Job Description

Claim ClerkLocation: Irvine, CA (reporting remotely) Schedule: 8:00 am - 4:30pm (PST)Hourly Range: $20 - $22

Build Your Career With Purpose at CCMSIAt 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.

Provides administrative and clerical support to claims personnel and team members, ensuring high-quality service aligned with CCMSI client expectations and corporate standards. Demonstrates flexibility, initiative, and the ability to work independently with minimal supervision. Maintains strict confidentiality and discretion while contributing effectively as a collaborative team member in a fast-paced, evolving environment.

Responsibilities

• Provide administrative support for claims processing, including matching incoming mail to assigned accounts
• Follow up on billing inquiries and outstanding items
• File claim correspondence and maintain organized claim documentation
• Set up new claim files and complete required setup tasks per instructions
• Serve as backup support for reception duties as needed
• Summarize correspondence and medical records in claim system notes and ensure proper filing
• Retrieve, re-file, and manage closed claim files and storage systems
• Maintain accurate and organized claim file storage
• Photocopy and distribute claim documents as requested
• Return provider and other calls as directed by claim staff
• Support claim teams and client-specific service needs
• Ensure compliance with team service commitments and performance standards

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required.

• Excellent oral and written communication skills.
• Initiative to set and achieve performance goals.
• Ability to cope with job pressures in a constantly changing environment.
• Knowledge of all lower level claim position responsibilities.
• Must be detail oriented and a self-starter with strong organizational abilities.
• Ability to coordinate and prioritize required.
• Flexibility, accuracy, initiative and the ability to work with minimum supervision.
• Discretion and confidentiality required.
• Reliable, predictable attendance within client service hours for the performance of this position.
• Responsive to internal and external client needs.
• Ability to clearly communicate verbally and/or in writing both internally and externally.

Education and/or Experience

High School diploma or equivalent required.

Nice to Have:

• Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required.
• Computer Skills- Proficient in Microsoft Office & Proficient typing skills

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.

CCMSI posts internal career opportunities in compliance with applicable state and local promotion transparency laws.

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.

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