Supervisor, Workers’ Compensation Claims (TPA Environment) - Hybrid
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 Supervisor to lead a multi‑account team in our Irvine, California office. This is a hybrid position , and an in‑office presence is required to effectively coach, mentor, and support the team. The Supervisor will oversee a typicaly 4–5 Examiners and 1 Assistant, guiding the full investigation, evaluation, and resolution of California Workers’ Compensation claims. This role ensures timely and accurate claim handling, compliance with all CA requirements, and adherence to CCMSI’s Corporate Claim Standards. It also serves as a strong developmental path for advancement into management. A California SIP designation is required. When we hire supervisors at CCMSI, we look for people-leaders who recognize that every claim impacts a real person’s livelihood, hold themselves and their teams accountable for results, and approach challenges as opportunities to develop others and drive excellence.
Requirements
- 10+ years of Workers’ Compensation claims handling experience , including full claim investigation, evaluation, and resolution.
- Demonstrated ability to lead and oversee adjusters in a fast-paced, compliance-driven environment while maintaining quality and service standards.
- Strong understanding of California Workers’ Compensation regulations, claim practices, and compliance requirements.
- Active SIP is required
- Effective communication skills with the ability to engage professionally with adjusters, clients, and internal partners.
- Working knowledge of entry- and mid-level WC adjusting roles and workflows.
- Reliable attendance during established client service hours for the Irvine branch location.
Nice To Haves
- Prior supervisory or people-lead experience within Workers’ Compensation.
- Bachelor’s degree or equivalent combination of education and experience.
- Industry certifications such as [Certification – e.g., SIP, WCP, AIC] . AIC, CPCU, or ARM preferred
- Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required.
Responsibilities
- Review, assign and provide supervision of all claim activity for designated claims to ensure compliance with Corporate Claim Standards, client specific handling instructions and in accordance with applicable laws.
- Investigate, evaluate and adjust assigned claims in accordance with established claim handling standards and laws.
- Reserve establishment and/or oversight of reserves for designated claims within established reserve authority levels.
- Provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated claims.
- Negotiate any disputed bills or invoices for resolution.
- Authorize and make payments of claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within established payment authority.
- Negotiate settlements in accordance within Corporate Claim Standards, client specific handling instructions and state laws, when appropriate.
- Assist designated claim staff in the selection, referral and supervision of designated claim files sent to outside vendors. (i.e. legal, surveillance, case management, etc.)
- Direct handling of designated litigated and complex claims.
- Provide education, training and assist in the development of claim staff.
- Review and maintain personal diary on claim system.
- Supervision of all claim activity for specified accounts.
- Compliance with Corporate Claim Handling Standards and special client handling instructions as established.
Benefits
- 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
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
