Workers Compensation Adjuster California Jurisdiction (Dedicated Account, Remote)

Workers' Compensation Claim Specialist (Mid to Senior Level)

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 claimswe 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 seeking an experienced Workers' Compensation Claim Specialist to manage a dedicated client account within California jurisdiction. This remote role requires strong technical expertise and the ability to handle claims from onset through resolution, including litigation management. Caseloads are capped at 125 claims to ensure quality and balance. If you thrive in a fast-paced environment and value autonomy, this is an excellent opportunity to join a supportive, employee-owned organization.

This position is a true Workers' Compensation adjusting role. It is not an HR, consulting, or administrative position. The role requires full responsibility for the investigation, evaluation, negotiation, and resolution of Workers' Compensation claims in accordance with state laws and client handling instructions.

Responsibilities

When we hire adjusters at CCMSI, we look for professionals who understand that every claim represents a real person's livelihood, take ownership of outcomes, and see challenges as opportunities to solve problems.

Handle California WC claims from initial investigation through resolution

Calculate and issue benefits accurately and timely

Document all file activity and maintain compliance with state regulations

Investigate claims and manage litigation processes

Communicate effectively with clients, claimants, and attorneys

Qualifications

What You'll Bring

Required:

Minimum 5 years of California WC claims adjusting experience

SIP designation or California Claims Certificate

Strong analytical, documentation, and negotiation skills

Nice to Have:

Excellent customer service and time management skills

Familiarity with ADR processes and litigation handling

Professional designations such as AIC, ARM, or CPCU

Bilingual (Spanish) proficiencyhighly 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

How We Measure Success

At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by:

• Quality claim handling thorough investigations, strong documentation, well-supported decisions
• Compliance & audit performance adherence to jurisdictional and client standards
• Timeliness & accuracy purposeful file movement and dependable execution
• Client partnership proactive communication and strong follow-through
• Professional judgment owning outcomes and solving problems with integrity
• Cultural alignment believing every claim represents a real person and acting accordingly

This is where we shine, and we hire adjusters who want to shine with us.

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. This role may also qualify for bonuses or additional forms of pay.

CCMSI offers comprehensive benefits including medical, dental, vision, life, and disability insurance. Paid time off accrues throughout the year in accordance with company policy, with paid holidays and eligibility for retirement programs in accordance with plan documents.

CCMSI posts internal career opportunities in compliance with applicable state and local promotion transparency laws.

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.

Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws.

Our Core Values

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

• Lead with transparency
• Perform with integrity
• Chase excellence
• Own the outcome
• Win together

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