Sr. Workers' Compensation Claim Adjuster - CA Claims - Remote

Overview:
Workers’ Compensation Claim Specialist

Location: Remote (Reporting to Scottsdale, AZ Branch)
Schedule: Monday–Friday, 8:00 AM–4:30 PM MST
Salary Range: $85,000–$96,000 annually (Depending on experience)

Build Your Career With Purpose at CCMSI

At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.

We don’t just process claims—we support people. As the largest privately owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work®, and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day.

Job Summary

We are looking for an experienced Workers’ Compensation Claim Specialist to join our remote team supporting multiple California jurisdiction PEO accounts.

At CCMSI, we hire professionals who show strong judgment, ownership, and pride in their work—people who understand that accuracy, empathy, and consistency are the foundation of exceptional claim handling. In this role, you’ll be trusted to manage your files independently while contributing to a larger team focused on service excellence, compliance, and client partnership.

This position offers the stability of dedicated clients, manageable caseloads, and regular collaboration with a team of seasoned WC professionals. A one-week, in-person onboarding and connection session at our Scottsdale office is available to help you integrate seamlessly into the team.

Please note: This is not an HR, administrative, consulting, or advisory support role. This is a true adjusting position. Candidates must have proven experience conducting full investigation, evaluation, negotiation, and resolution of workers’ compensation claims, with end-to-end file ownership and decision-making authority. Applicants without direct claims adjusting experience will not be considered.

Responsibilities:

At CCMSI, we hire individuals who take ownership, ask the right questions, and stay ahead of the work. Your ability to organize, prioritize, and resume tasks seamlessly is essential for success.

• Investigate, evaluate, and adjust California workers’ compensation claims in compliance with state regulations, CCMSI handling standards, and client instructions.
• Establish and maintain accurate reserves and thorough documentation within assigned authority levels.
• Review, authorize, and process medical, legal, and indemnity payments.
• Negotiate claim settlements aligned with jurisdictional guidelines and industry best practices.
• Maintain consistent, professional communication with clients, claimants, attorneys, and providers.
• Participate in claim reviews, quality audits, and team discussions to support consistency and compliance.
• Deliver excellent client service through timely, detailed, and thoughtful claim handling.

Qualifications:

Required:

Minimum of 10 years of workers’ compensation claim adjusting experience.

Proficiency in Microsoft Office (Word, Excel, Outlook).

Strong written and verbal communication skills.

Proven ability to manage deadlines and multiple priorities effectively.

California jurisdiction experience required.

Preferred:

California SIP certification.

Claim review presentation experience.

AIC, ARM, or CPCU designation.

How We Measure Success

Internal audit results and compliance metrics.

Annual performance reviews.

Timeliness, accuracy, and client satisfaction outcomes.

Why You’ll Love Working Here

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

Compensation & Compliance

The posted salary reflects CCMSI’s good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity.

Visa Sponsorship: CCMSI does not provide visa sponsorship for this position.
ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process.
Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations.

Our Core Values

At CCMSI, we believe in doing what’s right—for our clients, our coworkers, and ourselves. We look for team members who:

Lead with transparency We build trust by being open and listening intently in every interaction.
Perform with integrity We choose the right path, even when it is hard.
Chase excellence We set the bar high and measure our success. What gets measured gets done.
Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own.
Win together Our greatest victories come when our clients succeed.

We don’t just work together—we grow together. If that sounds like your kind of workplace, we’d love to meet you.

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