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Workers Compensation Assistant Jobs in Riverside, CA

CCMSI

Workers' Compensation Claim Consultant

Irvine, CA

$80K - $90K/yr

Workers' Compensation Claim Consultant Location: Irvine, CA (reporting remotely) Schedule: 8:00am ... * Assist in the selection, referral and supervision of designated claim files sent to outside ...

CCMSI

Workers' Compensation Claim Consultant

Irvine, CA

$80K - $90K/yr

Overview Workers' Compensation Claim Consultant Location: Irvine, CA (reporting remotely) Schedule ... * Assist in the selection, referral and supervision of designated claim files sent to outside ...

Walter Clark Legal Group

Be Seen First

Bilingual - Workers' Compensation Case Manager

Riverside, CA · On-site

$27 - $35/hr

As a Workers' Compensation Case Manager, you'll play a pivotal role in supporting individuals who ... Prepare correspondence, case updates, and status reports * Assist with settlement preparation and ...

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All JobsWorkers Compensation JobsWorkers Compensation Assistant JobsWorkers Compensation Assistant Jobs in Riverside, CA

Workers Compensation Assistant information

See Riverside, CA salary details

$13

$20

$29

How much do workers compensation assistant jobs pay per hour?

As of Jun 11, 2026, the average hourly pay for workers compensation assistant in Riverside, CA is $20.69, according to ZipRecruiter salary data. Most workers in this role earn between $17.22 and $24.26 per hour, depending on experience, location, and employer.

What is the difference between Workers Compensation Assistant vs Claims Specialist?

AspectWorkers Compensation AssistantClaims Specialist
Required CredentialsHigh school diploma, certification in workers' compensation or insuranceHigh school diploma, often additional insurance or claims processing certifications
Work EnvironmentOffice setting, supporting claims processing and administrative tasksOffice or remote, handling complex claims and customer interactions
Employer & Industry UsageInsurance companies, employers, third-party administratorsInsurance firms, third-party administrators, legal firms
Search & Comparison IntentUnderstanding administrative roles in workers' compensationHandling complex claims and insurance processes

The main difference is that a Workers Compensation Assistant primarily provides administrative support within workers' compensation claims, while a Claims Specialist handles more complex claims processing and decision-making. Both roles require similar certifications and work in related environments, but Claims Specialists typically have more responsibility for managing claims from start to finish.

What are the key skills and qualifications needed to thrive as a Workers Compensation Assistant, and why are they important?

To excel as a Workers Compensation Assistant, you need a solid understanding of workers compensation laws, claims processing, and administrative procedures, often supported by experience in insurance or human resources. Familiarity with claims management software, MS Office Suite, and sometimes certifications like Associate in Claims (AIC) are typically valuable. Strong attention to detail, organizational skills, and effective communication are essential soft skills for managing sensitive information and coordinating with various stakeholders. These abilities ensure accurate processing of claims, compliance with regulations, and efficient support for injured employees and employers.

What does a Workers Compensation Assistant do?

A Workers Compensation Assistant supports the administration of workers’ compensation claims within an organization. Their duties typically include processing claim forms, maintaining records, communicating with insurance providers, employees, and healthcare professionals, and ensuring compliance with relevant laws and company policies. They play a key role in helping injured employees navigate the claims process and return to work safely. Attention to detail, strong organizational skills, and knowledge of workers’ compensation regulations are important for this role.

What are some typical challenges a Workers Compensation Assistant faces, and how can they be managed effectively?

As a Workers Compensation Assistant, one common challenge is balancing a high volume of case files while ensuring accuracy and compliance with regulatory deadlines. The role often involves coordinating between injured employees, healthcare providers, insurers, and internal HR teams, which can be fast-paced and detail-oriented. Effective time management, strong organizational skills, and clear communication are crucial to managing these challenges. Familiarity with claims management software and ongoing training in workers' compensation laws can also help assistants stay current and efficient in their responsibilities.
What are the most commonly searched types of Workers Compensation jobs in Riverside, CA? The most popular types of Workers Compensation jobs in Riverside, CA are:
What are popular job titles related to Workers Compensation Assistant jobs in Riverside, CA? For Workers Compensation Assistant jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Workers Compensation Assistant jobs in Riverside, CA look for? The top searched job categories for Workers Compensation Assistant jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Workers Compensation Assistant jobs? Cities near Riverside, CA with the most Workers Compensation Assistant job openings:
Workers Compensation Assistant jobs near you
Infographic showing various Workers Compensation Assistant job openings in Riverside, CA as of June 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $43,044 per year, or $20.7 per hour.
Workers' Compensation Claim Consultant

Workers' Compensation Claim Consultant

CCMSI

Irvine, CA

$80K - $90K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 12 days ago

Job description

Workers' Compensation Claim Consultant
Location: Irvine, CA (reporting remotely)
Schedule: 8:00am - 4:30pm 
Salary Range: $80,000 - $90,000

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 Workers’ Compensation Claim Consultant to manage a complex health care account 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 accordance with established claim handling standards and laws.
  • Establish reserves and/or provide reserve recommendations within established reserve authority levels.
  • Review, approve or provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated claims. Negotiate any disputed bills or invoices for resolution.
  • Authorize and make payments of claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within established payment authority.
  • Negotiate settlements in accordance within Corporate Claim Standards, client specific handling instructions and state laws, when appropriate.
  • Assist in the selection, referral and supervision of designated claim files sent to outside vendors. (i.e. legal, surveillance, case management, etc.)
  • Assess and monitor subrogation claims for resolution.
  • Review and maintain personal diary on claim system.
  • Client satisfaction.
  • Prepare reports detailing claim status, payments and reserves, as requested.
  • Compute disability rates in accordance with state laws.
  • Effective and timely coordination of communication with clients, claimants and appropriate parties throughout the claim adjustment process.
  • Prepare newsletter articles, as requested.
  • Provide notices of qualifying claims to excess/reinsurance carriers.
  • Handle more complex and involved claims than lower level claim positions with minimum supervision.
  • Conduct claim reviews and/or training sessions for designated clients, as requested.
  • Attend and participate at hearings, mediations, and informal legal conferences, as appropriate.
  • Compliance with Corporate Claim Handling Standards and special client handling instructions as established.

Required Qualifications

  • Five or more years of Workers’ Compensation claims experience.
  • Proficiency with Microsoft Office products, including Word, Excel, and Outlook.
  • Adjuster’s license may be required based on jurisdiction.
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.
  • Experience handling indemnity and litigation health care claims. 
  • SIP is preferred 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 #CaliforniaJobs #InsuranceCareers #ClaimsCareers #IND123 #LI-Remote

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