Claims Administrative Assistant (Irvine - In Office)

Overview

Claim Assistant

Location: Irvine, CA (In-Office – 5 Days per Week)

Schedule: Monday–Friday, 8:00 AM–4:30 PM PST (37.5 hours/week)

Pay Range: $20.00–$22.00 per hour (dependent 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 a Claim Assistant to support a PEO/Staffing account handling California workers’ compensation claims. This is a fully in-office position, working on-site in our Irvine, CA branch five days per week.

This role provides technical, clerical, and claims support to adjusting teams while building foundational knowledge of the workers’ compensation process. It is ideal for someone with strong organization skills, attention to detail, and an interest in growing within claims.

Responsibilities

When we hire claim assistants at CCMSI, we look for people who understand that every claim represents a real person’s livelihood, take pride in accuracy, and approach their work with accountability and care.

• Assist with the investigation and evaluation of contested medical-only claims and support indemnity claims under supervision
• Set up claim files and complete required system documentation accurately and timely
• Establish reserves and provide reserve recommendations under assigned authority and supervision
• Request and monitor medical treatment in accordance with corporate standards and client instructions
• Coordinate independent medical exams when directed
• Review medical, legal, and miscellaneous invoices for accuracy and escalate discrepancies as needed
• Assist with settlement activity, vendor referrals, and claim payments under supervision
• Compute disability rates when appropriate and under guidance
• Maintain accurate claim notes, diaries, and documentation within the claim system
• Communicate professionally with providers, clients, claimants, and internal team members
• Provide clerical and technical claims support to designated client teams
• Ensure compliance with Corporate Claim Standards and client-specific handling instructions
  
  

Qualifications

Required

• Associate degree or two years of related business, insurance, medical, or administrative experience
• Strong organizational and time-management skills
• Clear written and verbal communication skills
• Ability to prioritize tasks and work in a fast-paced, team-based environment
• Reliable, predictable in-office attendance during established client service hours
  
  

Preferred

• Knowledge of medical terminology
• Prior experience supporting insurance or workers’ compensation claims
• Proficiency with Microsoft Word, Excel, Outlook, and general office systems
• Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required.
  
  

Why You’ll Love Working Here

• 4 weeks PTO 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.

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.

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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