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Manage end-to-end California workers' compensation claims, including complex/high-exposure files. Conduct investigations, determine compensability, set reserves, manage medical and indemnity benefits, control litigation and legal costs, negotiate settlements, and provide excellent service to agents and insureds while mentoring junior adjusters and improving claims processes.

The Staff Business Systems Analyst will manage Salesforce solutions and partner with stakeholders, ensuring effective integration and data flow across multiple platforms while supporting business needs and documentation efforts.

Provide email and phone support to agency partners, handle onboarding/offboarding, assist with CRM and portal configurations, resolve document and commission questions, troubleshoot technical issues with Engineering, identify trends, and support back-office tasks to ensure data alignment and customer success.

Independently manage workers' compensation claims from intake to closure, handling high-dollar and complex matters. Make compensability and reserve decisions, administer benefits, control litigation and legal costs, negotiate settlements, and provide claims guidance to agents and insureds. Mentor junior adjusters and work cross-functionally to improve claims operations and deliver excellent customer service.

Configure, build, test, and maintain the core claims platform (Origami) and integrations. Execute JIRA backlog items, develop test scripts, troubleshoot system issues, support UAT, maintain documentation, and partner with Enterprise Technology and vendors to ensure accurate reporting and data integrity.

Review and process premium audit worksheets for regulatory and business-rule compliance, make routine adjustments and endorsements within authority, classify exposures using PAAS/NCCI/state tools, communicate audit results to insureds and agents, coordinate billing handoffs and payment plans, document agreements and state regulations, and contribute to process improvements and training documentation.

Manage workers' compensation claims end-to-end, focusing on high-dollar, high-exposure and complex files. Make compensability and reserving decisions, administer benefits, control litigation and legal costs, negotiate settlements, and deliver strong customer service to agents and insureds. Mentor junior adjusters and improve claims processes while complying with statutory requirements.

Lead and coach a team of premium audit auditors and outreach specialists, manage daily workloads and scorecards, handle escalations, coordinate cross-functional handoffs, review audit documentation for quality and SOP adherence, train staff on systems, and drive process improvements and operational initiatives.

Director of Premium Audit responsible for leading departmental transformation and operational excellence, developing strategies, managing teams, and overseeing audit processes in alignment with business objectives.

Underwrite and bind medium-to-complex workers' compensation risks, follow underwriting guidelines, support payroll partner relationships, issue certificates, assist sales with technical questions, manage high transaction volume, maintain coverage and rating knowledge, and participate in portfolio review. Travel up to 10%.