Workers’ Compensation Claim Consultant – CA Jurisdiction

November 26

🏄 California – Remote

Although this job is listed in California, this company may be open to hiring remote in other states.

💵 $77k - $87k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💼 Consultant

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CCMSI

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Insurance • Risk Management • Consulting

CCMSI is a company that provides comprehensive risk management services, focusing on claims management and consulting solutions. They offer services to help organizations mitigate risks, reduce costs, and improve operational efficiency through their expertise in claims handling and risk assessment.

1001 - 5000 employees

Founded 1978

📋 Description

• Conduct timely 3-point contact per CCMSI best practices. • Investigate, evaluate, and adjust California workers’ compensation claims with independence and sound judgment. • Establish, maintain, and justify detailed reserve levels. • Administer indemnity and award payments in accordance with CA jurisdictional requirements. • Negotiate settlements consistent with corporate standards, client instructions, and state law. • Maintain a current and thorough diary, ensuring all deadlines and statutory requirements are met. • Pursue subrogation recovery as applicable. • Prepare claim status reports, reserve analyses, and updates for client meetings. • Conduct claim reviews with clients and participate in discussions as needed. • Communicate effectively with injured workers, employers, providers, and attorneys throughout the claim lifecycle. • Ensure all documentation meets CCMSI best practice requirements.

🎯 Requirements

• 5+ years of California WC adjusting experience, including litigated files and some complex exposure. • Adjuster designation required. • Strong working knowledge of California WC laws, timelines, benefits, and litigation processes. • Proficiency with Microsoft Office (Word, Excel, Outlook). • Excellent written and verbal communication skills, critical thinking, and decision-making ability. • SIP certification preferred. • Strong documentation habits per CCMSI best practices. • Experience presenting or conducting client reviews.

🏖️ Benefits

• Employee Ownership: As an Employee-Owned Company (ESOP), every employee has a stake in our success. • Time Off: 4 weeks of paid time off in your first year, plus 10 paid holidays. • Comprehensive Benefits: Medical, Dental, Vision, Life, Short- and Long-Term Disability, Critical Illness, and 401(k). • Career Growth: Robust internal training and professional development opportunities. • Supportive Culture: We believe in manageable caseloads, collaboration, and maintaining a healthy work-life balance.