Offer summary

Qualifications:

Experience handling California workers' compensation claims, particularly litigated cases., Strong organizational and documentation skills to manage a complex caseload., Proficiency in Microsoft Office applications, including Word, Excel, and Outlook., Excellent verbal and written communication skills with a commitment to customer service..

Key responsabilities:

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

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

Utilize a diary system to track deadlines and maintain organized claim files for timely follow-ups.

Prepare detailed reports on claim status and represent CCMSI at hearings and legal proceedings as necessary.

Job description

Overview:

Workers' Compensation Claim Specialist – California Jurisdiction
Location: Remote (Reporting to Irvine, CA)
Work Hours: Monday-Friday, 8:00 AM to 4:30 PM PST
Salary: $95,000 - $102,000 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 an experienced Workers' Compensation Claim Specialist to manage California jurisdiction claims for a dedicated client account. This fully remote position requires expertise in handling mostly litigated claims, strong organizational and documentation skills, and a commitment to impeccable customer service.

Why Join CCMSI?

Work on a dedicated client account with a stable and manageable caseload.
Fully remote role with structured workflows and clear expectations.
Opportunities for career advancement within a growing, employee-owned organization.

Responsibilities:

Investigate, evaluate, and manage workers' compensation claims in California from inception to resolution.
Handle primarily litigated claims, working closely with defense attorneys and external vendors.
Utilize a diary system to track deadlines, maintain organized claim files, and ensure timely follow-ups.
Establish and adjust reserves in compliance 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 claims resolution.
Prepare detailed reports on claim status, financials, and litigation progress.
Represent CCMSI at hearings, mediations, and legal proceedings as necessary.

Qualifications:

Required:

Experience handling California workers' compensation claims, including litigated cases.
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.

If you are a skilled California workers' compensation claims professional looking for a specialized, remote opportunity with a company that values 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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