Workers’ Claim Specialist – Dedicated Account; California Jurisdiction | Remote

Workers’ Compensation Claim Specialist (California Jurisdiction – Remote)

Location: Remote | Reports to Irvine, CA Branch

Schedule: Monday–Friday, 8:00 AM – 4:30 PM PST

Compensation Range: $87,000 – $97,000 annually (based on experience)

Work Type: Full-Time | Employee-Owned Company

Join CCMSI—an employee‑owned company and a recognized Great Place to Work®—as a Workers’ Compensation Claim Specialist supporting a single, dedicated client account within the PEO industry. This remote position offers an opportunity to handle California jurisdiction claims exclusively, working with an experienced and collaborative team that values service, ownership, and integrity.

As a Workers’ Compensation Claim Specialist
, you’ll manage a caseload of mostly litigated and complex claims from start to finish (“cradle to grave”). You’ll ensure timely benefit payments, coordinate medical treatment through MMI, evaluate reserves, and pursue fair settlements and closure. You’ll also work closely with our client to provide exceptional claim outcomes and uphold CCMSI’s commitment to quality and compliance.

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Please Note:

This is an experienced insurance adjusting position. It is not an HR, consultant, or risk management role. We’re seeking a skilled California workers’ compensation adjuster experienced in litigated and complex claims.

• Investigate, evaluate, and adjust California workers’ compensation claims in accordance with CCMSI standards and state laws.
• Manage medical treatment plans and ensure benefits are paid timely and accurately.
• Evaluate claim reserves and settlement potential; negotiate settlements within authority and client guidelines.
• Collaborate effectively with clients, attorneys, medical providers, and internal partners.
• Maintain accurate and timely claim documentation and diary management.
• Participate in regular file reviews and provide thoughtful updates to the client.
• Contribute to a supportive, high‑performing team culture rooted in employee ownership.

• Proven experience handling California jurisdiction workers’ compensation claims (litigated and/or complex).
• Strong communication, organization, and time management skills.
• Analytical mindset with sound judgment and decision‑making.
• Proficiency in Microsoft Word and Excel.

• SIP designation (or willingness to obtain).
• AIC, ARM, or CPCU certification a plus.

Candidates with less experience may be considered at a lower range within the posted salary band.

• Compliance with California statutory timelines and CCMSI Best Practices.
• Accuracy of benefit payments and reserve evaluations.
• Quality of claim documentation and audit results.
• Timely, professional client communication and collaboration.
• Annual performance review with ongoing coaching and feedback.

• 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.

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.

#Employee Owned #Great Place To Work Certified  #CCMSICareers #Workers Compensation #Claims Adjuster #California Jobs #Remote Work