Experienced WC Claim Adjuster – California ADR Program (CA | Remote | SIP Requir

Overview

Experienced WC Claim Adjuster – California ADR Program (CA | Remote | SIP Required) Location: Remote – Reporting to California JurisdictionSchedule: Monday–Friday, 8:00 AM–4:30 PM PTSalary Range: $80,000–$85,000 annually Build Your Career With Purpose at CCMSI At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. We don’t just process claims—we support people. As the largest privately owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work®, and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day. Job Summary The Workers’ Compensation Claim Consultant is responsible for handling California workers’ compensation claims for a single dedicated Alternate Dispute Resolution (ADR) client account. This role requires California jurisdiction experience and an active CA Adjuster’s License, along with the Self-Insurance Administrator Certificate (SIP). You’ll join a team of 10 adjusters and play a key role in ensuring quality claim handling through compliance with client guidelines, state laws, and CCMSI claim standards. Important – Please Read Before Applying This is a true insurance claims adjusting role, not an HR, benefits, safety, consulting, or administrative position. Candidates must have direct experience investigating, evaluating, reserving, negotiating, and resolving claims as an adjuster or adjuster supervisor within a carrier, TPA, or similar claims environment. Applicants without hands-on adjusting experience will not be considered.

Responsibilities

When we hire adjusters at CCMSI, we look for professionals who understand that every claim represents a real person’s livelihood, take ownership of outcomes, and see challenges as opportunities to solve problems.

• Investigate, evaluate, and adjust assigned California workers’ compensation claims in compliance with jurisdictional requirements and ADR processes.
• Establish and monitor reserves, authorize claim payments, and negotiate settlements within authority and client guidelines.
• Review medical, legal, and vendor invoices to confirm accuracy and appropriateness.
• Maintain thorough documentation and diary updates in the claim system.
• Communicate effectively with clients, claimants, and involved parties throughout the claim process.
• Participate in claim reviews, hearings, and mediations as needed.
• Ensure compliance with state laws, CCMSI claim handling standards, and client-specific requirements.

Qualifications

Required

• Three or more years of experience adjusting California workers’ compensation claims
• California Adjuster’s License
• Self-Insurance Administrator Certificate (SIP)
• Strong written and verbal communication skills
• Proficiency with Microsoft Office Suite (Word, Excel, Outlook)

Nice to Have

• Experience with Alternate Dispute Resolution (ADR) claims
• Strong organization, multitasking, and customer service skills
• Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required.

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

How We Measure Success At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by:

• Quality claim handling – thorough investigations, strong documentation, well-supported decisions• Compliance & audit performance – adherence to jurisdictional and client standards• Timeliness & accuracy – purposeful file movement and dependable execution• Client partnership – proactive communication and strong follow-through• Professional judgment – owning outcomes and solving problems with integrity• Cultural alignment – believing every claim represents a real person and acting accordingly

This is where we shine, and we hire adjusters who want to shine with us. Compensation & Compliance The posted hourly rate 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. 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:

• 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. #CaliforniaAdjuster #WorkersCompensation #ADRClaims #InsuranceCareers #ClaimsConsultant #CaliforniaJobs #RemoteAdjuster #SIPCertified #InsuranceProfessionals #ClaimsManagement #CareerGrowth #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers Apply tot his job Apply To this Job