Current jobs related to Workers' Compensation Claim Adjuster - Irvine - CCMSI
-
Workers Compensation Claims Adjuster
3 weeks ago
Irvine, United States TheBest Claims Solutions Full timeOur client, is in need of a Temporary Workers' Compensation Claims Examiner for their Irvine Office to work on a hybrid basis. The ideal candidate will have 3+ years of California Workers Compensation Experience.Required Qualifications:3+ years of experience handling Workers' Compensation claims in California.Ability to negotiate settlement of claims...
-
Workers Compensation Claims Adjuster
4 weeks ago
Irvine, California, United States TheBest Claims Solutions Full timeOur client, is in need of a Temporary Workers' Compensation Claims Examiner for their Irvine Office to work on a hybrid basis. The ideal candidate will have 3+ years of California Workers Compensation Experience.Required Qualifications:3+ years of experience handling Workers' Compensation claims in California.Ability to negotiate settlement of claims within...
-
Bilingual CA Workers Compensation Claims Adjuster
3 months ago
Irvine, United States The Jonus Group Full timeJob Description : Our client is expanding their Workers Compensation Department and seeking to add a Workers' Compensation Claims Adjusters to their California Operations. This person would be responsible for handling California Workers' Compensation Indemnity claims. Qualified candidates must possess a strong knowledge in California Workers'...
-
Legal Assistant Worker's Compensation
7 days ago
Irvine, United States Workers' Compensation Law Firm Full time $22 - $27Job DescriptionJob DescriptionLaw firm specializing in worker's compensation law is looking for a skilled Legal Assistant to join the team.The ideal candidate will have strong customer service skills and a good understanding of California Worker's Compensation. You MUST be bilingual in Spanish. The candidate must have exceptional organizational...
-
Workers' Compensation Claim Supervisor
2 weeks ago
Irvine, United States CCMSI Full timeOverview At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs,...
-
Compensation Claims Leadership Role
19 hours ago
Irvine, California, United States CCMSI Full timeJob SummaryThe Workers' Compensation Claim Supervisor is a critical role within our organization, responsible for overseeing the investigation, adjustment, and supervision of assigned claims. This position requires a high level of expertise in claim handling, negotiation, and leadership.Key ResponsibilitiesClaim Oversight: Review, assign, and provide...
-
Workers' Compensation Claim Supervisor
3 months ago
Irvine, United States CCMSI Full timeOverview: At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs,...
-
Receptionist Law Office
7 days ago
Irvine, United States Workers' Compensation Law Firm Full time $18 - $20Job DescriptionJob DescriptionWe are looking for a receptionist for a worker's compensation law firm. . It would be an extreme plus if the candidate is experienced with the worker's compensation process. The candidate must be compassionate, hard working, organized, a multi-tasker and have attention to detail.The candidate must be bilingual in...
-
Worker's Compensation Attorney
3 months ago
Irvine, United States Advantex Professional Services Full timeJob Title: In-House Workers' Compensation Attorney Location: Irvine, CA Job Type: Full-Time About Us: A reputable service company headquartered in Irvine, CA is deeply committed to cultivating a workplace that is safe, fair, and conducive to productivity. They prioritize the health and safety of their employees and are dedicated to handling all...
-
Claims Adjuster
1 week ago
Irvine, California, United States ARC Group Full timeJob OverviewCLAIMS ADJUSTER (Professional Liability - REMOTE)ARC Group is in search of experienced Claims Adjusters specializing in professional liability, particularly in Miscellaneous Professional Liability (MPL) or Architect & Engineer Liability claims. These positions offer flexibility to work onsite, in a hybrid model, or fully remote. The primary...
-
Workers Compensation Staff Legal Counsel III
3 months ago
Irvine, United States Zurich Insurance Company Full timeWe are excited to announce we are looking to add to our Zurich team in our Irvine Staff Legal office. This Trial Attorney will join an organization of highly motivated legal professionals who handle Workers’ Compensation cases. Come and see what Zurich has to offer! In this role you will be responsible for: With limited direction, represents the...
-
Claims Adjuster
1 week ago
Irvine, California, United States ARC Group Full timeJob OverviewPosition: Claims Adjuster (Professional Liability - Remote)ARC Group is on the lookout for experienced Claims Adjusters specializing in professional liability, particularly in the areas of Miscellaneous Professional Liability (MPL) and Architect & Engineer Liability claims. These positions offer flexibility to work remotely, hybrid, or onsite in...
-
California Claims Assistant
5 days ago
Irvine, California, United States CCMSI Full timeAbout the RoleWe are seeking a highly skilled and detail-oriented Claims Assistant to join our team at CCMSI. As a Claims Assistant, you will play a critical role in providing administrative support to our team of California Workers' Compensation Claim Adjusters.Key ResponsibilitiesInvestigate and evaluate contested medical-only claims and handle indemnity...
-
Workers Comp Coordinator
4 weeks ago
Irvine, United States Akeso Occupational Health Full timeJob Type Full-time Description As a WC Coordinator, you will contribute to the patient experience from start to finish. This role demands multi-tasking in a fast-paced environment. Your role will be to help coordinate in-house occupational health medical treatment requests by directing and facilitating referrals between medical providers and when needed...
-
California Claims Assistant
6 days ago
Irvine, United States CCMSI Full timeOverview At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs,...
-
Irvine, United States Kain Akeso Medical Holding, LLC Full timeJob DescriptionJob DescriptionDescription:The Accounts Receivable Appeals Specialist is responsible for ensuring accuracy and compliance for healthcare professional Workers’ Comp claims, reviewing processed payments, and collecting on delinquent accounts. Maintains databases and audits patient charts and billing information for accurate processing of...
-
Workers' Compensation Legal Assistant II
6 days ago
Irvine, United States AmTrust Financial Services Full timeOverview AmTrust Financial Services, Inc., a fast-growing commercial insurance company, has an immediate need for an in-house Legal Assistant to work in our Irvine or West Hills Litigation office. Responsibilities Provide Legal Assistant support to 4 Attorneys. Identify and flag critical documents requiring timely responses and associated...
-
Irvine, California, United States AmTrust Financial Services, Inc. Full timeAbout the Role:AmTrust Financial Services, Inc. is seeking a highly skilled and organized Legal Assistant to join our Litigation team in Irvine or West Hills. As a key member of our team, you will provide critical support to our attorneys, ensuring the smooth operation of our commercial insurance defense practice.Key Responsibilities:Provide administrative...
-
Irvine, California, United States AmTrust Financial Services, Inc. Full timeAbout the Role:AmTrust Financial Services, Inc. is seeking a highly skilled and organized Legal Assistant to join our Litigation team in Irvine or West Hills. As a key member of our team, you will provide critical support to our attorneys, ensuring the smooth operation of our litigation processes.Key Responsibilities:Provide administrative support to 4...
-
Claims Clerk
2 months ago
Irvine, United States Western Growers Full timeJOB DESCRIPTION SUMMARYThis position reports to the Supervisor, Claims Operations in a production environment and is responsible for supporting the claims department by preparing claim receipts and all related correspondence for the department. Qualifications High school diploma or equivalent and one (1) to three (3) years of Business experience...
![CCMSI](https://media.trabajo.org/img/noimg.jpg)
Workers' Compensation Claim Adjuster
2 months ago
Overview:
At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs, rewarding and recognizing individual and team efforts. Certified as a Great Place To Work, our employee satisfaction and retention ranks in the 95th percentile.
Reasons you should consider a career with CCMSI:
- Culture: Our Core Values are embedded into our culture of how we treat our employees as a valued partner-with integrity, passion and enthusiasm.
- Career development: CCMSI offers robust internships and internal training programs for advancement within our organization.
- Benefits: Not only do our benefits include 4 weeks paid time off in your first year, plus 10 paid holidays, but they also include Medical, Dental, Vision, Life Insurance, Critical Illness, Short and Long Term Disability, 401K, and ESOP.
- Work Environment: We believe in providing an environment where employees enjoy coming to work every day, are provided the resources needed to perform their job and claims staff are assigned manageable caseloads.
The Workers' Compensation Claim Specialist is responsible for the investigation and adjustment of assigned claims. This position may be used as an advanced training position for promotion consideration for supervisory/management positions. The Claim Representative is accountable for the quality of claim services as perceived by CCMSI clients and within our corporate claim standards.
This is a remote position handling California Workers' Compensation Claims. A California Self-Insurance Administrator (SIP) certification and 3-5 years of experience adjusting California Workers' Compensation Claims are required. The role involves working on a dedicated client account.
Responsibilities:- Investigate, evaluate and adjust claims in accordance with established claim handling standards and laws.
- Establish reserves and/or provide reserve recommendations within established reserve authority levels.
- Review, approve or provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated claims. Negotiate any disputed bills or invoices for resolution.
- Authorize and make payments of claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within established payment authority.
- Negotiate settlements in accordance within Corporate Claim Standards, client specific handling instructions and state laws, when appropriate.
- Assist in the selection, referral and supervision of designated claim files sent to outside vendors. (i.e. legal, surveillance, case management, etc.)
- Review and maintain personal diary on claim system.
- Assess and monitor subrogation claims for resolution.
- Compute disability rates in accordance with state laws.
- Effective and timely coordination of communication with clients, claimants and other appropriate parties throughout the claim adjustment process.
- Provide notices of qualifying claims to excess/reinsurance carriers.
- Compliance with Corporate Claim Handling Standards and special client handling instructions as established.
- Performs other duties as assigned.
Qualifications:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Excellent oral and written communication skills.
- Initiative to set and achieve performance goals.
- Good analytic and negotiation skills.
- Ability to cope with job pressures in a constantly changing environment.
- Knowledge of all lower level claim position responsibilities.
- Must be detail oriented and a self-starter with strong organizational abilities.
- Ability to coordinate and prioritize required.
- Flexibility, accuracy, initiative and the ability to work with minimum supervision.
- Discretion and confidentiality required.
- Reliable, predictable attendance within client service hours for the performance of this position.
- Responsive to internal and external client needs.
- Ability to clearly communicate verbally and/or in writing both internally and externally.
Education and/or Experience
3+ years California Workers' Compenasation claims experience is required.
Computer Skills
Proficient using Microsof Office products such as Word, Excel, Outlook, etc.
Certificates, Licenses, Registrations
California SIP is required
AIC, ARM OR CPCU Designation preferred.
CORE VALUES & PRINCIPLES
Responsible for upholding the CCMSI Core Values & Principles which include: performing with integrity; passionately focus on client service; embracing a client-centered vision; maintaining contagious enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to make things better; and leading by example.
CCMSI is an Affirmative Action/Equal Employment Opportunity employer offering an excellent benefit package included Medical, Dental, Vision, Prescription Drug, Flexible Spending, Life, ESOP and 401K.
#CCMSICarreers #EmployeeOwned #ESOP #GreatPlaceToWorkCertified #RemoteWork #WorkersCompensation #CaliforniaJobs #ClaimsAdjuster #SIPCertified #InsuranceCareers #ClientService #CareerGrowth #JobOpportunity #InsuranceIndustry #CAWorkComp #IND123