Overview
Workers’ Compensation Claim Specialist
Location: Remote (Reporting to Irvine, CA Branch)Schedule: Monday – Friday, 8:00 AM to 4:30 PM PSTCompensation: $70,000 – $95,000 annually (based on experience)Work Type: Full-Time, ExemptJurisdiction: California OnlyClient Type: Single Dedicated Account – Transportation Industry
Build Your Career With Purpose
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
The Workers’ Compensation Claim Specialist is responsible for the investigation, evaluation, and adjustment of California workers’ compensation claims for a single dedicated transportation industry client. This role ensures compliance with California jurisdictional requirements while maintaining CCMSI’s commitment to timely, accurate, and client-focused service.
This position offers the opportunity to work remotely, collaborate closely with a supportive team, and contribute to a high-performing, employee-owned organization that values both excellence and balance.
Responsibilities
Investigate, evaluate, and adjust workers’ compensation claims in accordance with California laws, CCMSI standards, and client handling requirements.
Establish and maintain appropriate reserves within assigned authority levels.
Review and authorize payments for medical, legal, and indemnity expenses, ensuring accuracy and compliance.
Negotiate settlements consistent with client expectations, corporate standards, and state regulations.
Maintain accurate claim documentation and timely diary management within the claim system.
Communicate effectively with clients, claimants, medical providers, and other stakeholders throughout the claim lifecycle.
Participate in claim reviews and internal audits as part of ongoing quality and compliance initiatives.
Support client relationships by delivering high-quality, timely, and compliant claim handling.
Qualifications
Required:
Minimum of 10 years of workers’ compensation claim adjusting experience.
Proficiency in Microsoft Office (Word, Excel, Outlook).
Strong written and verbal communication skills.
Proven ability to manage deadlines and multiple priorities effectively.
California jurisdiction experience required.
Nice to Have:
- Billingual (Spanish) proficiency- highly valued for communication with claimaints, employers, or vendors, but not required.
Preferred:
California SIP certification.
Claim review presentation experience.
AIC, ARM, or CPCU designation.
Why You'll Love Working Here
- 4 weeks (Paid time off that accrues throughout the year in accordance with company policy) + 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
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.
CCMSI offers comprehensive benefits including medical, dental, vision, life, and disability insurance. Paid time off accrues throughout the year in accordance with company policy, with paid holidays and eligibility for retirement programs in accordance with plan documents.
CCMSI posts internal career opportunities in compliance with applicable state and local promotion transparency laws.
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 work place, we'd love to me you.
Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws.
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