Workers’ Compensation Claim Specialist
Location: Remote or Hybrid (Report to Las Vegas, NV Branch)
Schedule: Monday–Friday, 8:00 AM–4:30 PM PT
Salary Range: $72,000–$85,000 annually
Client Focus: Single, Dedicated Client – California Jurisdiction Only
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 and highly organized Workers’ Compensation Claim Specialist to handle complex claims for a single, dedicated client within the California jurisdiction. In this fully remote or hybrid role (depending on location), you will manage claims from start to finish—investigating, evaluating, and adjusting claims while maintaining compliance with corporate and client-specific standards.
This is a high-impact position suited for professionals with strong technical knowledge, excellent communication skills, and a service-first mindset. A California SIP designation is highly preferred.
Investigate and adjust workers’ compensation claims in accordance with CA law and CCMSI standards
Establish and monitor reserves, issue payments, and negotiate settlements within authority
Coordinate with defense attorneys and other vendors as appropriate
Review medical bills, legal reports, and disability rates for accuracy and compliance
Communicate regularly with the client, injured workers, and providers
Maintain clear documentation and meet service commitments
Monitor subrogation opportunities and notify excess/reinsurance carriers as needed
Required Qualifications:
Minimum of 10 years of workers’ compensation claim experience
Experienced Adjuster Certification required
Strong written and verbal communication skills
Ability to multi-task and prioritize in a fast-paced remote environment
Self-starter with excellent time management skills
Preferred Qualifications:
California SIP certification
Bilingual in Spanish
Bachelor’s degree
Industry designations (AIC, ARM, CPCU)
Four weeks of paid time off in your first year, plus 10 paid holidays
Comprehensive benefits: Medical, Dental, Vision, Life Insurance, Critical Illness, Short & Long-Term Disability
Employer-funded ESOP and 401K plan with company match
Structured career development programs and internal promotion pathways
A supportive environment that values teamwork and employee growth
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. This role may also qualify for bonuses or additional forms of pay.
CCMSI offers a comprehensive benefits package, which will be reviewed during the hiring process. Please contact our hiring team with any questions about compensation or benefits.
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. If you need assistance or accommodation, please contact our team.
Equal Opportunity Employer:
CCMSI is an Affirmative Action / Equal Employment Opportunity employer. We comply with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks are conducted only after a conditional offer of employment.
Our Core Values
At CCMSI, we believe in doing what’s right—for our clients, our coworkers, and ourselves. We look for team members who:
We don’t just work together—we grow together. If that sounds like your kind of workplace, we’d love to meet you.
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 be based on factors such as qualifications, experience, geographic location, and internal equity. This role may also be eligible for additional compensation, such as bonuses or other forms of pay.
CCMSI offers a comprehensive benefits package, including Medical, Dental, Vision, Life Insurance, 401(k), ESOP, paid time off, and more. Benefit details will be shared during the hiring process. Please contact our hiring team with any questions about compensation or benefits.
CCMSI is an Affirmative Action / Equal Employment Opportunity employer. We comply with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks are only conducted after a conditional offer of employment has been extended.
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