• Job Description

  Req#: 6348

  Overview

  Position Title: Workers’ Compensation Claim Specialist (Mid to Senior Level)Location: Remote – Reporting to Irvine, CA BranchSchedule: Monday–Friday, 8:00 AM–4:30 PM PSTSalary Range: $70,000–$95,000 annually

  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

  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.

  This position is a true Workers’ Compensation adjusting role. It is not an HR, consulting, or administrative position. The role requires full responsibility for the investigation, evaluation, negotiation, and resolution of Workers’ Compensation claims in accordance with state laws and client handling instructions.

  Responsibilities

  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.

  • 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 skillsFamiliarity with ADR processes and litigation handling

  Professional designations such as AIC, ARM, or CPCU

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

  Why You’ll Love Working Here

  • 4 weeks PTO (Paid time off that accrues throughout the year in accordance with company policy) + 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. This role may also qualify for bonuses or additional forms of pay.

  CCMSI offers comprehensive benefits including medical, dental, vision, life, and disability insurance. Paid time off accrues throughout the year in accordance with company policy, with paid holidays and eligibility for retirement programs in accordance with plan documents.

  CCMSI posts internal career opportunities in compliance with applicable state and local promotion transparency laws.

  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.

  Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws.

  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.

  #NowHiring #WorkersCompensationJobs #ClaimsCareers #InsuranceJobs #RemoteWork #CaliforniaJobs #EmployeeOwned #GreatPlaceToWork #CareerWithPurpose #JoinOurTeam #TPACareers #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 ...

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