Job Description

Overview:
Workers' Compensation Claim Specialist
Location: Remote (Reporting to Irvine, CA Branch)
Schedule: Monday - Friday, 8:00 AM to 4:30 PM PST
Compensation: $70,000 - $95,000 annually (based on experience)
Work Type: Full-Time, Exempt
Jurisdiction: California Only
Client Type: Single Dedicated Account - Transportation Industry
Build Your Career With Purpose
Join CCMSI, a leading independent Third-Party Administrator (TPA) specializing in innovative risk management and claim solutions. As an Employee-Owned company and a Great Place to Work Certified organization, we believe in empowering our employees to make decisions, grow professionally, and deliver exceptional service to our clients.
Job Summary
The Workers' Compensation Claim Specialist is responsible for the investigation, evaluation, and adjustment of California workers' compensation claims for a single dedicated transportation industry client. This role ensures compliance with California jurisdictional requirements while maintaining CCMSI's commitment to timely, accurate, and client-focused service.
This position offers the opportunity to work remotely, collaborate closely with a supportive team, and contribute to a high-performing, employee-owned organization that values both excellence and balance. Responsibilities:
Investigate, evaluate, and adjust workers' compensation claims in accordance with California laws, CCMSI standards, and client handling requirements.
Establish and maintain appropriate reserves within assigned authority levels.
Review and authorize payments for medical, legal, and indemnity expenses, ensuring accuracy and compliance.
Negotiate settlements consistent with client expectations, corporate standards, and state regulations.
Maintain accurate claim documentation and timely diary management within the claim system.
Communicate effectively with clients, claimants, medical providers, and other stakeholders throughout the claim lifecycle.
Participate in claim reviews and internal audits as part of ongoing quality and compliance initiatives.
Support client relationships by delivering high-quality, timely, and compliant claim handling. Qualifications:
Required:
Minimum of 10 years of workers' compensation claim adjusting experience.
Proficiency in Microsoft Office (Word, Excel, Outlook).
Strong written and verbal communication skills.
Proven ability to manage deadlines and multiple priorities effectively.
California jurisdiction experience required.
Preferred:
California SIP certification.
Claim review presentation experience.
AIC, ARM, or CPCU designation.
How We Measure Success
Internal audit results and compliance metrics.
Annual performance reviews.
Timeliness, accuracy, and client satisfaction outcomes.
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.
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 right--for 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 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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Skills Required