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CCMSI

Workers’ Compensation Claim Specialist – Remote | Mid to Senior Level | Californ

CCMSI, Irvine, California, United States, 92713

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Workers’ Compensation Claim Specialist – Remote | Mid to Senior Level | California Jurisdiction Location:

Remote – Reporting to Irvine, CA Branch

Schedule:

Monday–Friday, 8:00 AM–4:30 PM PST

Salary Range:

$70,000–$95,000 annually

Job Summary:

We are seeking an experienced Workers’ Compensation Claim Specialist to manage a dedicated client account within California jurisdiction. This remote role requires strong technical expertise and the ability to handle claims from onset through resolution, including litigation management. Caseloads are capped at 125 claims.

Responsibilities

Handle California WC claims from initial investigation through resolution

Calculate and issue benefits accurately and timely

Document all file activity and maintain compliance with state regulations

Investigate claims and manage litigation processes

Communicate effectively with clients, claimants, and attorneys

Qualifications

Minimum 5 years of California WC claims adjusting experience

SIP designation or California Claims Certificate

Strong analytical, documentation, and negotiation skills

Nice to Have

Excellent customer service and time management skills

Familiarity with ADR processes and litigation handling

How We Measure Success

Closing ratio

Timely benefit payments

Effective document management

Prompt payment of medical bills

What We Offer

4 weeks PTO + 10 paid holidays in your first year

Medical, Dental, Vision, Life, and Disability Insurance

401(k) and Employee Stock Ownership Plan (ESOP)

Internal training and advancement opportunities

Supportive, team-based work environment

Compensation & Compliance The posted salary reflects CCMSI’s good‑faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay.

Visa Sponsorship:

CCMSI does not provide visa sponsorship for this position.

ADA Accommodations:

CCMSI is committed to providing reasonable accommodations throughout the application and hiring process.

Equal Opportunity Employer:

CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations.

Our Core Values

Act with integrity

Deliver service with passion and accountability

Embrace collaboration and change

Seek better ways to serve

Build up others through respect, trust, and communication

Lead by example—no matter their title

We don’t just work together—we grow together. If that sounds like your kind of workplace, we’d love to meet you.

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