Remote CA Workers' Compensation Adjuster – Dedicated Account

Overview

Workers' Compensation Claim Consultant (California Jurisdiction – Commercial Trucking Industry Focus)

Location: Fully Remote (Reporting to Irvine, CA)Work Hours: Monday-Friday, 8:00 AM to 4:30 PM PSTSalary: $50,000 - $90,000 per yearJurisdiction: California

Salary Disclaimer: The posted salary reflects the anticipated base pay for this role. Actual pay will depend on qualifications, experience, and internal equity. Additional compensation may include bonuses, benefits, or other forms of pay. Discuss compensation and benefits questions with our hiring team.

At CCMSI, we’re seeking a detail-oriented and experienced Workers' Compensation Claim Consultant to join our fully remote team. This role focuses exclusively on California Workers’ Compensation claims for a dedicated commercial trucking industry account. As an Employee-Owned Third Party Administrator, CCMSI fosters a collaborative environment where your expertise is valued, and your career growth is supported.

Why You’ll Love Working Here

✔ Dedicated Account: Work on a specialized caseload within the commercial trucking industry.✔ Remote Flexibility: Enjoy a fully remote position with a stable, consistent workflow.✔ Professional Growth: Expand your expertise in California Workers’ Compensation with opportunities for career advancement.

Responsibilities

What You’ll Do

As a Workers' Compensation Claim Consultant, you’ll manage claims from investigation through resolution within the California jurisdiction. This role requires a strong understanding of California Workers’ Compensation laws and industry-specific nuances in trucking claims.

🔹 Claims Adjustment: Investigate, evaluate, and adjust workers' compensation claims in compliance with California regulations and client-specific guidelines.🔹 Reserve Management: Establish and adjust reserves within authority levels.🔹 Billing Oversight: Review and negotiate medical, legal, and damage invoices for reasonableness.🔹 Claim Payments: Authorize and process payments following industry standards and settlement authority.🔹 Settlements: Negotiate settlements with claimants and attorneys, ensuring compliance with California laws and client authorizations.🔹 Vendor Collaboration: Partner with defense attorneys and external vendors for legal, surveillance, and case management services.🔹 Reporting: Prepare detailed claim status reports, payments, and reserves, and provide updates for excess insurers.🔹 Service Excellence: Deliver outstanding claim services to CCMSI’s dedicated client while maintaining high corporate standards.🔹 Hearings & Legal Proceedings: Represent CCMSI at California Workers' Compensation hearings, mediations, and legal conferences as needed.

Qualifications

What You Bring to the Table

✅ Must-Have Skills:

✔ 5+ years of experience handling California Workers' Compensation claims✔ Deep knowledge of California Workers' Compensation laws and procedures✔ California Adjuster’s License (required)✔ Strong organizational skills with the ability to prioritize multiple tasks effectively✔ Proficiency in Microsoft Office (Word, Excel, Outlook)✔ Excellent written and verbal communication skills

✨ Nice-to-Have Skills:➕ Self-Insurance Administrator (SIP) certification (preferred)➕ Experience handling claims in the commercial trucking industry

Ready to Elevate Your Career?

This is an exciting opportunity to grow your expertise in California Workers' Compensation while contributing to the success of a dedicated, nationwide organization. If you’re ready to take the next step in your career, apply today and join our exceptional team at CCMSI!

CCMSI is an Affirmative Action / Equal Employment Opportunity employer offering an excellent benefits package, including Medical, Dental, Vision, Prescription Drug, Life, ESOP, 401K, Flexible Spending, and more. Background checks are conducted per applicable federal, state, and local laws.

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