CCMSI · 5 days ago
Experienced WC Claim Adjuster – California ADR Program (CA | Remote | SIP Required)
United States
Full-time
Remote
Mid Level
$80K/yr - $85K/yr
3+ years expCCMSI is a leading Third Party Administrator specializing in risk management solutions. They are seeking an Experienced WC Claim Adjuster to handle California workers’ compensation claims for a dedicated Alternate Dispute Resolution client account, ensuring compliance with state laws and client guidelines.
Financial ServicesInsuranceRetail
No H1B
Responsibilities
Investigate, evaluate, and adjust assigned California workers’ compensation claims in compliance with jurisdictional requirements and ADR processes
Establish and monitor reserves, authorize claim payments, and negotiate settlements within authority and client guidelines
Review medical, legal, and vendor invoices to confirm accuracy and appropriateness
Maintain thorough documentation and diary updates in the claim system
Communicate effectively with clients, claimants, and involved parties throughout the claim process
Participate in claim reviews, hearings, and mediations as needed
Ensure compliance with state laws, CCMSI claim handling standards, and client-specific requirements
Qualification
Required
Three or more years of experience adjusting California workers' compensation claims
California Adjuster's License
Self-Insurance Administrator Certificate (SIP)
Strong written and verbal communication skills
Proficiency with Microsoft Office Suite (Word, Excel, Outlook)
Preferred
Experience with Alternate Dispute Resolution (ADR) claims
Strong organization, multitasking, and customer service skills
Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required
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
Company
CCMSI
CCMSI is a third-party administrator for workers' compensation and property/casualty self-insurance programs.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
G
G. Bryan G. Bryan Thomas
President/CEO
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