Senior Workers’ Compensation Claim Adjuster – Bilingual (Spanish) – Remote, CA Jurisdiction

CCMSI; California; Remote; USD 90,000 - 105,000; Full time

Job summary

Join a leading company as a Senior Workers’ Compensation Claim Adjuster, managing California jurisdiction claims in a fully remote role. The position requires fluency in Spanish and English, and a solid understanding of California workers’ compensation law, alongside excellent communication and organizational skills. Enjoy four weeks of paid time off, comprehensive benefits, and the opportunity for professional growth.

Benefits

Four weeks of paid time off in first year

Comprehensive benefits: Medical, Dental, Vision

401K plan with company match

Training, development programs, and advancement opportunities

Qualifications

• Minimum 5 years of experience handling California workers’ compensation claims.
• Fluent in Spanish and English (written and verbal).
• Strong understanding of California WC law and regulations.

Responsibilities

• Independently manage a full inventory of California workers’ compensation claims.
• Investigate, negotiate, and settle claims.
• Ensure compliance with documentation expectations and audit guidelines.

Skills

Negotiation

Communication

Organizational skills

Education

Bachelor’s degree

SIP designation or CA Designation of Workers' Compensation Adjuster

Job description

Join to apply for the Senior Workers’ Compensation Claim Adjuster – Bilingual (Spanish) – Remote, CA Jurisdiction role at CCMSI

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Join to apply for the Senior Workers’ Compensation Claim Adjuster – Bilingual (Spanish) – Remote, CA Jurisdiction role at CCMSI

Overview

Position Title: Workers’ Compensation Claim Specialist – Spanish Bilingual

Location: Remote

Work Arrangement: Fully Remote

Schedule: Monday–Friday, 8:00 AM to 4:30 PM PST

Salary Range: $90,000–$105,000 annually

License/Certification Required: SIP designation or CA Designation of Workers' Compensation Adjuster required

Travel Requirements: Yes – 2x per year for file reviews (3–4 days each)

Build Your Career with Purpose

At CCMSI, we believe our strength comes from our people. As an employee-owned company, we are driven by a shared commitment to service, integrity, and continuous improvement. You’ll have the chance to make a meaningful impact—not just in the claims you handle, but in the culture you help shape. If you're looking for a role where you can grow your career and truly make a difference, CCMSI is the place for you.

Job Summary

Join CCMSI as a Workers’ Compensation Claim Specialist, where you’ll handle a complex desk of California jurisdiction claims for multiple client accounts. This fully remote position requires fluency in Spanish and English, and a deep understanding of California workers’ compensation law. You’ll work independently, yet collaboratively, to deliver exceptional service, maintain quality standards, and ensure accurate, timely claim resolution.

Responsibilities

• Independently manage a full inventory of California workers’ compensation claims in accordance with state law, corporate claim handling procedures, and client-specific requirements
• Investigate, evaluate, negotiate, and settle claims, ensuring proper documentation and file integrity
• Approve or oversee the review of medical bills, legal fees, and other claim-related expenses
• Establish and maintain reserves within designated authority limits
• Make claim payments within authorization limits using appropriate claim systems
• Attend mediations, hearings, and two annual client file reviews (requires limited travel)
• Coordinate with outside vendors (legal, surveillance, case management) as needed
• Maintain consistent and professional communication with clients, claimants, and team members
• Monitor and pursue subrogation opportunities
• Train or mentor peers as needed; participate in special projects
• Ensure compliance with diary management, documentation expectations, and audit guidelines
  
  

Required

Qualifications

• Minimum of 5 years of experience handling California workers’ compensation claims
• Fluent in both Spanish and English (written and verbal)
• Strong understanding of California WC law and regulations
• Ability to work independently in a remote setting
• Excellent organizational, negotiation, and communication skills
• Reliable attendance and adherence to client service hours (PST)
  
  

Nice to Have:

• Bachelor’s degree
• AIC designation
• Previous experience with multiple client accounts or TPA environments
  
  

Performance Metrics

• Diary and documentation compliance
• Internal and client audit scores
• Accuracy of reserve and payment recommendations
• Client communication and satisfaction
• Timely claim resolution and closure rates
  
  

What We Offer

• Four weeks of paid time off in your first year, plus 10 paid holidays
• Comprehensive benefits: Medical, Dental, Vision, Life Insurance, Critical Illness, Short & Long-Term Disability
• Employer-funded ESOP and 401K plan with company match
• Training, development programs, and advancement opportunities
• A collaborative, employee-owned work culture that prioritizes service and integrity
  
  

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 a comprehensive benefits package, which will be reviewed during the hiring process. Please contact our hiring team with any questions about compensation or benefits.

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. If you need assistance or accommodation, please contact our team.

Equal Opportunity Employer

CCMSI is an Affirmative Action / Equal Employment Opportunity employer. We comply with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks are conducted only after a conditional offer of employment.

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

• Act with integrity
• Deliver service with passion and accountability
• Embrace collaboration and change
• Seek better ways to serve
• Build up others through respect, trust, and communication
• Lead by example—no matter their title
  
  

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

#WorkersComp #CAAdjuster #SpanishBilingualJobs #RemoteClaimsJobs #InsuranceCareers #TPAJobs #CCMSICareers #WorkFromHome #NowHiring #AdjusterJobs #IND123

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Human Resources

• Industries

  Insurance

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