ZipRecruiter

Log In

1

Claim Consultant Jobs (NOW HIRING)

CCMSI

Workers' Compensation Claim Consultant

Irvine, CA · Remote

$80K - $95K/yr

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 ...

CCMSI

Workers' Compensation Claim Consultant

Irvine, CA · Remote

$80K - $95K/yr

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 ...

CCMSI

Workers' Compensation Claim Consultant

Irvine, CA · On-site

$80K - $95K/yr

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 ...

CCMSI

Workers' Compensation Claim Consultant

Las Vegas, NV · Remote

$80K - $95K/yr

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 ...

CCMSI

Multi-Line Claim Consultant

Chicago, IL · On-site

$65K - $75K/yr

Multi Line Claim Consultant Location: Hybrid- Reporting to Chicago, IL Region Chicago-area candidates preferred. This role may be performed remote in states where CCMSI is authorized to hire. Pay ...

CCMSI

Multi-Line Claim Consultant

Chicago, IL · On-site

$65K - $75K/yr

Multi Line Claim Consultant Location: Hybrid- Reporting to Chicago, IL Region Chicago-area candidates preferred. This role may be performed remote in states where CCMSI is authorized to hire. Pay ...

next page

Showing results 1-20

All JobsFinance and Insurance JobsInsurance JobsInsurance Claims Specialist JobsClaim Consultant Jobs

Claim Consultant information

See salary details

$14

$49

$79

How much do claim consultant jobs pay per hour?

As of Aug 28, 2026, the average hourly pay for claim consultant in the United States is $49.12, according to ZipRecruiter salary data. Most workers in this role earn between $32.69 and $67.31 per hour, depending on experience, location, and employer.

What is a claim consultant?

Claim Consultants are professionals who assist individuals or organizations in managing, preparing, and negotiating insurance or construction claims. They analyze claim details, help gather necessary documentation, and provide expert advice to ensure claims are presented accurately and fairly. Their expertise can help clients maximize claim settlements, resolve disputes, and navigate complex insurance policies or contract terms. Claim Consultants often work with insurers, legal teams, and clients to achieve the best possible outcome.

What are the key skills and qualifications needed to thrive as a claim consultant, and why are they important?

To thrive as a Claim Consultant, you need expertise in insurance policies, claims management, and risk assessment, typically backed by a degree in business, finance, or a related field. Familiarity with claims management software, industry databases, and relevant certifications such as AIC (Associate in Claims) are common requirements. Strong analytical thinking, negotiation skills, and exceptional attention to detail help you resolve claims efficiently and build client trust. These skills ensure accurate claim evaluations, minimize losses, and support fair outcomes for both the company and its clients.

How does a claim consultant typically collaborate with clients and other professionals during complex insurance claims?

Claim Consultants frequently work closely with clients, insurance adjusters, legal teams, and sometimes third-party experts to ensure claims are accurately documented and presented. They act as an intermediary, guiding clients through policy interpretation, claim preparation, and negotiation processes. Effective communication and teamwork are essential, as Claim Consultants often organize meetings, clarify technical details, and coordinate with various stakeholders to resolve disputes and achieve favorable outcomes for their clients.

What does a claim consultant do?

A claim consultant evaluates insurance claims to determine their validity and the appropriate payout. They review documentation, assess damages, and may negotiate settlements, often using industry-specific software and requiring knowledge of insurance policies and regulations.
More about Claim Consultant jobs

What cities are hiring for Claim Consultant jobs?

Cities with the most Claim Consultant job openings:

What states have the most Claim Consultant jobs?

States with the most job openings for Claim Consultant jobs include:

Claim Consultant jobs near you
Infographic showing various Claim Consultant job openings in the United States as of August 2026, with employment types broken down into 91% Full Time, 6% Part Time, and 3% Contract. Highlights an 70% Physical, 3% Hybrid, and 27% Remote job distribution, with an average salary of $102,175 per year, or $49.1 per hour.

Workers' Compensation Claim Consultant

CCMSI

Irvine, CA • Remote

$80K - $95K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 22 hours ago

CCMSI rating

7.9

Company rating: 7.9 out of 10

Based on 16 frontline employees who took The Breakroom Quiz

Job description

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 handson 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 lifecycle WC adjuster position within a TPA environment, and only candidates with proven Workers’ Compensation claims experience will be considered.

When we hire Workers’ Compensation Adjusters at CCMSI, we look for detaildriven problemsolvers 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.

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 

What CCMSI employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply