California Workers' Compensation Claims Leadership Opportunity
1 week ago
About CCMSI
CCMSI is a leading Third Party Administrator in self-insurance services, dedicated to delivering exceptional service to its clients. As an employee-owned company, CCMSI focuses on developing its staff through structured career development programs and rewarding individual and team efforts.
Career Growth and Development
We offer robust internships and internal training programs to support growth and advancement within the organization. Our commitment to employee satisfaction and retention reflects our dedication to creating an outstanding work environment.
The Role
We are seeking a California Workers' Compensation Claims Supervisor to join our remote team. This role offers a salary range of $90,000–$95,000 and focuses on CA jurisdiction claims only. Strong technical knowledge of California workers' compensation claims is essential, and the Self-Insurance Plan (SIP) certification is preferred.
Responsibilities
- Claim Supervision & Compliance: Oversee, assign, and supervise workers' compensation claims, ensuring adherence to CCMSI's Corporate Claim Standards, client-specific handling instructions, and applicable laws.
- Claim Investigation & Adjustment: Investigate, evaluate, and adjust assigned workers' compensation claims in line with established standards and laws.
- Reserves Management: Establish and monitor reserves for claims within assigned authority levels.
- Vendor Oversight: Supervise the selection and management of external service providers (e.g., legal, case management) for complex claims.
- Claim Payments: Authorize and manage claim payments, ensuring they align with industry standards and fall within authority levels.
- Settlement Negotiations: Conduct settlements in accordance with corporate standards, client instructions, and state laws.
- Training & Development: Support and train claim staff, providing guidance for skill development.
- Diary Management: Maintain a personal diary on the claims system for effective case management.
- Compliance & Standards: Ensure adherence to all corporate handling standards and client-specific instructions.
- Additional Duties: Perform other tasks as assigned to meet business needs.
Qualifications
Minimum 10 years in workers' compensation claim handling, with at least 3 years in a supervisory role preferred. Bachelor's Degree preferred. In-depth expertise in California workers' compensation laws and practices. SIP certification is a plus.
Benefits
- Comprehensive Benefits Package: Enjoy medical, dental, vision, life insurance, critical illness, short and long-term disability, 401K, and Employee Stock Ownership Program (ESOP).
- Flexible Working Arrangements: Remote working options available for this role.
Why Work with Us?
As a valued partner, you will be treated with integrity, passion, and enthusiasm. Our core values shape how we work together, fostering a dynamic environment where employees enjoy coming to work each day.
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