CCMSI
Work from Home – CA Workers’ Compensation Adjuster | PEO Account Focus
CCMSI, Scottsdale, Arizona, us, 85261
Work from Home – CA Workers’ Compensation Adjuster | PEO Account Focus
Join the remote team at CCMSI to manage California workers' compensation claims for multiple PEO accounts.
Location:
Remote (Reporting to Scottsdale, AZ Branch)
Schedule:
Monday–Friday, 8:00 AM–4:30 PM MST
Salary Range:
$85,000–$96,000 annually (Depending on experience)
Job Summary We are seeking an experienced Workers’ Compensation Claim Specialist to handle full investigation, evaluation, negotiation, and resolution of claims, with full end‑to‑end ownership.
Responsibilities
Investigate, evaluate, and adjust California workers’ compensation claims in compliance with state regulations, CCMSI standards, and client instructions.
Establish and maintain accurate reserves and thorough documentation within assigned authority levels.
Review, authorize, and process medical, legal, and indemnity payments.
Negotiate claim settlements aligned with jurisdictional guidelines and industry best practices.
Maintain consistent, professional communication with clients, claimants, attorneys, and providers.
Participate in claim reviews, quality audits, and team discussions to support consistency and compliance.
Deliver excellent client service through timely, detailed, and thoughtful claim handling.
Qualifications
Minimum of 10 years of workers’ compensation claim adjusting experience.
Proficiency in Microsoft Office (Word, Excel, Outlook).
Strong written and verbal communication skills.
Proven ability to manage deadlines and multiple priorities effectively.
California jurisdiction experience required.
Preferred
California SIP certification.
Claim review presentation experience.
AIC, ARM, or CPCU designation.
How We Measure Success
Internal audit results and compliance metrics.
Annual performance reviews.
Timeliness, accuracy, and client satisfaction outcomes.
Why You’ll Love Working Here
4 weeks PTO + 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.
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.
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.
Equal Opportunity Employer:
CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations.
Our Core Values
Lead with transparency – we build trust by being open and listening intently in every interaction.
Perform with integrity – we choose the right path, even when it is hard.
Chase excellence – we set the bar high and measure our success. What gets measured gets done.
Own the outcome – every employee is an owner, treating every claim, every decision, and every result as our own.
Win together – our greatest victories come when our clients succeed.
We don’t just work together — we grow together. If that sounds like your kind of workplace, we’d love to meet you.
#J-18808-Ljbffr
Location:
Remote (Reporting to Scottsdale, AZ Branch)
Schedule:
Monday–Friday, 8:00 AM–4:30 PM MST
Salary Range:
$85,000–$96,000 annually (Depending on experience)
Job Summary We are seeking an experienced Workers’ Compensation Claim Specialist to handle full investigation, evaluation, negotiation, and resolution of claims, with full end‑to‑end ownership.
Responsibilities
Investigate, evaluate, and adjust California workers’ compensation claims in compliance with state regulations, CCMSI standards, and client instructions.
Establish and maintain accurate reserves and thorough documentation within assigned authority levels.
Review, authorize, and process medical, legal, and indemnity payments.
Negotiate claim settlements aligned with jurisdictional guidelines and industry best practices.
Maintain consistent, professional communication with clients, claimants, attorneys, and providers.
Participate in claim reviews, quality audits, and team discussions to support consistency and compliance.
Deliver excellent client service through timely, detailed, and thoughtful claim handling.
Qualifications
Minimum of 10 years of workers’ compensation claim adjusting experience.
Proficiency in Microsoft Office (Word, Excel, Outlook).
Strong written and verbal communication skills.
Proven ability to manage deadlines and multiple priorities effectively.
California jurisdiction experience required.
Preferred
California SIP certification.
Claim review presentation experience.
AIC, ARM, or CPCU designation.
How We Measure Success
Internal audit results and compliance metrics.
Annual performance reviews.
Timeliness, accuracy, and client satisfaction outcomes.
Why You’ll Love Working Here
4 weeks PTO + 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.
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.
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.
Equal Opportunity Employer:
CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations.
Our Core Values
Lead with transparency – we build trust by being open and listening intently in every interaction.
Perform with integrity – we choose the right path, even when it is hard.
Chase excellence – we set the bar high and measure our success. What gets measured gets done.
Own the outcome – every employee is an owner, treating every claim, every decision, and every result as our own.
Win together – our greatest victories come when our clients succeed.
We don’t just work together — we grow together. If that sounds like your kind of workplace, we’d love to meet you.
#J-18808-Ljbffr