Offer summary

Qualifications:

10+ years of experience handling California workers' compensation claims, including litigated cases., Deep knowledge of California jurisdiction regulations and procedures., Strong organizational, documentation, and follow-up skills to manage a complex caseload., Proficiency in Microsoft Office and excellent communication skills..

Key responsabilities:

Investigate, evaluate, and manage California workers' compensation claims from inception to resolution.

Handle primarily litigated claims, collaborating closely with defense attorneys and external vendors.

Communicate effectively with injured workers, attorneys, medical providers, and clients to facilitate timely claims resolution.

Prepare detailed reports on claim status, financials, and litigation progress.

Job description

Overview:

Workers' Compensation Claim Specialist – California Jurisdiction

Location: Remote (Reporting to Concord, CA)
Work Hours: Monday-Friday, 8:00 AM to 4:30 PM PST
Salary: $85,000 - $101,000 per year

Salary Disclaimer: The posted salary reflects the anticipated base pay for this role. Actual pay will depend on qualifications, experience, and internal equity. Additional compensation may include bonuses, benefits, or other forms of pay. Discuss compensation and benefits questions with our hiring team.

At CCMSI, we are seeking a highly experienced Workers' Compensation Claim Specialist to manage California jurisdiction claims across multiple accounts. This fully remote position requires extensive knowledge of California workers' compensation regulations, particularly in litigated claims, and a proven ability to deliver exceptional claim outcomes.

Why Join CCMSI?

✔ Manage multiple accounts while focusing solely on California jurisdiction claims.
✔ Fully remote role with structured workflows and clear expectations.
✔ Join an employee-owned company that values expertise and fosters career growth.

Responsibilities:

Investigate, evaluate, and manage California workers' compensation claims from inception to resolution.
Handle primarily litigated claims, collaborating closely with defense attorneys and external vendors.
Maintain an organized diary system to track deadlines, follow-ups, and claim developments.
Establish and adjust reserves in accordance with client and regulatory guidelines.
Process claim payments, negotiate settlements, and ensure legal compliance.
Communicate effectively with injured workers, attorneys, medical providers, and clients to facilitate timely claims resolution.
Prepare detailed reports on claim status, financials, and litigation progress.
Represent CCMSI at hearings, mediations, and legal proceedings as needed.

Qualifications:

Required:

✔ 10+ years of experience handling California workers' compensation claims, including litigated cases.
✔ Deep knowledge of California jurisdiction regulations and procedures.
✔ Strong organizational, documentation, and follow-up skills to manage a complex caseload.
✔ Proficiency in Microsoft Office (Word, Excel, Outlook).
✔ Excellent verbal and written communication skills.
✔ Commitment to exceptional customer service and a client-focused approach.

Preferred:

✔ Self-Insurance Administrator (SIP) certification (Highly Preferred).
✔ Associate in Claims (AIC) certification.

If you are a seasoned California workers' compensation claims professional looking for a fully remote opportunity with a company that values your expertise and service, apply today!

CCMSI is an Equal Opportunity Employer offering competitive benefits, including Medical, Dental, Vision, Life, ESOP, 401K, and more. Background checks are conducted per applicable laws.

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