Remote Workers' Compensation Claim Adjuster

Overview

Workers' Compensation Claim Consultant - California Jurisdiction

Location: 100% Remote (Reports to Scottsdale, AZ)Schedule: Monday–Friday, 8:00 AM–4:30 PM PSTSalary Range: $83,000 - $90,000

The posted salary reflects CCMSI’s good-faith estimate of the base pay range for this role, in accordance with applicable pay transparency laws. Actual compensation will depend on qualifications, experience, and internal equity. Additional compensation may include bonuses, benefits, or other forms of pay. A full summary of benefits—including Medical, Dental, Vision, Life Insurance, ESOP, and 401K—is available upon request. Please discuss any compensation and benefits questions with our hiring team.

CCMSI is an Affirmative Action / Equal Employment Opportunity employer. Background checks are conducted in compliance with applicable laws.

About the Role:

CCMSI is seeking an experienced Workers' Compensation Claim Consultant to manage lost time claims within the California jurisdiction, supporting multiple accounts in the Professional Employer Organization (PEO) industry. This fully remote role offers the opportunity to apply your expertise in California workers’ compensation laws, ensuring high-quality claim resolution and outstanding client service. While a California Self-Insurance Plan (SIP) certification is highly preferred, it is not required.

Responsibilities

What You’ll Do

✔ Investigate, evaluate, and adjust California lost time workers' compensation claims in accordance with corporate standards and state regulations.✔ Handle multiple client accounts within the PEO industry, tailoring claim strategies to their unique needs.✔ Establish and recommend reserves within designated authority levels.✔ Review and approve medical, legal, and indemnity-related invoices.✔ Negotiate settlements aligned with client-specific guidelines and state regulations.✔ Maintain a detailed claim diary and provide timely status updates.✔ Calculate disability rates and ensure compliance with California jurisdictional laws.✔ Communicate effectively with clients, injured workers, attorneys, and medical providers.✔ Participate in claim reviews, mediations, and hearings as needed.

Qualifications

What We’re Looking For

Required:

✅ 3+ years of experience handling California lost time workers' compensation claims.✅ Strong working knowledge of California workers' compensation laws and procedures.✅ Excellent written and verbal communication skills.✅ Ability to multi-task in a fast-paced, remote work environment.✅ Proficiency in Microsoft Office (Word, Excel, Outlook).

Preferred:

✔ California Self-Insurance Plan (SIP) certification.✔ Experience attending claim reviews, mediations, or hearings.✔ Prior experience working within the PEO industry.

Additional Details

Training: A one-week in-person training in Scottsdale, AZ is preferred.Performance Metrics: Evaluated through claim audits, client satisfaction, compliance benchmarks, and supervisor reviews.Growth Potential: Career advancement opportunities within a leading employee-owned company.

Why Join CCMSI?

Employee-Owned Company: Work for a company that values integrity, passion, and collaboration.Career Development: Professional growth opportunities within a dynamic claims environment.Work-Life Balance: Enjoy 4 weeks PTO in your first year, 10 paid holidays, and manageable caseloads.Comprehensive Benefits: Medical, dental, vision, 401(k), ESOP, life insurance, and more!

Take the next step in your career with CCMSI—where your expertise makes a difference every day!

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