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Work Comp Insurance Adjuster

🔥 0 minutes ago

🤠 Texas – Remote

infoinfo

💵 $68k - $78k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔒 Insurance

Where this job comes from

Posted on CCMSI's careers page, not through a job board

First seen by Remote Rocketship 0 minutes ago

Logo of CCMSI

CCMSI

1001 - 5000 employees

Founded 1978

🏗️ Construction

🏥 Healthcare

📦 Logistics

Construction • Healthcare • Logistics

CCMSI is a company that provides comprehensive risk management services, focusing on claims management and consulting solutions. They offer services to help organizations mitigate risks, reduce costs, and improve operational efficiency through their expertise in claims handling and risk assessment.

📋 Description

• Investigate and adjust workers’ compensation claims according to established procedures, CCMSI guidelines, and direct supervision • Review medical, legal, and miscellaneous invoices to determine whether they are reasonable and related to ongoing workers’ compensation claims • Negotiate disputed bills for resolution • Authorize and make workers’ compensation claim payments using a claim payment program, industry standards, and settlement authority • Negotiate settlements with claimants and attorneys according to client authorization • Assist in selecting and supervising defense attorneys • Assess and monitor subrogation claims for resolution • Prepare reports detailing claims, payments, and reserves • Prepare reports and monitor files for excess insurers • Comply with team service commitments • Deliver quality claim service to clients • Manage a portfolio of moderately complex Texas workers’ compensation claims across multiple accounts and industries • Make compensability decisions and drive timely, effective claim resolutions

🎯 Requirements

• 5+ years of Texas Workers’ Compensation claims management experience or equivalent combination of experience and education • Texas Adjusting License is required • Excellent oral and written communication skills • Strong organizational skills and ability to work with minimal supervision • Ability to coordinate, prioritize, and manage multiple responsibilities • Flexibility, initiative, and adaptability in a fast-paced, rapidly changing environment • Strong discretion and ability to maintain confidentiality • Ability to work effectively as part of a team • Reliable, predictable attendance within client service hours • Responsiveness to internal and external client needs • Proficiency with Microsoft Office programs, including Word, Excel, and Outlook • Associate degree preferred but not required • Bilingual Spanish proficiency highly valued but not required • Must be able to work 8:00 am–4:30 pm CST • Visa sponsorship is not provided

🏖️ Benefits

• 4 weeks paid time off accruing throughout the year in accordance with company policy • 10 paid holidays in the first year • Medical insurance • Dental insurance • Vision insurance • Life insurance • Disability insurance • 401(k) • Employee Stock Ownership Plan (ESOP) • Internal training and advancement opportunities • Supportive, team-based work environment • Potential eligibility for bonuses or additional forms of pay • Reasonable accommodations throughout the application and hiring process

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