Spanish Bilingual WC Claims Adjuster – Growth & ESOP

CCMSI; Irvine (CA); On-site; USD 71,000 - 91,000; Full time

Benefits offered by this job

Paid time off: 4 weeks

10 paid holidays in year 1

Comprehensive benefits: medical,Dental

401(k) and ESOP

Job summary

CCMSI is seeking an experienced Workers’ Compensation Claim Consultant in Irvine, CA to manage a dedicated client portfolio of California WC claims. The role requires 5+ years of hands-on claims experience, an active California Adjuster license, and the ability to handle litigated claims from inception to resolution.

Strong client relationships and adherence to quality standards are essential. This full life-cycle WC adjuster position operates within a TPA environment.

Qualifications

• 5+ years of California Workers’ Compensation claims experience.
• Proficiency with Microsoft Office products (Word, Excel, Outlook).
• Bilingual Spanish proficiency—highly valued but not required.
• California Adjuster's license is required.

Responsibilities

• Investigate, evaluate and adjust claims in accordance with established claim handling standards and laws.
• Establish reserves and/or provide reserve recommendations within established reserve authority levels.
• Review, approve or provide oversight of medical, legal, damage estimates and invoices; negotiate disputed bills for resolution.
• Authorize and make payments of claims in accordance with procedures and payment authority.
• Negotiate settlements in accordance with standards, client instructions and state laws.
• Coordinate communication with clients, claimants and parties throughout the adjustment process.

Skills

California WC claims

Microsoft Office

Bilingual Spanish

Education

California Adjuster's license

Bachelor's degree

Tools

Microsoft Office

Job description

CCMSI is seeking an experienced Workers’ Compensation Claim Consultant in Irvine, CA to manage a dedicated client portfolio of California WC claims. The role requires 5+ years of hands-on claims experience, an active California Adjuster license, and the ability to handle litigated claims from inception to resolution.

Strong client relationships and adherence to quality standards are essential. This full life-cycle WC adjuster position operates within a TPA environment.