Workers' Compensation Claim Consultant

Build your career with purpose 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. 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.

About the role

We are seeking an experienced and highly skilled California Workers’ Compensation Claim Consultant to manage a complex portfolio of claims with confidence, empathy, and sound professional judgment. With 5+ years of hands-on claims experience, you will lead thorough investigations, guide claim strategy, and ensure fair, timely resolutions. In this role, you will be assigned to a single dedicated client account, allowing you to build strong partnerships, gain in-depth knowledge of the client's program and culture, and deliver exceptional, consistent claim management services. This position also offers a strong development pathway for advancement into more senior claim positions.

This is a full life-cycle WC adjuster position within a TPA environment, and only candidates with proven Workers’ Compensation claims experience will be considered.

Responsibilities

• Investigate, evaluate, and manage workers’ compensation claims in compliance with state regulations and company standards.
• Establish reserves, authorize payments, and negotiate settlements within authority levels.
• Coordinate with attorneys, medical providers, case managers, and other vendors to drive claim resolution.
• Monitor claim progress, maintain accurate documentation, and provide timely claim status reports.
• Identify and pursue subrogation opportunities when appropriate.
• Communicate effectively with clients, claimants, and other stakeholders throughout the claim lifecycle.
• Handle complex claims with minimal supervision while maintaining compliance with client-specific handling instructions and corporate standards.
• Participate in claim reviews, hearings, mediations, training sessions, and client meetings as needed.

Requirements

• Experience handling indemnity and litigated cases.
• 5+ years of handling workers' compensation claims.
• Proficiency with Microsoft Office products, including Word, Excel, and Outlook.
• California adjuster’s license is required.

Qualifications

• Bachelor’s degree is preferred but not required.
• Five or more years of California Workers’ Compensation claims experience.
• Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required.
• Experience handling waste management cases is a plus.

Benefits

• 4 weeks of paid time off that accrues throughout the year in accordance with company policy, plus 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.

Pay

Salary Range: $65,000 - $80,000 (depending on experience). This role may also qualify for bonuses or additional forms of pay.

Schedule

8:00 am - 4:30 pm (MDT) with flexibility for an earlier start time. Hybrid schedule after initial training.

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.

Our Core Values

At CCMSI, we believe in doing what’s right—for our clients, our coworkers, and ourselves. We look for team members who:

• Lead with transparency – We build trust by being open and listening intently in every interaction.
• Perform with integrity – We choose the right path, even when it is hard.
• Chase excellence – We set the bar high and measure our success. What gets measured gets done.
• Own the outcome – Every employee is an owner, treating every claim, every decision, and every result as our own.
• Win together – Our greatest victories come when our clients succeed. We don’t just work together—we grow together.

Location: Scottsdale, AZ