Senior CA WC Claims Consultant – Remote

Cannon Cochran Management Services, Inc.; Irvine (CA); Remote; USD 80,000 - 98,000; Full time

Benefits offered by this job

4 weeks PTO

Comprehensive benefits

401(k) and ESOP

Career growth

Team-oriented culture

Job summary

CCMSI is seeking a California Workers’ Compensation Claim Consultant to manage a complex portfolio with expert judgment and empathy. With 5+ years of hands-on claims experience, you will lead investigations, guide strategy, and ensure timely resolutions.

This is a full lifecycle WC adjuster role within a TPA environment for candidates with proven California WC experience. Join CCMSI to deliver exceptional client service, uphold high standards, and develop toward more senior positions while

Qualifications

• 5+ years of California Workers’ Compensation claims experience.
• Experience handling complex indemnity claims with minimal supervision.
• Hands-on experience calculating California AWW and wage components.
• Strong understanding of California Labor Code and WC regulations.
• Ability to independently evaluate wage determinations when disputed.

Responsibilities

• Investigate, evaluate, and adjust claims in compliance with laws.
• Establish and manage reserves within authority guidelines.
• Review and negotiate medical, legal, and related claim expenses.
• Authorize claim payments and settlements within guidelines.
• Coordinate and oversee external vendors and case management providers.
• Monitor claim progression and prepare necessary reports.
• Provide timely communications with clients and claimants.

Skills

Five+ years claims experience

Complex indemnity claims

California AWW calculation

California Labor Code knowledge

MS Office proficiency

Education

Bachelor's degree preferred

Tools

Microsoft Office

Job description

CCMSI is seeking a California Workers’ Compensation Claim Consultant to manage a complex portfolio with expert judgment and empathy. With 5+ years of hands-on claims experience, you will lead investigations, guide strategy, and ensure timely resolutions.

This is a full lifecycle WC adjuster role within a TPA environment for candidates with proven California WC experience. Join CCMSI to deliver exceptional client service, uphold high standards, and develop toward more senior positions while