[Hiring] Workers' Compensation Insurance Adjuster @CCMSI

Role Description

We are seeking an experienced and highly skilled Senior Workers’ Compensation Claim Consultant to manage a complex California claims portfolio, including claims involving traveling and multi‑location employees with stipend and per diem wage structures. This role requires advanced professional judgment, strong regulatory knowledge, and the ability to independently manage wage calculations, claim strategy, and dispute resolution.

• Lead thorough investigations and guide complex claim strategies.
• Ensure fair, timely, and compliant resolutions.
• Designed for a seasoned adjuster who thrives in gray areas, particularly around California wage determination and Average Weekly Wage (AWW) calculations.
• Play a key role in delivering exceptional service to CCMSI clients while upholding high standards of quality, accuracy, and responsiveness.
• Full life‑cycle WC adjuster position within a TPA environment.

Qualifications

• Five (5) or more years of California Workers’ Compensation claims experience, managing full life‑cycle claims.
• Demonstrated experience handling complex indemnity claims with minimal supervision.
• Hands‑on experience calculating California AWW, including claims involving stipends, per diem, or other non‑traditional wage components.
• Strong understanding of California Labor Code and WC regulations related to wage determination and benefit calculations.
• Ability to independently evaluate and defend wage determinations when disputed.
• Proficiency with Microsoft Office products, including Word, Excel, and Outlook.
• Adjuster license as required by jurisdiction; California SIP preferred or ability to obtain within the first year of employment.

Requirements

• Experience handling claims involving traveling or multi‑location employees.
• Prior experience in a TPA environment.
• Bachelor’s degree preferred but not required.
• Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, and vendors.

Benefits

• 4 weeks Paid time off that accrues throughout the year in accordance with company policy + 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.