Top 20 Claims adjuster remote Jobs in Pleasant Hill, Ca

SIP-Certified Workers' Compensation Adjuster (Remote)
CCMSI —Concord, CA
- $92,000 a year
- Remote
- Spanish
- Mid-level
- Presentation skills
- Paid holidays
- Disability insurance
Workers Compensation Claims (40460)
IOS Staffing Services —California
- $90,000 - $100,000 a year
- Full-time
- Remote
- Background check
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Quick Apply
5d
Workers Compensation Adjuster
TheBest Claims Solutions —San Francisco, CA
- $45 - $53 an hour
- Remote
- Bachelor's degree
- Senior level
- Commercial
Claims Examiner
Gallagher —Oakland, CA
- $79,500 - $113,500 a year
- Remote
- 5 years
- Writing skills
- Mid-level
Workers' Compensation Claim Specialist
CCMSI —Concord, CA
- $85,000 - $98,000 a year
- Remote
- Spanish
- 5 years
- Analysis skills
- Paid holidays
- Disability insurance
Claims Analyst or (Senior) Claims & Patient Safety Specialist
MIEC —Oakland, CA
- $73,050 - $156,958 a year
- Full-time
- Remote
- Customer service
- 5 years
- Bachelor of Science
- Health insurance
- Dental insurance
Sr. Litigation Specialist -Remote
CSAA Insurance Services, Inc. —Walnut Creek, CA
- $89,865 - $119,800 a year
- Extended hours
- Remote
- Bilingual
- Bachelor of Science
- High school diploma or GED
- 401(k) matching
Commercial Casualty Litigation Adjuster - Remote
CSAA Insurance Services, Inc. —Walnut Creek, CA
- $80,865 - $107,900 a year
- Full-time
- Remote
- Bilingual
- Bachelor of Science
- 3 years
- 401(k) matching
6d
Claims Supervisor
Gallagher —Oakland, CA
- $91,500 - $131,000 a year
- Remote
- High school diploma or GED
- Analysis skills
- Supervising experience
Senior Claims Examiner, Complex General Liability
Gallagher —Oakland, CA
- $88,000 - $171,500 a year
- Remote
- 7 years
- Writing skills
- High school diploma or GED
Lead Product Manager, Claims Automation
Sidecar Health —San Francisco, CA
- Remote
- Computer Science
- 5 years
- Master's degree
- Paid holidays
- Health insurance
Bodily Injury & Litigation Team Lead/Supervisor
Bridger Insurance Services —Pleasanton, CA
- $90,000 - $115,000 a year
- Full-time
- Remote
- Customer service
- 5 years
- Supervising experience
Quick Apply
3d
Casualty Specialist II
First Acceptance Services Inc —United States
- Remote
- Microsoft Excel
- Mid-level
- High school diploma or GED
Senior General Liability Litigation Specialist
TheBest Claims Solutions —United States
- $85,000 - $110,000 a year
- Remote
- Senior level
- 2 years
- Commercial
Commercial Trucking Adjuster
TheBest Claims Solutions —United States
- $80,000 - $90,000 a year
- Remote
- Mid-level
- 3 years
- Bachelor's degree
5d

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SIP-Certified Workers' Compensation Adjuster (Remote)

CCMSI -
Concord, CA

Apply Now

Job Details

$92,000 a year

Benefits

Paid holidays
Disability insurance
Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
Employee stock ownership plan
Opportunities for advancement
Life insurance

Qualifications

Caseload management
Regulatory compliance in claims processing
Claims negotiation
Workers' compensation insurance knowledge
Insurance claims litigation
Productivity software
Insurance claims reserve management
Managing litigation projects

Full Job Description

Overview

Workers' Compensation Claims Adjuster – California - Remote

Location: Remote (California Residents Preferred)

Schedule: 8 am - 4:30pm PST
Salary Range: $92,000 annually

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

The Senior Workers' Compensation Claims Adjuster is responsible for the investigation, evaluation, administration, and resolution of California Workers' Compensation claims across multiple client programs.

This role manages claims from assignment through closure while ensuring compliance with California workers' compensation laws, client-specific handling instructions, and CCMSI claim handling standards.

The ideal candidate is an experienced California adjuster who understands how to manage an active inventory, navigate litigated files, make sound claim decisions, and communicate confidently with injured workers, attorneys, employers, medical providers, and clients.

Most importantly, we're looking for someone who thrives in a culture built on accountability, collaboration, and trust. Our best adjusters are self-starters who take ownership of their files, communicate proactively, and consistently deliver high-quality claim outcomes.

Responsibilities

When we hire Workers’ Compensation Adjusters at CCMSI, we look for detail‑driven problem‑solvers who balance empathy with sound judgment, navigate complex regulations with confidence, and deliver fair, timely outcomes that support injured workers and strengthen client trust.

Investigate, evaluate, and adjust California Workers' Compensation claims from assignment through resolution

Manage indemnity and medical exposures while developing effective claim strategies

Handle litigated claims and collaborate with defense counsel throughout the litigation process

Determine compensability and establish appropriate reserves

Coordinate medical treatment, return-to-work efforts, and vocational considerations when applicable

Monitor claim activity and ensure timely file movement and diary management

Evaluate settlement opportunities and negotiate claim resolutions within authority

Communicate regularly with injured workers, employers, attorneys, medical providers, and clients

Maintain accurate file documentation and claim reporting

Participate in claim reviews and client meetings as requested

Ensure compliance with California Workers' Compensation regulations and client handling requirements

Qualifications

Required Qualifications

California Workers' Compensation claims handling experience
Self-Insured Administrator Certificate (SIP) required
Strong understanding of California Workers' Compensation laws and regulations
Experience handling litigated Workers' Compensation claims
Experience managing claims from investigation through resolution
Ability to independently manage a full caseload
Strong reserve management and claim strategy skills
Excellent verbal and written communication skills
Strong negotiation and problem-solving abilities
Ability to work independently in a remote environment
Proficiency with Microsoft Office applications
Reliable attendance during established business hours

Preferred Qualifications

Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required.
Prior TPA experience is helpful
Experience presenting files during client claim reviews is helpful
Multi-client account experience
Professional designations such as AIC, ARM, or CPCU are preferred but not required

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.

#CCMSICareers #EmployeeOwned #GreatPlaceToWorkCertified #ESOP #TPA #WorkersCompensation #WorkersCompClaims #CaliforniaWorkersComp #CaliforniaClaimsAdjuster #WorkersCompAdjuster #ClaimsExaminer #WorkersCompSpecialist #SIPCertified #WorkersCompLitigation #LitigatedClaims #WorkersCompCareers #ClaimsCareers #InsuranceCareers #RemoteJobs #CaliforniaJobs #ClaimsAdjuster #WorkersCompensationClaims #WCClaims #ReturnToWork #IndemnityClaims #MedicalManagement #ClaimProfessional #HiringNow #LIRemote #IND123

Apply Now

Refine Your Search

claims adjuster remote jobs in pleasant hill, ca

SIP-Certified Workers' Compensation Adjuster (Remote)

Workers Compensation Claims (40460)

Workers Compensation Adjuster

Claims Examiner

Workers' Compensation Claim Specialist

Claims Analyst or (Senior) Claims & Patient Safety Specialist

Sr. Litigation Specialist -Remote

Commercial Casualty Litigation Adjuster - Remote

Claims Supervisor

Senior Claims Examiner, Complex General Liability

Lead Product Manager, Claims Automation

Bodily Injury & Litigation Team Lead/Supervisor

Casualty Specialist II

Senior General Liability Litigation Specialist

Commercial Trucking Adjuster

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I want to receive the latest job alert for claims adjuster remote in pleasant hill, ca

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Overview

Build Your Career With Purpose at CCMSI

Job Summary

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Required Qualifications

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