Remote Workers' Compensation Claims Adjuster – CA Jurisdiction @ CCMSI | Jobright.ai
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Remote Workers' Compensation Claims Adjuster – CA Jurisdiction jobs in Las Vegas, NV
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CCMSI · 1 day ago

Remote Workers' Compensation Claims Adjuster – CA Jurisdiction

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Financial ServicesInsurance

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Responsibilities

Investigate, evaluate, and adjust Workers' Compensation claims in line with California standards and laws.
Determine compensability, calculate wages, and issue timely Temporary Disability (TD) payments.
Manage litigation and communicate effectively with all parties involved.
Establish and maintain reserves within authority levels.
Approve medical, legal, and miscellaneous invoices, negotiating disputes when needed.
Ensure compliance with claims best practices, including timely compensability decisions, diary maintenance, indemnity payments, and medical bill processing.
Negotiate settlements within corporate and client standards, adhering to state laws.
Work with external vendors, including legal and case management services, as appropriate.
Maintain a personal diary for tracking claims and prepare status reports as needed.
Calculate disability rates and coordinate communication with clients and claimants.
Attend hearings, mediations, and legal conferences as required.
Notify excess/reinsurance carriers of qualifying claims.
Perform additional duties as assigned.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Workers' CompensationCA SIP certificateClaims handlingBilingual (Spanish)Microsoft Office

Required

Minimum of 5 years of California Workers' Compensation claim handling experience.
CA SIP or experienced adjuster certificate required.
Strong analytical, communication, and negotiation skills.
Detail-oriented, self-motivated, and capable of managing pressures in a dynamic environment.
Proficient in Microsoft Office.

Preferred

Bachelor’s degree preferred.
Bilingual (Spanish) highly desired.

Benefits

Medical
Dental
Prescription Drug
Vision
Flexible Spending
Life
ESOP
401K
4 weeks of paid time off in your first year
10 paid holidays
Medical
Dental
Vision
Life Insurance
Critical Illness
Short and Long Term Disability
401K
Employee Stock Ownership Program (ESOP)

Company

CCMSI

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CCMSI is a third-party administrator for workers'​ compensation and property/casualty self-insurance programs.

Funding

Current Stage
Late Stage

Leadership Team

G
G. Bryan G. Bryan Thomas
President/CEO
Company data provided by crunchbase
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