Workers’ Compensation Adjuster – California Jurisdiction (Dedicated Account, Remote)
About The Position
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. 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.
Requirements
- Minimum 5 years of California WC claims adjusting experience
- SIP designation or California Claims Certificate
- Strong analytical, documentation, and negotiation skills
Nice To Haves
- Excellent customer service and time management skills
- Familiarity 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.
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
Benefits
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
