Workers' Compensation Claim Consultant

Overview

Workers' Compensation Claim Consultant
Location: Scottsdale, AZ (Hybrid schedule after initial training)
Schedule: 8:00 am - 4:30 pm (MDT) - (Flexibility for an earlier start time)
Salary Range: $65,000 - $80,000 (depending on experience)
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

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. As a Claim Consultant, you will play a key role in delivering exceptional service to CCMSI clients and upholding our high standards of quality and responsiveness.

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

At CCMSI, our Workers' Compensation Adjusters are trusted problem-solvers who combine empathy, critical thinking, and claims expertise to deliver fair outcomes for injured workers while providing exceptional service to our clients.

• 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.

Qualifications

Required Qualifications

• 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.

Preferred 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!

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 Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations.

Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws.

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. If that sounds like your kind of workplace, we'd love to meet you.

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