Work from Home CA Workers Compensation Adjuster | PEO Account Focus

Workers' Compensation Claim Specialist

Join CCMSI, a leading independent Third-Party Administrator (TPA) providing innovative risk management and claim solutions. As an Employee-Owned Company and a Great Place to Work Certified organization, we empower our employees to make decisions, grow professionally, and deliver exceptional results to our clients.

The Workers' Compensation Claim Specialist is responsible for the investigation, evaluation, and adjustment of California jurisdiction workers' compensation claims across multiple Professional Employer Organization (PEO) accounts.

This remote position offers the stability of a well-established client base and the collaboration of a large, supportive team. You'll join a group of 20 experienced adjusters committed to quality service and compliance. A one-week, in-person training session at our Scottsdale branch is available for onboarding and connection with your team.

Responsibilities

• Investigate, evaluate, and adjust California workers' compensation claims in compliance with all applicable laws, CCMSI standards, and client handling instructions.
• Establish and maintain accurate reserves and documentation within assigned authority.
• Review, authorize, and process medical, legal, and indemnity payments.
• Negotiate settlements consistent with corporate standards and jurisdictional guidelines.
• Maintain clear, professional communication with clients, claimants, and other stakeholders throughout the claim process.
• Participate in team reviews and audit processes to ensure quality, consistency, and compliance.
• Provide excellent client service through timely, thorough, and accurate claim handling.

Qualifications

Required :

Preferred :

How We Measure Success

What We Offer

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 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.

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