CCMSI · 13 hours ago
Senior Workers’ Compensation Adjuster – California Jurisdiction (Remote)
United States
Full-time
Remote
Senior Level, Lead/Staff
$85K/yr - $95K/yr
10+ years expCCMSI is a leading Third Party Administrator that partners with global clients to tackle complex risk management challenges. They are seeking a Senior Workers’ Compensation Claim Specialist to manage California jurisdiction claims from start to finish in a fully remote capacity, ensuring compliance with state regulations and delivering exceptional service.
Financial ServicesInsuranceRetail
No H1B
Responsibilities
Investigate, evaluate, and adjust California workers’ compensation claims in alignment with CCMSI standards and state regulations
Make clear and defensible AOE/COE determinations
Authorize and issue timely benefit payments, including accurate calculation of Temporary Disability benefits
Establish reserves and provide reserve recommendations within authority levels
Review, approve, or negotiate medical, legal, and miscellaneous invoices
Select, coordinate, and oversee outside vendors (legal, case management, surveillance)
Negotiate settlements in accordance with state law, client instructions, and handling standards
Maintain accurate, complete, and timely diary entries and documentation
Compute disability rates in accordance with California statutes
Communicate effectively with claimants, clients, providers, and attorneys throughout the claim lifecycle
Manage excess reporting requirements when applicable
Monitor and pursue subrogation opportunities as appropriate
Qualification
Required
SIP certification or California Workers' Compensation Claims Adjuster Certificate
10+ years of California workers' compensation adjusting experience
Strong command of CA workers' compensation statutes, timelines, and benefit calculations
Demonstrated ability to manage a multi‑account desk with competing priorities
Excellent written and verbal communication skills
Proven analytical, investigative, and negotiation skills
Strong organizational ability and a high level of accuracy
Initiative, dependability, and the ability to work independently with minimal supervision
Commitment to confidentiality, client service, and professional integrity
Reliable, predictable attendance during PST business hours
Preferred
Bilingual in English and Spanish
AIC, ARM, or CPCU designations
Benefits
4 weeks (Paid time off that accrues throughout the year in accordance with company policy) + 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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