CCMSI
Job Experienced WC Claim Adjuster Remote (CA Jurisdiction)
CCMSI, Irvine, California, United States, 92616
Workers' Compensation Claim Consultant
Location:
Remote | Reports to Irvine, CA Branch Schedule:
MondayFriday, 8:00 AM4:30 PM PST Salary Range:
$75,000$95,000 annually Status:
Full-Time, Exempt Build Your Career With Purpose at CCMSI
At CCMSI, we don't just adjust claimswe support people. As a leading Third Party Administrator and a certified Great Place to Work, we offer manageable caseloads, employee ownership, and a collaborative, client-focused environment. We're proud to be employee-owned and committed to developing your career through continuous learning and internal opportunities. Job Summary
We're looking for an experienced
Workers' Compensation Claim Consultant
to join our remote team supporting multiple client accounts in the
California WC jurisdiction only . In this role, you'll be responsible for the end-to-end handling of claimsfrom investigation to resolutionensuring accurate payments, exceptional customer service, and compliance with state laws and client expectations. Responsibilities
Essential Functions
Investigate, evaluate, and adjust California workers' compensation claims in accordance with CCMSI's Best Practices and jurisdictional requirements
Establish reserves and authorize claim payments within designated authority
Review medical and legal documents to ensure charges are appropriate and related
Negotiate settlements in compliance with corporate and client-specific instructions
Maintain ongoing communication with claimants, clients, attorneys, and vendors
Monitor subrogation potential and pursue recoveries as needed
Provide detailed claim reports and attend client claim review meetings or hearings when required
Serve as a point of contact for complex claim resolution, contributing to client satisfaction and retention
Qualifications
Required: Minimum 5 years of California workers' compensation claims experience
Current SIP certification or ability to obtain within the first 60 days of employment
Knowledge of CA WC law and regulations
Strong organizational and time management skills
Excellent written and verbal communication
Proficiency in Microsoft Office (Word, Excel, Outlook)
Preferred: Bachelor's degree
Familiarity with client service metrics and claims performance dashboards
Prior experience managing multi-account desks
Performance Metrics
Compliance with CCMSI's Best Practices
Claims closure ratios and timely indemnity payments
Quality audit scores
Client satisfaction and communication responsiveness
What We Offer
Hybrid work-life balance
and flexible remote structure
4 weeks of paid time off
in your first year, plus 10 paid holidays
Comprehensive benefits
including Medical, Dental, Vision, Life Insurance, Critical Illness, Short- and Long-Term Disability
401(k) with match
and
Employee Stock Ownership Plan (ESOP)
You're not just an employee, you're an owner
Supportive team culture
that values development, recognition, and collaboration
Compensation & Compliance This role pays
$75,000 to $95,000 annually , based on experience and qualifications. 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. CCMSI offers a comprehensive benefits package, which will be reviewed during the hiring process. Please contact our hiring team with any questions about compensation or benefits. 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. If you need assistance or accommodation, please contact our team. Equal Opportunity Employer: CCMSI is an Affirmative Action / Equal Employment Opportunity employer. We comply with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks are conducted only after a conditional offer of employment. Our Core Values At CCMSI, we believe in doing what's rightfor our clients, our coworkers, and ourselves. We look for team members who: 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 exampleno matter their title We don't just work togetherwe grow together. If that sounds like your kind of workplace, we'd love to meet you. #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #RemoteJobs #ClaimsAdjuster #CaliforniaWorkersComp #WorkersCompensation #IND123 #LI-Remote
Location:
Remote | Reports to Irvine, CA Branch Schedule:
MondayFriday, 8:00 AM4:30 PM PST Salary Range:
$75,000$95,000 annually Status:
Full-Time, Exempt Build Your Career With Purpose at CCMSI
At CCMSI, we don't just adjust claimswe support people. As a leading Third Party Administrator and a certified Great Place to Work, we offer manageable caseloads, employee ownership, and a collaborative, client-focused environment. We're proud to be employee-owned and committed to developing your career through continuous learning and internal opportunities. Job Summary
We're looking for an experienced
Workers' Compensation Claim Consultant
to join our remote team supporting multiple client accounts in the
California WC jurisdiction only . In this role, you'll be responsible for the end-to-end handling of claimsfrom investigation to resolutionensuring accurate payments, exceptional customer service, and compliance with state laws and client expectations. Responsibilities
Essential Functions
Investigate, evaluate, and adjust California workers' compensation claims in accordance with CCMSI's Best Practices and jurisdictional requirements
Establish reserves and authorize claim payments within designated authority
Review medical and legal documents to ensure charges are appropriate and related
Negotiate settlements in compliance with corporate and client-specific instructions
Maintain ongoing communication with claimants, clients, attorneys, and vendors
Monitor subrogation potential and pursue recoveries as needed
Provide detailed claim reports and attend client claim review meetings or hearings when required
Serve as a point of contact for complex claim resolution, contributing to client satisfaction and retention
Qualifications
Required: Minimum 5 years of California workers' compensation claims experience
Current SIP certification or ability to obtain within the first 60 days of employment
Knowledge of CA WC law and regulations
Strong organizational and time management skills
Excellent written and verbal communication
Proficiency in Microsoft Office (Word, Excel, Outlook)
Preferred: Bachelor's degree
Familiarity with client service metrics and claims performance dashboards
Prior experience managing multi-account desks
Performance Metrics
Compliance with CCMSI's Best Practices
Claims closure ratios and timely indemnity payments
Quality audit scores
Client satisfaction and communication responsiveness
What We Offer
Hybrid work-life balance
and flexible remote structure
4 weeks of paid time off
in your first year, plus 10 paid holidays
Comprehensive benefits
including Medical, Dental, Vision, Life Insurance, Critical Illness, Short- and Long-Term Disability
401(k) with match
and
Employee Stock Ownership Plan (ESOP)
You're not just an employee, you're an owner
Supportive team culture
that values development, recognition, and collaboration
Compensation & Compliance This role pays
$75,000 to $95,000 annually , based on experience and qualifications. 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. CCMSI offers a comprehensive benefits package, which will be reviewed during the hiring process. Please contact our hiring team with any questions about compensation or benefits. 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. If you need assistance or accommodation, please contact our team. Equal Opportunity Employer: CCMSI is an Affirmative Action / Equal Employment Opportunity employer. We comply with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks are conducted only after a conditional offer of employment. Our Core Values At CCMSI, we believe in doing what's rightfor our clients, our coworkers, and ourselves. We look for team members who: 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 exampleno matter their title We don't just work togetherwe grow together. If that sounds like your kind of workplace, we'd love to meet you. #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #RemoteJobs #ClaimsAdjuster #CaliforniaWorkersComp #WorkersCompensation #IND123 #LI-Remote