CCMSI · 8 hours ago
Bilingual (Spanish) WC Claim Adjuster II – Full‑Cycle CA Claims (Remote)
United States
Full-time
Remote
Senior Level
$65K/yr - $80K/yr
5+ years expCCMSI is a leading Third Party Administrator that partners with global clients to solve complex risk management challenges. They are seeking a Bilingual (Spanish) Workers’ Compensation Claim Representative II to handle California WC claims, requiring strong communication skills and technical knowledge of CA Workers’ Compensation.
Financial ServicesInsuranceRetail
No H1B
Responsibilities
Investigate, evaluate, and adjust California workers’ compensation claims in alignment with jurisdictional requirements and CCMSI standards
Communicate clearly with injured workers, employers, providers, attorneys, and other stakeholders
Review, approve, and negotiate medical, legal, and miscellaneous invoices
Determine compensability and authorize benefits within settlement authority
Negotiate settlements with claimants and attorneys
Coordinate and supervise defense counsel as needed
Handle subrogation opportunities and ensure proper recovery efforts
Prepare detailed reports on claims, reserves, and financial activity
Monitor files for excess reporting requirements
Maintain timely diary queues, document queues, and respond to audit standards
Support client service commitments with accuracy and urgency
Qualification
Required
Active California Adjuster License
5–10 years of workers' compensation claim adjusting experience
Bilingual (English/Spanish) — spoken and written
Strong organizational skills and ability to prioritize in a fast‑paced environment
Excellent verbal and written communication skills
Proficiency in Microsoft Office (Word, Excel, Outlook)
Ability to work independently with minimal supervision
Ability to travel to the Irvine, CA office a few times per year
Preferred
SIP certification or CA adjuster certification
Experience working with carrier clients
High-volume caseload experience
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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