Top 262 Claims representative Jobs in Brea Ca

Workers' Compensation Claim Representative II
CCMSI —Irvine, CA
- $60,000 - $80,000 a year
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
- Disability insurance
Claims Representative (IAP) - Workers Compensation Training Program | Brea, CA
Sedgwick —Brea, CA
- Full-time
- Customer service
- Office
- High school diploma or GED
- Health savings account
- Disability insurance
1d
Claims Clerk (Part-Time)
Astiva Health —Orange, CA
- $22 - $23 an hour
- Part-time
- Microsoft Outlook
- Administrative experience
- High school diploma or GED
Quick Apply
14d
Claim Operations Specialist
The Travelers Companies, Inc. —Diamond Bar, CA
- $45,400 - $74,900 a year
- Hybrid work
- Computer literacy
- Office
- High school diploma or GED
- Wellness program
- Paid holidays
Senior Customer Service Representative
Optum —Los Angeles, CA
- $18 - $32 an hour
- 8 hour shift
- Remote
- 18 years or older
- Computer literacy
- Medical office experience
- On-the-job training
2d
Provider Service Representative
Optum —Ontario, CA
- $18 - $32 an hour
- Full-time
- Spanish
- Pass drug screening
- English
- AD&D insurance
- Employee stock purchase plan
Claims Representative (IAP) - Workers Compensation Training Program (On-Site Orange, CA)
Sedgwick —Orange, CA
- Full-time
- Customer service
- Office
- High school diploma or GED
- Health savings account
- Disability insurance
1d
Service Delivery Representative II
SchoolsFirst FCU —Tustin, CA
- $22.33 - $32.38 an hour
- Part-time
- Research
- Mid-level
- High school diploma or GED
7d
PT Utilities Customer Services Representative I
City of Anaheim, CA —Anaheim, CA
- $27.77 - $35.14 an hour
- Part-time
- Background check
- Sales
- Computer literacy
- Retirement plan
Customer Service Representative - 1st Shift (Hybrid)
Stryker —Irvine, CA
- $23.41 - $30.80 an hour
- Overtime
- Salesforce
- Mid-level
- Office
- Health savings account
- AD&D insurance
13d
WC Claim Associate I LevelUP
CCMSI —Irvine, CA
- $55,000 - $70,000 a year
- Full-time
- Remote
- Spanish
- Administrative experience
- High school diploma or GED
- Paid training
- Paid holidays
12d
Member Liaison Specialist (Customer Service)
CalOptima —Orange, CA
- Weekends as needed
- Background check
- Spanish
- Microsoft Outlook
- Tuition reimbursement
- Paid time off
Workers Compensation - Claims Associate | Orange, CA
Sedgwick —Orange, CA
- Office
- High school diploma or GED
- Fair chance
- Health savings account
- Disability insurance
12d
Customer Support Representative
Kia Motors America —Irvine, CA
- $54,833.34 - $68,510.76 a year
- Full-time
- Computer literacy
- Mid-level
- Office
- Paid holidays
- Health insurance
Transportation Network Representative
Inland Empire Health Plan —Rancho Cucamonga, CA
- $27.43 - $35.66 an hour
- Extended hours
- Hybrid work
- Microsoft Word
- Mid-level
- Office
- Disability insurance
- Health insurance
Service Delivery Representative III
SchoolsFirst FCU —Tustin, CA
- $24.56 - $35.62 an hour
- Part-time
- Research
- Mid-level
- Office
Medical Collector - PB Financial Services - FT Days
University of California, Irvine —Anaheim, CA
- $26.58 - $37.75 an hour
- Full-time
- Background check
- Customer service
- English
- Health insurance
- Retirement plan
Senior Claims Examiner - School District
Athens Administrators —Orange, CA
- $50.29 - $55.87 an hour
- Urgently hiring
- Management
- Bachelor of Science
- Basic math
- Health savings account
- AD&D insurance
Quick Apply
Customer Service Representative I
WESTERN GROWERS GROUP —Irvine, CA
- $35,288.32 - $45,874.31 a year
- Full-time
- Remote
- Spanish
- Data analysis skills
- HIPAA
Quick Apply
Contact Center Representative II
L.A. Care Health Plan —Los Angeles, CA
- From $50,216 a year
- Part-time
- Spanish
- HIPAA
- English
- Wellness program
- Health insurance

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Workers' Compensation Claim Representative II

CCMSI -
Irvine, CA

Apply Now

Job Details

Full-time
$60,000 - $80,000 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

Qualifications

Confidential information handling
Writing skills
Client rapport building
Workers' compensation insurance knowledge
Client management
Technical Proficiency

Full Job Description

Overview:

Workers' Compensation Claim Representative II
Location: Irvine, CA - reporting remotely
Schedule: 8:00am - 4:30pm (PST)
Salary Range: $60,000 - $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 motivated California Workers’ Compensation Claim Representative II to manage a diverse portfolio of claims with professionalism, empathy, and strong technical skill. You will take ownership of a dedicated account specializing in warehouse and trucking-related claims. With 5–10 years of experience, you’ll bring seasoned judgment to claim investigations, compensability decisions, and timely resolution strategies. This role provides an excellent opportunity to deepen your expertise and serves as a developmental step toward more senior claim positions. As a Claim Representative II, you’ll play a key role in delivering an exceptional client experience and upholding CCMSI’s high standards for quality claim service.

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 and adjust workers compensation claims in accordance with established claims handling procedures using CCMSI guidelines and direct supervision.
Perform TD/PD/AWW calculations to ensure accurate indemnity payments in accordance with applicable workers’ compensation laws and guidelines.
Review medical, legal and miscellaneous invoices to determine if reasonable and related to the ongoing workers compensation claims. Negotiate any disputed bills for resolution.
Authorize and make payment of workers compensation claims utilizing a claim payment program in accordance with industry standards and within settlement authority.
Negotiate settlements with claimants and attorneys in accordance with client's authorization.
Assist in selection and supervision of defense attorneys.
Assess and monitor subrogation claims for resolution.
Prepare reports detailing claims, payments and reserves.
Provide reports and monitor files, as required by excess insurers.
Compliance with Service Commitments as established by team.
Delivery of quality claim service to clients.

Qualifications:

Required Qualifications

Self‑starter with strong organizational skills and the ability to work with minimal supervision.
Proven ability to coordinate, prioritize, and manage multiple responsibilities.
Flexibility, initiative, and adaptability in a fast‑paced, rapidly changing environment.
Strong discretion and ability to maintain confidentiality.
Ability to work effectively as part of a team.
Reliable, predictable attendance within client service hours.
Responsiveness to internal and external client needs.
Ability to communicate clearly and professionally, both verbally and in writing.
5 to 10 years of Workers’ Compensation claims management experience or equivalent combination of experience and education.
Proficiency with Microsoft Office programs (Word, Excel, Outlook, etc.).
California Adjuster’s license is required - SIP is required

Preferred Qualifications

Associate degree is preferred but not required.
Experience handling liens and subrogation matters is highly preferred, though not required.
Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, 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.

#EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #CaliforniaJobs #CareerGrowth #InsuranceJobs #ESOP #LI-Remote #IND123

Apply Now

Refine Your Search

claims representative jobs in brea ca

Workers' Compensation Claim Representative II

Claims Representative (IAP) - Workers Compensation Training Program | Brea, CA

Claims Clerk (Part-Time)

Claim Operations Specialist

Senior Customer Service Representative

Provider Service Representative

Claims Representative (IAP) - Workers Compensation Training Program (On-Site Orange, CA)

Service Delivery Representative II

PT Utilities Customer Services Representative I

Customer Service Representative - 1st Shift (Hybrid)

WC Claim Associate I LevelUP

Member Liaison Specialist (Customer Service)

Workers Compensation - Claims Associate | Orange, CA

Customer Support Representative

Transportation Network Representative

Service Delivery Representative III

Medical Collector - PB Financial Services - FT Days

Senior Claims Examiner - School District

Customer Service Representative I

Contact Center Representative II

I want to receive the latest job alert for claims representative in brea ca

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