Workers' Compensation Claim Specialist, Senior

CCMSI; Concord (CA); Remote; USD 85,000 - 101,000; Full time

Job summary

An established industry player is looking for a highly experienced Workers' Compensation Claim Specialist to manage California jurisdiction claims in a fully remote role. This position offers the opportunity to handle multiple accounts while focusing on litigated claims. With a commitment to exceptional service and a client-focused approach, you'll navigate complex regulations and work closely with defense attorneys. Join a company that values your expertise and fosters career growth, providing a structured workflow and clear expectations. If you are ready to make a significant impact in the field of workers' compensation, this is the perfect opportunity for you.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

401K

Employee Stock Ownership Plan (ESOP)

Career Growth Opportunities

Qualifications

• 10+ years of experience handling California workers' compensation claims.
• Deep knowledge of California jurisdiction regulations and procedures.
• Strong organizational and follow-up skills for managing caseload.

Responsibilities

• Investigate and manage California workers' compensation claims.
• Collaborate with attorneys and vendors for litigated claims.
• Prepare detailed reports on claim status and financials.

Skills

California Workers' Compensation Regulations

Litigated Claims Management

Organizational Skills

Microsoft Office Proficiency

Communication Skills

Customer Service Commitment

Education

10+ years experience in Workers' Compensation

Self-Insurance Administrator (SIP) certification

Associate in Claims (AIC) certification

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Job description

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Workers' Compensation Claim Specialist – California Jurisdiction

Overview

Workers' Compensation Claim Specialist – California Jurisdiction

Location: Remote (Reporting to Concord, CA)

Work Hours: Monday-Friday, 8:00 AM to 4:30 PM PST

Salary: $85,000 - $101,000 per year

The posted salary reflects CCMSI’s good-faith estimate of the base pay range for this role, in accordance with applicable pay transparency laws. Actual compensation will depend on qualifications, experience, and internal equity. Additional compensation may include bonuses, benefits, or other forms of pay. A full summary of benefits—including Medical, Dental, Vision, Life Insurance, ESOP, and 401K—is available upon request. Please discuss any compensation and benefits questions with our hiring team.

CCMSI is an Affirmative Action / Equal Employment Opportunity employer. Background checks are conducted in compliance with applicable laws.

At CCMSI, we are seeking a highly experienced Workers' Compensation Claim Specialist to manage California jurisdiction claims across multiple accounts. This fully remote position requires extensive knowledge of California workers' compensation regulations, particularly in litigated claims, and a proven ability to deliver exceptional claim outcomes.

Why Join CCMSI?

Manage multiple accounts while focusing solely on California jurisdiction claims.

Fully remote role with structured workflows and clear expectations.

Join an employee-owned company that values expertise and fosters career growth.

Responsibilities

• Investigate, evaluate, and manage California workers' compensation claims from inception to resolution.
• Handle primarily litigated claims, collaborating closely with defense attorneys and external vendors.
• Maintain an organized diary system to track deadlines, follow-ups, and claim developments.
• Establish and adjust reserves in accordance with client and regulatory guidelines.
• Process claim payments, negotiate settlements, and ensure legal compliance.
• Communicate effectively with injured workers, attorneys, medical providers, and clients to facilitate timely claims resolution.
• Prepare detailed reports on claim status, financials, and litigation progress.
• Represent CCMSI at hearings, mediations, and legal proceedings as needed.
  
  

Required

Qualifications

10+ years of experience handling California workers' compensation claims, including litigated cases.

Deep knowledge of California jurisdiction regulations and procedures.

Strong organizational, documentation, and follow-up skills to manage a complex caseload.

Proficiency in Microsoft Office (Word, Excel, Outlook).

Excellent verbal and written communication skills.

Commitment to exceptional customer service and a client-focused approach.

Preferred

Self-Insurance Administrator (SIP) certification (Highly Preferred).

Associate in Claims (AIC) certification.

If you are a seasoned California workers' compensation claims professional looking for a fully remote opportunity with a company that values your expertise and service, apply today!

#WorkersCompensation #ClaimsSpecialist #CaliforniaWorkComp #RemoteWork #InsuranceCareers #RiskManagement #EmployeeOwned #CareerGrowth #HiringNow #IND123 #CCMSICareers #GreatPlaceToWork

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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