Overview
Claim Assistant
Location: Irvine, CA (In-Office – 5 Days per Week)Schedule: Monday–Friday, 8:00 AM–4:30 PM PST (37.5 hours/week)Pay Range: $20.00–$22.00 per hour (dependent on experience)
Build Your Career With Purpose at CCMSI
At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.
We don’t just process claims—we support people. As the largest privately owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work®, and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day.
Job Summary
We are seeking a Claim Assistant to support a PEO/Staffing account handling California workers’ compensation claims. This is a fully in-office position, working on-site in our Irvine, CA branch five days per week.
This role provides technical, clerical, and claims support to adjusting teams while building foundational knowledge of the workers’ compensation process. It is ideal for someone with strong organization skills, attention to detail, and an interest in growing within claims.
Responsibilities
When we hire claim assistants at CCMSI, we look for people who understand that every claim represents a real person’s livelihood, take pride in accuracy, and approach their work with accountability and care.
Assist with the investigation and evaluation of contested medical-only claims and support indemnity claims under supervision
Set up claim files and complete required system documentation accurately and timely
Establish reserves and provide reserve recommendations under assigned authority and supervision
Request and monitor medical treatment in accordance with corporate standards and client instructions
Coordinate independent medical exams when directed
Review medical, legal, and miscellaneous invoices for accuracy and escalate discrepancies as needed
Assist with settlement activity, vendor referrals, and claim payments under supervision
Compute disability rates when appropriate and under guidance
Maintain accurate claim notes, diaries, and documentation within the claim system
Communicate professionally with providers, clients, claimants, and internal team members
Provide clerical and technical claims support to designated client teams
Ensure compliance with Corporate Claim Standards and client-specific handling instructions
Qualifications
Required
Associate degree or two years of related business, insurance, medical, or administrative experience
Strong organizational and time-management skills
Clear written and verbal communication skills
Ability to prioritize tasks and work in a fast-paced, team-based environment
Reliable, predictable in-office attendance during established client service hours
Preferred
Knowledge of medical terminology
Prior experience supporting insurance or workers’ compensation claims
Proficiency with Microsoft Word, Excel, Outlook, and general office systems
Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required.
Why You’ll Love Working Here
- 4 weeks PTO + 10 paid holidays in your first year
- Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance
- Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP)
- Career growth: Internal training and advancement opportunities
- Culture: A supportive, team-based work environment
How We Measure Success
At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by:
- Quality claim handling – thorough investigations, strong documentation, well-supported decisions• Compliance & audit performance – adherence to jurisdictional and client standards• Timeliness & accuracy – purposeful file movement and dependable execution• Client partnership – proactive communication and strong follow-through• Professional judgment – owning outcomes and solving problems with integrity• Cultural alignment – believing every claim represents a real person and acting accordingly
This is where we shine, and we hire adjusters who want to shine with us.
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
At CCMSI, we believe in doing what’s right—for our clients, our coworkers, and ourselves. We look for team members who:
- Lead with transparency We build trust by being open and listening intently in every interaction.
- Perform with integrity We choose the right path, even when it is hard.
- Chase excellence We set the bar high and measure our success. What gets measured gets done.
- Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own.
- Win together Our greatest victories come when our clients succeed.
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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