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Workers' Compensation Claim Specialist - Remote | Mid to Senior Level | California Jurisdi
Workers' Compensation Claim Specialist - Remote | Mid to Senior Level | California JurisdiCCMSI • Irvine, CA, US
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Workers' Compensation Claim Specialist - Remote | Mid to Senior Level | California Jurisdi

Workers' Compensation Claim Specialist - Remote | Mid to Senior Level | California Jurisdi

CCMSI • Irvine, CA, US
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Workers' Compensation Claim Specialist – Remote | Mid to Senior Level | California Jurisdiction

Join to apply for the Workers' Compensation Claim Specialist – Remote | Mid to Senior Level | California Jurisdiction role at CCMSI

Overview

Position Title : Workers' Compensation Claim Specialist (Mid to Senior Level)

Location : Remote – Reporting to Irvine, CA Branch

Schedule : Monday–Friday, 8 : 00 AM–4 : 30 PM PST

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

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

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

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

  • 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

  • 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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