• Job Description

  Req#: 6220

  Overview

  Workers’ Compensation Claim Consultant

  Location: Remote – Reporting to California JurisdictionSchedule: Monday–Friday, 8:00 AM–4:30 PM PTSalary Range: $80,000–$85,000 annually

  Build Your Career With Purpose at CCMSI

  At CCMSI, we don’t just process 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 culture. Our employee-owners are empowered to grow, contribute, and make a meaningful impact.

  Job Summary

  The Workers’ Compensation Claim Consultant is responsible for handling California workers’ compensation claims for a single dedicated Alternate Dispute Resolution (ADR) client account. This role requires California jurisdiction experience and an active CA Adjuster’s License, along with the Self-Insurance Administrator Certificate (SIP). You’ll join a team of 10 adjusters and play a key role in ensuring quality claim handling through compliance with client guidelines, state laws, and CCMSI claim standards.

  Performance is measured by accuracy, timeliness, and client satisfaction, with a focus on no penalties, current diary management, complete documentation, and timely payments.

  Responsibilities

  • Investigate, evaluate, and adjust assigned California workers’ compensation claims in compliance with jurisdictional requirements and ADR processes.

  • Establish and monitor reserves, authorize claim payments, and negotiate settlements within authority and client guidelines.

  • Review medical, legal, and vendor invoices to confirm accuracy and appropriateness.

  • Maintain thorough documentation and diary updates in the claim system.

  • Communicate effectively with clients, claimants, and involved parties throughout the claim process.

  • Participate in claim reviews, hearings, and mediations as needed.

  • Ensure compliance with state laws, CCMSI claim handling standards, and client-specific requirements.

  Qualifications

  Required

  • Three or more years of experience adjusting California workers’ compensation claims

  • California Adjuster’s License

  • Self-Insurance Administrator Certificate (SIP)

  • Strong written and verbal communication skills

  • Proficiency with Microsoft Office Suite (Word, Excel, Outlook)

  Nice to Have

  • Experience with Alternate Dispute Resolution (ADR) claims

  • Strong organization, multitasking, and customer service skills

  What We Offer

  • Employee Stock Ownership Plan (ESOP): We’re employee-owned, so your success is our success.

  • Comprehensive Benefits Package: Includes medical, dental, vision, life insurance, disability, and 401(k).

  • Generous Time Off: 4 weeks of paid time off in your first year, plus 10 paid holidays.

  • Career Growth: Structured training, career progression pathways, and opportunities to advance within CCMSI.

  • Supportive Environment: Manageable caseloads and a collaborative, team-focused culture.

  Compensation & Compliance

  The posted hourly rate 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. 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, our Core Values guide how we work: integrity, client service, employee ownership, continuous improvement, collaboration, and enthusiasm for what we do.

  #CaliforniaAdjuster #WorkersCompensation #ADRClaims #InsuranceCareers #ClaimsConsultant #CaliforniaJobs #RemoteAdjuster #SIPCertified #InsuranceProfessionals #ClaimsManagement #CareerGrowth #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #LI-Remote

• About the company

  CCMSI is a leading independent third-party administrator for workers’ compensation and property/casualty self-insurance programs. At CCMSI, we recruit exceptional claim professionals with experience in a broad range of fields. And then we put them ...

Notice