Workers Compensation Claim Specialist Remote | Mid to Senior Level | California Jurisdiction

Workers' Compensation Claim Specialist (Mid to Senior Level)

Location : Remote Reporting to Irvine, CA Branch

Schedule : MondayFriday, 8 : 00 AM4 : 30 PM PST

Salary Range : $70,000$95,000 annually

Build Your Career With Purpose at CCMSI

At CCMSI, we don't just process claimswe 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.

Job Summary

We are seeking an experienced Workers' Compensation Claim Specialist to manage a dedicated client account within California jurisdiction. This remote role requires strong technical expertise and the ability to handle claims from onset through resolution, including litigation management. Caseloads are capped at 125 claims to ensure quality and balance. If you thrive in a fast-paced environment and value autonomy, this is an excellent opportunity to join a supportive, employee-owned organization.

Responsibilities

Handle California WC claims from initial investigation through resolution

Calculate and issue benefits accurately and timely

Document all file activity and maintain compliance with state regulations

Investigate claims and manage litigation processes

Communicate effectively with clients, claimants, and attorneys

Qualifications

What You'll Bring

Required : Minimum 5 years of California WC claims adjusting experience SIP designation or California Claims Certificate Strong analytical, documentation, and negotiation skills

Nice to Have : Excellent customer service and time management skills Familiarity with ADR processes and litigation handling

How We Measure Success

Performance in this role is typically measured by : Closing ratio Timely benefit payments Effective document management Prompt payment of medical bills

What We Offer

4 weeks PTO + 10 paid holidays in your first year Medical, Dental, Vision, Life, and Disability Insurance 401(k) and Employee Stock Ownership Plan (ESOP) Internal training and advancement opportunities A supportive, team-based work environment

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.

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 rightfor 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 exampleno matter their title

We don't just work togetherwe grow together. If that sounds like your kind of workplace, we'd love to meet you.