Claims Administrative Assistant; Irvine - In Office

Claims Administrative Assistant (Irvine - In Office)

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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  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.

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.

• 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

• 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

• 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.

• 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

• 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

The posted salary reflects CCMSI’s good‑faith estimate in accordance with applicable pay transparency laws. Actual…