CCMSI · 6 hours ago

California WC Claims Adjuster – Fully Remote

Scottsdale, AZ

Full-time

Remote

Mid, Senior Level

$78K/yr - $90K/yr

5+ years exp

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Responsibilities

Investigate, evaluate, and adjust workers’ compensation claims according to CA laws and CCMSI standards.

Establish and recommend reserves within authority levels.

Authorize and process payments for medical, legal, and damage-related expenses.

Negotiate settlements in line with corporate standards and state laws.

Coordinate with external vendors (legal, surveillance, case management) as needed.

Maintain accurate claim files and provide timely communication to clients and claimants.

Prepare detailed reports on claim status, payments, and reserves.

Represent clients at hearings, mediations, and legal conferences.

Assist with client training sessions and claim reviews.

Qualification

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Workers' compensation claimsWorkers' compensation regulationsCA Self-Insurance Certification (SIP)CA Adjuster’s LicenseMicrosoft Office Suite