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Brighterway

Builds AI software for workers' compensation claims

California Workers' Compensation Claims Adjuster

Claims AdjudicationConfirmed live in the last 24 hours
Full-timeRemote in USA

About the Job

Requirements

  • At least five years of experience handling California workers' compensation claims.
  • Strong file-review skills and sound judgment on compensability, reserves, and settlement.
  • Ability to handle California claims is required.
  • Precise writing and comfort giving direct feedback to software teams.

Responsibilities

  • Review claim files, identify missing information, and set clear next steps.
  • Help finalize settlements by contacting injured workers, explaining documents, obtaining signatures, and following through with the Workers' Compensation Appeals Board.
  • Keep accurate, timely notes and flag issues before they become delays.
  • Review AI-generated summaries, chronologies, and risk flags, and correct them; corrections train the system.
  • Document California requirements—including benefit notices, utilization review and independent medical review, qualified medical evaluator and agreed medical evaluator processes, medical provider networks, liens, compromise and release agreements, and stipulations—for the product team.

Desired Qualifications

  • A California SIP designation or active adjuster license.
  • Experience at a third-party administrator, carrier, or self-insured employer program in California.
  • Experience with litigated files and settlement negotiation.
  • Experience with claims system migrations.

About the Company

Brighterway

Builds AI software for workers' compensation claims

Brighterway builds AI software and runs claims administration for organizations handling workers' compensation and other casualty claims. Its customers include insurers, self-insured employers and medical examiners who need to turn large medical files into usable case information. The software sorts and deduplicates records, prepares summaries and chronologies, and supports claims work from intake through state reporting. Organizations buy its claims platform for their own teams or use its full-service administration, while examination practices use its record-review tools before preparing medical opinions. Brighterway was founded in 2023 and is headquartered in San Francisco.

Company size
11-50
Company stage
Seed
Total funding
$130K
Headquarters
San Francisco, CA
Founded
2023

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