Ccmsi-posted 1 day ago
$77,000 - $87,000/Yr
Full-time • Mid Level
Remote • Irvine, CA
1,001-5,000 employees

Workers’ Compensation Claim Consultant (CA Jurisdiction Only) – Remote Salary: $77,000–$87,000 annually Schedule: Monday–Friday, 8:00 AM–4:30 PM PST Location: Remote | Reporting to Irvine, CA Branch Experience Required: 5+ Years (Litigated & Some Complex Claims) 🚨 Please Note This is not an HR, risk management, or consulting position. This is an experienced California Workers’ Compensation adjusting role requiring hands-on claim investigation, evaluation, negotiation, and settlement. Candidates must have direct experience investigating, evaluating, reserving, negotiating, and resolving claims as an adjuster or adjuster supervisor within a carrier, TPA, or similar claims environment. Applicants without hands-on adjusting experience will not be considered. 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’re seeking an experienced Workers’ Compensation Claim Consultant to handle California jurisdiction claims for a multi-account desk supporting clients in the trucking & warehouse, valet/shuttle services, and staffing agency industries. This fully remote position requires strong litigated claim handling experience, the ability to independently manage complex files, and a commitment to CCMSI’s best practice standards. You’ll join a collaborative team of four other consultants, working together to deliver high-quality, timely, and accurate claim service to our clients.

  • Conduct timely 3-point contact per CCMSI best practices.
  • Investigate, evaluate, and adjust California workers’ compensation claims with independence and sound judgment.
  • Establish, maintain, and justify detailed reserve levels.
  • Administer indemnity and award payments in accordance with CA jurisdictional requirements.
  • Negotiate settlements consistent with corporate standards, client instructions, and state law.
  • Maintain a current and thorough diary, ensuring all deadlines and statutory requirements are met.
  • Pursue subrogation recovery as applicable.
  • Prepare claim status reports, reserve analyses, and updates for client meetings.
  • Conduct claim reviews with clients and participate in discussions as needed.
  • Communicate effectively with injured workers, employers, providers, and attorneys throughout the claim lifecycle.
  • Ensure all documentation meets CCMSI best practice requirements.
  • 5+ years of California WC adjusting experience, including litigated files and some complex exposure.
  • Adjuster designation required.
  • Strong working knowledge of California WC laws, timelines, benefits, and litigation processes.
  • Proficiency with Microsoft Office (Word, Excel, Outlook).
  • Excellent written and verbal communication skills, critical thinking, and decision-making ability.
  • SIP certification preferred
  • Strong documentation habits per CCMSI best practices.
  • Experience presenting or conducting client reviews.
  • Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required.
  • 4 weeks PTO + 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
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