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

Build Your Career With Purpose at CCMSI

At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. 

We don’t just process claims—we support people. As the largest privately owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work®, and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day.

Job Summary 

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.

⚠️ 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. Applicants without hands-on adjusting experience will not be considered.

 

When we hire adjusters at CCMSI, we look for professionals who understand that every claim represents a real person’s livelihood, take ownership of outcomes, and see challenges as opportunities to solve problems.

• 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.

Required:

• 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.

Preferred:

• SIP designation (or willingness to obtain).

• AIC, ARM, or CPCU certification a plus.

• Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required.

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

 

Why You’ll Love Working Here

 

4 weeks PTO + 10 paid holidays in your first year

Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance

Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP)

Career growth: Internal training and advancement opportunities

Culture: A supportive, team-based work environment

How We Measure Success 

 

At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by: 

 

Quality claim handling – thorough investigations, strong documentation, well-supported decisions
• Compliance & audit performance – adherence to jurisdictional and client standards
• Timeliness & accuracy – purposeful file movement and dependable execution
• Client partnership – proactive communication and strong follow-through
• Professional judgment – owning outcomes and solving problems with integrity
• Cultural alignment – believing every claim represents a real person and acting accordingly 

This is where we shine, and we hire adjusters who want to shine with us.

 

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

 

At CCMSI, we believe in doing what’s right—for our clients, our coworkers, and ourselves. We look for team members who:

 

• Lead with transparency We build trust by being open and listening intently in every interaction.
• Perform with integrity We choose the right path, even when it is hard.
• Chase excellence We set the bar high and measure our success. What gets measured gets done.
• Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own.
• Win together Our greatest victories come when our clients succeed.

 

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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