Handle escalated claims and support resolution of complex files. 
• Monitor team performance, conduct audits, and implement process improvements.
• Support onboarding and training of new staff.

• 5-7 years of Workers' Compensation claims experience.
• 2-3 years in a supervisory of team lead role.
• Strong workplace knowledge of multi-jurisdictional WC statutes and procedures. 
• Experience with litigated claims, subrogation, and excess reporting. 
• Proficient in reserve management and EDI filings.
• Active adjuster license(s) preferred.
• Strong leadership, communication, and organizational skills.
• Familiarity with claims systems such as Guidewire, RiskMaster, or similar. 

• Medical, dental, and vision plans to ensure your health and that of your family.
• A 401k plan with employer matching to help you build a secure financial future.
• Our time-off policies, including Discretionary Time Off for exempt employees and Paid Time Off (PTO) package for non-exempt employees, reflect our commitment to promoting a healthy work environment.
• Paid holidays.
• Life insurance and both short-term and long-term disability plans, providing essential financial protection for you and your loved ones.