CA Workers' Comp Lien & Medical Management Adjuster – Remote; Rep

Position: CA Workers' Comp Lien & Medical Management Adjuster – Remote (Rep I)

CA Workers' Comp Lien & Medical Management Adjuster – Remote (Rep I)

Apply for the CA Workers' Comp Lien & Medical Management Adjuster – Remote (Rep I) role at CCMSI
.

Overview

• Location:
  
  Remote (reporting to Irvine, CA Branch)
• Schedule:
  
  Monday–Friday, 8:00 AM–4:30 PM PST
• Salary Range: $60,000–$75,000 annually
• Reports To:
  
  Workers’ Compensation Supervisor
• Accounts:
  Multiple accounts within the staffing and transportation industries

Build Your Career With Purpose at CCMSI

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 every day.

Job Summary

We are seeking an experienced Workers’ Compensation Claim Representative I to handle California jurisdiction claims with a focus on lien resolution and lifetime medical management. This remote position supports multiple accounts within the staffing and transportation industries and requires an individual who can manage complex medical issues, negotiate lien settlements, and maintain strong compliance with state and client requirements.

This role is ideal for someone who enjoys analytical problem‑solving, communicating with medical providers and attorneys, and driving claims toward fair and timely resolution.

Responsibilities

• Investigate, evaluate, and adjust workers’ compensation claims in accordance with established procedures and California regulations.
• Negotiate and settle liens with lien claimants, medical providers, and applicant attorneys.
• Handle future medical/lifetime medical claims, ensuring timely authorization and payment of treatment, services, and prescriptions.
• Review medical reports, legal correspondence, and billing to determine reasonableness and relatedness to ongoing claims.
• Coordinate with defense counsel and vendors to resolve complex lien disputes.
• Maintain current and accurate diary, documentation, and billing records.
• Ensure compliance with CCMSI standards, client requirements, and jurisdictional time frames.
• Deliver exceptional customer service to clients, claimants, and internal partners.

Qualifications

Required:

• Minimum 2 years of workers’ compensation claim handling experience, with exposure to lien resolution and/or lifetime medical management.
• SIP certification or Experienced Adjuster designation.
• Excellent written and verbal communication skills.
• Strong time‑management and organizational abilities with attention to detail.
• Proficiency in Microsoft Office programs (Word, Excel, Outlook).

Preferred:

• Prior experience managing claims within the staffing or transportation industries.

Performance Metrics

Performance is measured by accuracy and timeliness of diary entries, documentation, and bill processing; quality of claim handling; and adherence to client and corporate standards.

What We Offer

• Employee Ownership:
  As an Employee‑Owned Company (ESOP), every employee has a stake in our success.
• Time Off: 4 weeks of paid time off in your first year, plus 10 paid holidays.
• Comprehensive Benefits:
  Medical, Dental, Vision, Life, Short‑ and Long‑Term Disability, Critical Illness, and 401(k).
• Career Growth:
  Robust internal training and professional development opportunities.
• Supportive Culture:
  We believe in manageable caseloads, collaboration, and maintaining a healthy work‑life balance.

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.

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

• 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.

Referrals increase your chances of interviewing at CCMSI by 2x.

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