Worker's Compensation Adjuster, TPA

🔥 12 hours ago

🏄 California – Remote

🏄 California – Remote

💵 $85k - $95k / year

⏰ Full Time

🟠 Senior

🔴 Lead

👻 Ghost score 0%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

CCMSI

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1978

🏗️ Construction

🏥 Healthcare

📦 Logistics

Construction • Healthcare • Logistics

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.

📋 Description

• Investigate, evaluate, and adjust claims according to established claim handling standards and laws • Establish reserves or provide reserve recommendations within established authority levels • Review, approve, or oversee medical, legal, damage estimate, and miscellaneous invoices • Negotiate disputed bills and invoices for resolution • Authorize and make claim payments using a claim payment program and within established payment authority • Negotiate settlements according to corporate standards, client instructions, and state laws • Select, refer, and supervise claim files assigned to outside vendors • Review and maintain personal claim diaries in the claim system • Assess and monitor subrogation claims for resolution • Compute disability rates according to state laws • Coordinate timely communication with clients, claimants, and other relevant parties • Provide notices of qualifying claims to excess/reinsurance carriers • Comply with corporate claim handling standards and special client handling instructions • Manage a dedicated portfolio of California Workers’ Compensation claims from investigation through resolution

🎯 Requirements

• 10+ years of California Workers’ Compensation claims handling experience, including full claim investigation, evaluation, and resolution • Worker’s Compensation Designation required: CAWCS, WCIRB, CPWC, or WCCA • Responsiveness to internal and external client needs • Strong analytical and negotiation abilities • Strong internal and external communication • Proven experience handling complex and litigated California claims • Knowledge of all lower-level claim position responsibilities • Visa sponsorship is not provided • Bilingual Spanish proficiency highly valued but not required • SIP preferred but not required • Bachelor’s degree preferred but not required

🏖️ Benefits

• 4 weeks paid time off that accrues throughout the year in accordance with company policy • 10 paid holidays in the first year • Medical insurance • Dental insurance • Vision insurance • Life insurance • Disability insurance • 401(k) • Employee Stock Ownership Plan (ESOP) • Internal training and advancement opportunities • Supportive, team-based work environment • Potential eligibility for bonuses or additional forms of pay • Reasonable accommodations throughout the application and hiring process

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume