Overview
Workers' Compensation Claim Supervisor - Technical (Remote)Location: Irvine, CA (Remote)
Schedule: M-F, 7:30 am to 3:30 pm
At CCMSI, we seek the brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common goal: to deliver exceptional service to our clients. As an Employee-Owned Company, we invest in our people through structured career development programs and recognize both individual and team contributions. We're also proud to be Certified as a Great Place to Work, with employee satisfaction and retention in the 95th percentile.
Why consider a career with CCMSI?
- Culture: Our core values of integrity, passion, and enthusiasm define how we treat our employees—as valued partners.
- Career Development: We offer robust internal training programs and advancement opportunities within the organization.
- Benefits: Enjoy 4 weeks of paid time off in your first year, plus 10 paid holidays, along with Medical, Dental, Vision, Life Insurance, Critical Illness, Short & Long Term Disability, 401K, and Employee Stock Ownership Plan (ESOP).
- Work Environment: We prioritize manageable caseloads, ensuring employees have the resources and support needed to succeed.
Position Overview:
As a Workers' Compensation Claim Supervisor - Technical, you will remotely supervise the technical aspects of claims management for a dedicated client within the California jurisdiction. You will lead a team of adjusters while maintaining a small caseload of your own. This role focuses solely on the claims and technical side, without direct HR responsibilities.
Key Responsibilities:
- Oversee the technical supervision of a team of adjusters, ensuring adherence to California Workers' Compensation regulations.
- Manage your own caseload, handling complex claims from start to resolution.
- Serve as a subject matter expert on California Workers' Compensation processes, providing guidance and support to your team.
- Ensure high-quality claim services that align with CCMSI’s Corporate Claim Standards and exceed client expectations.
- Participate in ongoing training and development, with potential for advancement into management.
Requirements:
- California Self-Insurance Administrator (SIP) certification required.
- 7+ years of California Workers' Compensation claims handling experience.
- 3+ years of team lead or technical supervision experience preferred.
- In-depth knowledge of California Workers' Compensation laws and regulations.
- Strong leadership, organizational, and analytical skills.
Join CCMSI and grow your career in an environment that values integrity, collaboration, and work-life balance. Apply today and be part of our employee-owned success story!
Responsibilities
Review, assign and provide supervision of all workers’ compensation claim activity for designated claims to ensure compliance with Corporate Claim Standards, client specific handling instructions and in accordance with applicable laws and State licensure requirements.
Investigate, evaluate and adjust assigned workers’ compensation claims in accordance with established claim management standards and laws.
Reserve establishment and/or oversight of reserves for designated claims within established reserve authority levels.
Responsible for providing litigation management oversight, direction and analysis including: attorney identification and selection criteria, litigation planning and budgeting, status reporting, strategic resolution facilitation and overall direction of litigated claim files.
Provide oversight of medical and miscellaneous invoices to determine if reasonable and related to the designated claim. Negotiate any disputed bills or invoices for resolution.
Authorize and make payments of workers’ compensation claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within established payment authority.
Direct handling of designated complex claims.
Supervision of all claim activity for specified accounts.
Compliance with Corporate Claim Handling Standards and special client handling instructions as established.
Performs other duties as assigned.
Qualifications
Qualifications:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Excellent oral and written communication skills. Initiative to set and achieve performance goals. Good analytic and negotiation skills. Ability to cope with job pressures in a constantly changing environment. Knowledge of all lower-level claim position responsibilities. Must be detail oriented and a self-starter with strong organizational abilities. Ability to coordinate and prioritize required. Flexibility, accuracy, initiative and the ability to work with minimum supervision. Discretion and confidentiality required.
Reliable, predictable attendance within client service hours for the performance of this position.
Responsive to internal and external client needs.
Ability to clearly communicate verbally and/or in writing both internally and externally.
Education and/or Experience
Seven (7) years of claim experience is required.
Three years supervisory experience preferred.
Computer Skills
Proficient with Microsoft Office programs.
Certificates, Licenses, Registrations
California Self-Insurance Administrator (SIP) certification required.
AIC preferred.
WORKING CONDITIONS
CORE VALUES & PRINCIPLES
Responsible for upholding the CCMSI Core Values & Principles which include: performing with integrity; passionately focus on client service; embracing a client-centered vision; maintaining contagious enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to make things better; and leading by example.
CCMSI is an Affirmative Action / Equal Employment Opportunity employer offering an excellent benefit package including Medical, Dental, Prescription Drug, Vision, Flexible Spending, Life, ESOP and 401K.
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