SIP-Certified Workers' Compensation Adjuster

About this role

Overview
Workers' Compensation Claims Adjuster – California - RemoteLocation: Remote (California Residents Preferred)Schedule: 8 am - 4:30pm PSTSalary Range: $92,000 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 Senior Workers' Compensation Claims Adjuster is responsible for the investigation, evaluation, administration, and resolution of California Workers' Compensation claims across multiple client programs.
This role manages claims from assignment through closure while ensuring compliance with California workers' compensation laws, client-specific handling instructions, and CCMSI claim handling standards.
The ideal candidate is an experienced California adjuster who understands how to manage an active inventory, navigate litigated files, make sound claim decisions, and communicate confidently with injured workers, attorneys, employers, medical providers, and clients.
Most importantly, we're looking for someone who thrives in a culture built on accountability, collaboration, and trust. Our best adjusters are self-starters who take ownership of their files, communicate proactively, and consistently deliver high-quality claim outcomes.
Responsibilities
When we hire Workers’ Compensation Adjusters at CCMSI, we look for detail‑driven problem‑solvers who balance empathy with sound judgment, navigate complex regulations with confidence, and deliver fair, timely outcomes that support injured workers and strengthen client trust.Investigate, evaluate, and adjust California Workers' Compensation claims from assignment through resolution
Manage indemnity and medical exposures while developing effective claim strategies
Handle litigated claims and collaborate with defense counsel throughout the litigation process
Determine compensability and establish appropriate reserves
Coordinate medical treatment, return-to-work efforts, and vocational considerations when applicable
Monitor claim activity and ensure timely file movement and diary management
Evaluate settlement opportunities and negotiate claim resolutions within authority
Communicate regularly with injured workers, employers, attorneys, medical providers, and clients
Maintain accurate file documentation and claim reporting
Participate in claim reviews and client meetings as requested
Ensure compliance with California Workers' Compensation regulations and client handling requirements
Qualifications
Required Qualifications

California Workers' Compensation claims handling experience

Self-Insured Administrator Certificate (SIP) required

Strong understanding of California Workers' Compensation laws and regulations

Experience handling litigated Workers' Compensation claims

Experience managing claims from investigation through resolution

Ability to independently manage a full caseload

Strong reserve management and claim strategy skills

Excellent verbal and written communication skills

Strong negotiation and problem-solving abilities

Ability to work independently in a remote environment

Proficiency with Microsoft Office applications

Reliable attendance during established business hours

Preferred Qualifications

Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required.

Prior TPA experience is helpful

Experience presenting files during client claim reviews is helpful

Multi-client account experience

Professional designations such as AIC, ARM, or CPCU are preferred but not required

Why You’ll Love Working Here

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

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 salary 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. This role may also qualify for bonuses or additional forms of pay.
CCMSI offers comprehensive benefits including medical, dental, vision, life, and disability insurance. Paid time off accrues throughout the year in accordance with company policy, with paid holidays and eligibility for retirement programs in accordance with plan documents.
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.Equal…