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

Overview

Position Title: Workers’ Compensation Claim Specialist (Mid to Senior Level)
Location: Remote – Reporting to Irvine, CA Branch Schedule: Monday–Friday, 8:00 AM–4:30 PM PST Salary Range: $70,000–$95,000 annually

At CCMSI, we don’t just process claims—we support people. As a leading Third Party Administrator and a certified Great Place to Work®, we offer manageable caseloads, employee ownership, and a collaborative culture. Our employee-owners are empowered to grow, contribute, and make a meaningful impact.

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 to ensure quality and balance. If you thrive in a fast‑paced environment and value autonomy, this is an excellent opportunity to join a supportive, employee‑owned organization.

• 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

What You’ll Bring

Required:

• 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

• Closing ratio
• Timely benefit payments
• Effective document management
• Prompt payment of medical bills

• 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
• A supportive, team‑based work environment

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.

At CCMSI, we believe in doing what’s right—for 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 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.

#Now Hiring #Workers Compensation Jobs  #Claims Careers #Insurance Jobs #Remote Work #California Jobs #Employee Owned #Great Place To Work  #Career With Purpose  #Join Our Team  #TPACareers #CCMSICareers #LI-Remote