Workers' Compensation Claims Examiner
Date Posted: 5/6/2025
Employer: Trindel
Salary Range: Annual Salary $65,000 - $97,000
Contact: Rachael Hartman
Phone: 530-623-2322
Website: www.trindel.org
Closing Date: 6/7/2025
About the Role Are you passionate about ensuring employees receive the care they need after a workplace injury? Do you thrive in a fast-paced environment where attention to detail and strong communication skills are essential? As a Workers' Compensation Claims Examiner, you will play a critical role in initiating new injury claims and processing medical-only claims with precision and efficiency. Reporting to the Director of Workers' Compensation, you'll collaborate with Trindel staff, Member County personnel, healthcare providers, and injured employees to ensure accurate claims handling while maintaining compliance with state regulations and organizational best practices. If you're looking for a role where your expertise can directly impact people's recovery and well-being, this is the opportunity for you!
• Initiate & Manage Claims – Evaluate First Reports of Injury, ensuring timely and accurate processing of new claims.
• Ensure Compliance – Process medical-only injury claims from start to closure while adhering to state regulations and Trindel's best practices.
• Support Recovery Efforts – Authorize appropriate medical treatments within your authority level to support employee health and return-to-work efforts.
• Provide Claims Adjusting Support – Work closely with the Workers' Compensation Director and Claims Adjuster to manage cases effectively.
• Monitor & Optimize Case Inventory – Proactively track, finalize, and control an inventory of medical-only claims to streamline resolution.
• Guide Stakeholders – Serve as a trusted resource for Member Counties, injured employees, and healthcare providers.
• Stay Ahead of Industry Changes – Keep informed of updates in workers' compensation regulations, court rulings, and best practices to enhance claims handling.
• Protect Confidentiality – Handle private and proprietary information with the highest level of discretion.
• Support Organizational Goals – Ensure that the Fund's mission of exceptional customer service is upheld in every interaction.
• Solid understanding of California Workers' Compensation laws and case management strategies.
• Strong analytical and problem-solving skills to navigate complex claims.
• Exceptional organizational skills and the ability to manage multiple priorities efficiently.
• Excellent written and verbal communication abilities.
• Ability to work independently while thriving in a collaborative team environment.
• Proficiency in Microsoft Office Suite (Word, Excel).
• 3+ years of experience handling workers' compensation medical-only and indemnity claims.
• WCCA preferred or ability to pass SIP exam within 6 months.
• Experience with public entities is preferred but not required.
• Two-year college degree preferred but not mandatory.
• Cal Pers Retirement, Dental, Vision, PTO, Paid Holidays and optional HSA/401 K.
• Meaningful Work – Every claim you process directly contributes to an injured employee's recovery.
• Professional Growth – Opportunities for career advancement within Trindel Insurance Fund.
• Collaborative Team – Work with dedicated professionals who are passionate about workers' compensation and risk management.
• Industry Influence – Stay ahead of regulatory changes and refine best practices that shape claims resolution strategies.
• Office-based role with extended periods of desk work.
• Overnight travel may be required for meetings, training, and claims reviews.
Applying to Trindel Insurance Fund is a straightforward process designed to connect passionate professionals with meaningful opportunities. Start by exploring open positions on our website and submitting an online application with your resume and cover letter. Qualified candidates will be invited to an interview, where we'll discuss your skills, experience, and alignment with our mission. The final selection involves reference checks and potential follow-up interviews. Once an offer is extended, onboarding begins to ensure a smooth transition into our collaborative, impact-driven team.