Workers’ Compensation Claim Consultant

Location: Remote | Reports to Irvine, CA branch
Schedule: Monday–Friday, 8:00 AM – 4:30 PM PST
Salary Range: $75,000 – $95,000 annually
Status: Full-Time, Exempt

Build Your Career With Purpose at CCMSI

At CCMSI, we don’t just adjust 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, client-focused environment. We’re proud to be employee-owned and committed to developing your career through continuous learning and internal opportunities.

Job Summary

We’re looking for an experienced Workers’ Compensation Claim Consultant to join our remote team supporting multiple client accounts in the California WC jurisdiction only. In this role, you’ll be responsible for the end-to-end handling of claims—from investigation to resolution—ensuring accurate payments, exceptional customer service, and compliance with state laws and client expectations.

Essential Functions

• Investigate, evaluate, and adjust California workers’ compensation claims in accordance with CCMSI’s Best Practices and jurisdictional requirements

• Establish reserves and authorize claim payments within designated authority

• Review medical and legal documents to ensure charges are appropriate and related

• Negotiate settlements in compliance with corporate and client-specific instructions

• Maintain ongoing communication with claimants, clients, attorneys, and vendors

• Monitor subrogation potential and pursue recoveries as needed

• Provide detailed claim reports and attend client claim review meetings or hearings when required

• Serve as a point of contact for complex claim resolution, contributing to client satisfaction and retention

Required:

• Minimum 5 years of California workers’ compensation claims experience

• Current SIP certification or ability to obtain within the first 60 days of employment

• Knowledge of CA WC law and regulations

• Strong organizational and time management skills

• Excellent written and verbal communication

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

Preferred:

• Bachelor’s degree

• Familiarity with client service metrics and claims performance dashboards

• Prior experience managing multi-account desks

Performance Metrics

• Compliance with CCMSI’s Best Practices

• Claims closure ratios and timely indemnity payments

• Quality audit scores

• Client satisfaction and communication responsiveness

What We Offer

• Hybrid work-life balance and flexible remote structure

• 4 weeks of paid time off in your first year, plus 10 paid holidays

• Comprehensive benefits including Medical, Dental, Vision, Life Insurance, Critical Illness, Short- and Long-Term Disability

• 401(k) with match and Employee Stock Ownership Plan (ESOP) – You’re not just an employee, you’re an owner

• Supportive team culture that values development, recognition, and collaboration

Compensation & Compliance

This role pays $75,000 to $95,000 annually, based on experience and qualifications. 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:

• 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.

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