Senior Workers Compensation Adjuster Remote (CA Jurisdiction)
About The Position
At CCMSI, we look for the brightest and most dedicated professionals to join our employee-owned team. As one of the nation's leading Third Party Administrators in self-insurance services, we pride ourselves on providing exceptional service, innovative solutions, and a culture that values every employee's contribution. We are seeking an experienced California Workers' Compensation Claim Specialist to join our remote team supporting the Concord, CA branch. This position manages a multiple-account desk handling California jurisdiction only and requires advanced claim handling knowledge, attention to detail, and the ability to balance multiple priorities in a fast-paced environment. The Workers' Compensation Claim Specialist is responsible for investigating, evaluating, and resolving a variety of complex California workers' compensation claims in accordance with CCMSI's best practices, state regulations, and client-specific service standards. This position is ideal for a skilled adjuster seeking a long-term career with an employee-owned company that invests in training, technology, and its people.
Requirements
- 10+ years of progressively responsible experience adjusting California workers' compensation claims.
- Demonstrated knowledge of California WC statutes, regulations, and case law.
- Exceptional written and verbal communication skills.
- Strong organization, multitasking, and time management abilities.
- Proficiency in Microsoft Office (Word, Excel, Outlook).
- Reliable, predictable attendance during client service hours.
Nice To Haves
- SIP certification and/or California Adjuster Certification.
- AIC designation or other industry credentials.
- Prior experience with Third Party Administrator (TPA) claims handling.
Responsibilities
- Investigate, evaluate, and adjust workers' compensation claims within California jurisdiction in compliance with applicable laws and CCMSI standards.
- Establish and maintain appropriate reserves; authorize or recommend reserves and payments within assigned authority levels.
- Review, negotiate, and approve medical, legal, and other invoices as appropriate.
- Coordinate communication among claimants, clients, attorneys, and medical professionals to ensure timely and effective claim resolution.
- Attend and participate in hearings, mediations, and legal conferences as required.
- Prepare and maintain accurate, detailed claim documentation in compliance with corporate and client requirements.
- Monitor subrogation and excess/reinsurance claims as applicable.
- Deliver high-quality, client-focused service aligned with CCMSI's commitment to excellence.
Benefits
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
Number of Employees
1,001-5,000 employees
