Workers’ Compensation Claim Consultant
Location: Remote (based out of Irvine, CA)
Salary Range: $70,000–$85,000
Schedule: Monday–Friday, 8:00 AM to 4:30 PM
Client: Dedicated national account
Jurisdiction: California Workers' Compensation
License: SIP preferred or ability to obtain post-hire

The posted salary reflects CCMSI’s good-faith estimate of the base pay range for this role, in accordance with applicable pay transparency laws. Actual compensation will depend on qualifications, experience, and internal equity. Additional compensation may include bonuses, benefits, or other forms of pay. A full summary of benefits—including Medical, Dental, Vision, Life Insurance, ESOP, and 401K—is available upon request. Please discuss any compensation and benefits questions with our hiring team.

CCMSI is an Affirmative Action / Equal Employment Opportunity employer. Background checks are conducted in compliance with applicable laws.

At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs and rewarding both individual and team achievements. Certified as a Great Place To Work, our employee satisfaction and retention ranks in the 95th percentile.

Why Join CCMSI?

• Culture: Our Core Values are embedded into everything we do—integrity, passion, and treating each employee as a valued partner.

• Career Development: CCMSI offers internal training and career advancement pathways.

• Benefits: 4 weeks of paid time off in your first year, 10 paid holidays, Medical, Dental, Vision, Life, Critical Illness, Short & Long-Term Disability, 401K, and ESOP.

• Environment: Manageable caseloads, collaborative team atmosphere, and support from leadership.

Position Summary:

As a Workers’ Compensation Claim Consultant, you will be responsible for managing all aspects of your assigned CA workers’ compensation claims, from investigation to resolution. This role is part of a small, dedicated team supporting a single client, offering both autonomy and team support. This position may also serve as a development role for future leadership opportunities.

• Investigate, evaluate, and adjust workers’ compensation claims in accordance with CA law and CCMSI guidelines

• Establish and monitor reserves

• Approve and negotiate medical and legal expenses

• Make claim payments within authority levels

• Coordinate with outside vendors (legal, case management, surveillance, etc.)

• Maintain diary, documentation, and client communications

• Monitor subrogation and notify excess/reinsurance carriers as appropriate

• Ensure compliance with claim handling standards and client-specific instructions

Skills & Experience:

• Minimum 10 years of experience adjusting workers’ compensation claims

• Strong knowledge of California workers’ compensation statutes

• SIP designation preferred (or willingness to obtain)

• Excellent communication, negotiation, and analytical skills

• Personable, dependable, organized, and team-oriented

• AIC, ARM, or CPCU a plus

• Proficiency in Microsoft Office (Word, Excel, Outlook)

Performance is Measured By:

• Diary and payment compliance

• Claim file documentation

• Client satisfaction and audit results

Ready to bring your experience to a supportive and employee-focused environment? Apply today and grow your career with CCMSI.

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