Top 97 Claims adjuster Jobs in Santa Ana Ca

Workers' Compensation Claim Consultant
CCMSI —Irvine, CA
- $80,000 - $95,000 a year
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
- Disability insurance
Workers Compensation Claims Specialist, West
CNA Insurance —Brea, CA
- $54,000 - $103,000 a year
- Full-time
- Hybrid work
- Mid-level
- 3 years
- Analysis skills
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
California Workers' Compensation Insurance Adjuster
CCMSI —Irvine, CA
- $80,000 - $98,000 a year
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
- Disability insurance
Workers' Compensation Claim Supervisor
CCMSI —Irvine, CA
- $98,000 - $108,000 a year
- Hybrid work
- Spanish
- Mid-level
- Office
- Paid holidays
- Disability insurance
Claims Adjuster Trainee
Progressive —Irvine, CA
- $28.61 - $30.53 an hour
- Monday to Friday
- Hybrid work
- Office
- US work authorization
- Associate's degree
- Health savings account
- Disability insurance
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
Claims Resolution Specialist (Customer Service)
CalOptima —Orange, CA
- Weekends as needed
- Background check
- Microsoft Outlook
- Writing skills
- Tuition reimbursement
- Paid time off
13d
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
Associate Claims Adjuster, Workers Compensation
Liberty Mutual —Orange, CA
- $50,000 - $94,000 a year
- Full-time
- Mid-level
- Office
- Analysis skills
Workers Compensation Adjuster
TheBest Claims Solutions —Brea, CA
- $45 - $50 an hour
- Remote
- 5 years
- Bachelor's degree
- Senior level
6d
Supervising Veterans Claims Representative
County of Orange —Orange County, CA
- $70,220.80 - $94,660.80 a year
- Weekends as needed
- Microsoft Excel
- Microsoft Outlook
- Customer service
- Health insurance
8d
FLEX Claims Adjuster I
Marriott International, Inc —Costa Mesa, CA
- $26.44 - $34.61 an hour
- Full-time
- High school diploma or GED
- Trade school
- Fair chance
- Commuter assistance
- Paid parental leave
Workers Compensation - Claims Associate | Orange, CA
Sedgwick —Orange, CA
- Office
- High school diploma or GED
- Fair chance
- Health savings account
- Disability 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
Claims Support Specialist II
Mercury Insurance Services, LLC —Brea, CA
- $24,864 - $44,131 a year
- Remote
- Writing skills
- High school diploma or GED
- Typing
- Paid holidays
- Health insurance
5d
Claims Examiner (Project Hire)
Disneyland Resort —Anaheim, CA
- Full-time
- Spanish
- English
- Mid-level
12d
3rd Party Claims Adjuster/Examiner - HYBRID
DB Insurance Co., Ltd. —Anaheim, CA
- $65,000 - $100,000 a year
- Full-time
- Hybrid work
- Google Workspace
- Mid-level
- Office
- Paid holidays
- Health insurance
Claims Examiner I
Clever Care Health Plan —Huntington Beach, CA
- $27 - $32 an hour
- Full-time
- Hybrid work
- Background check
- Writing skills
- Office
4d
Property Claims Specialist Field I
Mercury Insurance Services, LLC —Brea, CA
- $63,410 - $117,348 a year
- Overtime
- Bilingual
- Military
- Writing skills
- Paid holidays
- Health insurance

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Workers' Compensation Claim Consultant

CCMSI -
Irvine, CA

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Job Details

Full-time
$80,000 - $95,000 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

Microsoft Excel
Microsoft Outlook
Workers' compensation insurance knowledge
Litigation

Full Job Description

Overview:

Workers' Compensation Claim Consultant
Location: Irvine, CA (reporting remotely)
Schedule: 8:00 am - 4:30 pm (PST)
Salary Range: $80,000 - $95,000 (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. This role 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:

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 claims in compliance with company standards and applicable laws.
Establish and manage reserves within authority guidelines.
Review, approve, and negotiate medical, legal, damage estimate, and related claim expenses.
Authorize claim payments and negotiate settlements within established authority and client-specific guidelines.
Coordinate and oversee external vendors, including legal counsel, surveillance, and case management providers.
Monitor claim progression, including subrogation opportunities, diary management, and reporting requirements.
Maintain timely communication with clients, claimants, and other stakeholders throughout the claim lifecycle.
Provide claim status updates, reserve analyses, and other reports as requested.
Calculate disability rates and ensure compliance with applicable state regulations.
Notify excess and reinsurance carriers of qualifying claims.
Handle complex claims independently with minimal supervision.
Participate in hearings, mediations, legal conferences, client meetings, training sessions, and claim reviews, as appropriate.
Support client satisfaction through responsive service and adherence to corporate claim handling standards and client instructions.
Contribute to special projects, training materials, newsletters, and other departmental initiatives as requested.

Qualifications:

Required Qualifications

5+ years of California Workers’ Compensation claims experience.
Proficiency with Microsoft Office products, including Word, Excel, and Outlook.
SIP is required, or you must be able to obtain.
Experience handling a mostly litigated workload.

Preferred Qualifications

Bachelor’s degree is preferred but 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.

#CCMSICareers #EmployeeOwned #GreatPlaceToWorkCertified #ESOP #TPA #InsuranceCareers #ClaimsCareers #IrvineJobs #CaliforniaJobs #CareerGrowth #IND123 #LI-Remote

Apply Now

Refine Your Search

claims adjuster jobs in santa ana ca

Workers' Compensation Claim Consultant

Workers Compensation Claims Specialist, West

Workers' Compensation Claim Representative II

California Workers' Compensation Insurance Adjuster

Workers' Compensation Claim Supervisor

Claims Adjuster Trainee

Claims Clerk (Part-Time)

Claims Resolution Specialist (Customer Service)

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

Associate Claims Adjuster, Workers Compensation

Workers Compensation Adjuster

Supervising Veterans Claims Representative

FLEX Claims Adjuster I

Workers Compensation - Claims Associate | Orange, CA

WC Claim Associate I LevelUP

Claims Support Specialist II

Claims Examiner (Project Hire)

3rd Party Claims Adjuster/Examiner - HYBRID

Claims Examiner I

Property Claims Specialist Field I

I want to receive the latest job alert for claims adjuster in santa ana ca

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