Salary: $77,000–$87,000 annually
Schedule: Monday–Friday, 8:00 AM–4:30 PM PST
Location: Remote | Reporting to Irvine, CA Branch
Experience Required: 5+ Years (Litigated & Some Complex Claims)
This is not an HR, risk management, or consulting position. This is an experienced California Workers’ Compensation adjusting role requiring hands-on claim investigation, evaluation, negotiation, and settlement.
At CCMSI, we don’t just adjust claims—we support people. As one of the nation’s largest employee-owned Third Party Administrators and a certified Great Place to Work®, we empower our employee-owners with manageable caseloads, meaningful work, and opportunities to grow. When you join us, you join a team that values collaboration, client care, and long-term career development.
We’re seeking an experienced Workers’ Compensation Claim Consultant to handle California jurisdiction claims for a multi-account desk supporting clients in the trucking & warehouse, valet/shuttle services, and staffing agency industries.
This fully remote position requires strong litigated claim handling experience, the ability to independently manage complex files, and a commitment to CCMSI’s best practice standards. You’ll join a collaborative team of four other consultants, working together to deliver high-quality, timely, and accurate claim service to our clients.
Conduct timely 3-point contact per CCMSI best practices.
Investigate, evaluate, and adjust California workers’ compensation claims with independence and sound judgment.
Establish, maintain, and justify detailed reserve levels.
Administer indemnity and award payments in accordance with CA jurisdictional requirements.
Negotiate settlements consistent with corporate standards, client instructions, and state law.
Maintain a current and thorough diary, ensuring all deadlines and statutory requirements are met.
Pursue subrogation recovery as applicable.
Prepare claim status reports, reserve analyses, and updates for client meetings.
Conduct claim reviews with clients and participate in discussions as needed.
Communicate effectively with injured workers, employers, providers, and attorneys throughout the claim lifecycle.
Ensure all documentation meets CCMSI best practice requirements.
5+ years of California WC adjusting experience, including litigated files and some complex exposure.
Adjuster designation required.
Strong working knowledge of California WC laws, timelines, benefits, and litigation processes.
Proficiency with Microsoft Office (Word, Excel, Outlook).
Excellent written and verbal communication skills, critical thinking, and decision-making ability.
SIP certification preferred.
Strong documentation habits per CCMSI best practices.
Experience presenting or conducting client reviews.
Remote role reporting to the Irvine, CA branch.
Occasional travel to the office may be required for rare mandatory in-office meetings.
Your success in this role is measured by:
Quality and accuracy of claim handling.
Meeting deadlines and maintaining current diary/workflows.
Consistent adherence to best practice standards.
Ability to collaborate and communicate effectively with clients, team members, and claim stakeholders.
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.
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.
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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