CCMSI · 4 hours ago
Work from Home – CA Workers’ Compensation Adjuster | PEO Account Focus
CCMSI is a leading Third Party Administrator focused on risk management solutions. They are seeking an experienced Workers’ Compensation Claim Specialist to manage California jurisdiction PEO accounts, ensuring compliance and delivering exceptional service through independent file management and teamwork.
Financial ServicesInsuranceRetail
Responsibilities
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
Qualification
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
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.
Funding
Current Stage
Late StageLeadership Team
G
G. Bryan G. Bryan Thomas
President/CEO
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