Qureos Mentor

CCMSI

<div>Overview:<div></div><div><b><br>
Multi-Line Claim Consultant &ndash; General Liability / Premises (National Accounts)</b></div><div></div><div><b><br>
Compensation:</b> $75,000&ndash;$80,000 annually (based on experience)<br>
<b>Schedule:</b> Monday&ndash;Friday<br>
<b>Work Model:</b> Fully Remote</div><div></div><div><div><b><br>
Build Your Career With Purpose at CCMSI</b></div><div></div><div><br>
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.</div><div></div><div><br>
We don&rsquo;t just process claims&mdash;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 <i>Great Place to Work&reg;</i>, and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day.</div><div></div><div><b><br>
Job Summary</b></div><div></div><div><div><div><br>
The <b>Multi-Line Claim Consultant</b> is responsible for the investigation and adjustment of assigned <b>general liability and premises liability claims</b> within a <b>national accounts environment</b>. This role manages claims from assignment through resolution (cradle to grave), including files with <b>litigation exposure</b>, while ensuring compliance with CCMSI claim handling standards, client-specific instructions, and applicable state laws across multiple jurisdictions (excluding Alaska).</div><div></div><div><br>
This position is designed for experienced liability adjusters with <b>5+ years of claim handling experience</b> who can independently manage a multi-account desk, navigate competing priorities, and deliver high-quality outcomes in a fast-paced environment. The ideal candidate demonstrates strong organizational discipline, effective negotiation skills, and sound professional judgment when handling bodily injury and liability-driven claims.</div><div></div><div><br>
This is not a high-volume, quick-resolution claim environment. Adjusters are expected to take full ownership of their files, maintain proactive communication, and drive claims through completion with accuracy and accountability.</div></div><div></div><div><div><b><br>
Please note:</b> This is a claims adjuster role, responsible for cradle‑to‑grave liability claim handling. It is not an HR, consulting, or employer‑side position.</div></div></div></div><br>
<div></div>
Responsibilities:<div></div><div><br>
When we hire adjusters, we look for professionals who take ownership of their work, navigate complex claims with confidence, and deliver exceptional service with integrity. In this role, you&rsquo;ll manage your files independently while contributing to a collaborative, high‑performing team.</div><div><div><h2 class="jobSectionHeader"><b>
What You&rsquo;ll Do</b></h2><ul><li>
Investigate, evaluate, and adjust <b>multi‑line liability claims</b> (property damage &amp; bodily injury) in accordance with CCMSI standards and state requirements.</li><li>
Manage claims involving commercial vehicles, trucking exposures, commercial general liability premises/product claims, and third‑party liability.</li><li>
Determine coverage, assess liability, and develop defensible claim strategies.</li><li>
Review medical, legal, and vendor invoices for accuracy and reasonableness; negotiate discrepancies as needed.</li><li>
Establish, monitor, and adjust reserves in alignment with exposure and authority guidelines.</li><li>
Negotiate settlements with claimants, attorneys, and representatives in accordance with client expectations.</li><li>
Engage, coordinate, and manage defense counsel or other external vendors when appropriate.</li><li>
Identify and pursue subrogation opportunities.</li><li>
Maintain detailed and timely claim documentation, diary management, and financial reporting.</li><li>
Support excess reporting requirements and client communication needs.</li><li>
Deliver consistent, high‑quality service with professionalism and integrity.</li></ul></div></div><br>
<div></div>
Qualifications:
<div><b>
What You Bring</b></div><div><h3 class="jobSectionHeader"><b>
Required</b></h3><ul><li>
Active adjuster license in home state required (multi-state licensing preferred)</li><li>
Experience managing a multi-client desk and navigating varying client expectations</li><li>
5+ years of multi-lin claims experience is required (General Liability and Premises Liability)</li><li>
Strong analytical, negotiation, and decision‑making skills</li><li>
Strong ability to handle diverse claim types and pivot quickly throughout the workday</li><li>
Ability to analyze coverage and communicate claim decisions clearly and professionally</li><li>
Excellent time‑management and organizational abilities</li><li>
Strong written and verbal communication skills</li><li>
Ability to work independently in a remote environment with strong accountability</li><li>
Reliable, predictable attendance during business hours</li><li>
Litigation management experience</li><li><b>
Active New York adjuster license is required</b></li></ul><div></div><h3 class="jobSectionHeader"><b><br>
Preferred</b></h3><ul><li><div>
Third Party Administrator (TPA) experience preferred</div></li><li><div>
Experience performing coverage evaluations and coverage position analysis</div></li><li><div>
draft/issue tender letters</div></li><li><div>
Experience working within a TPA environment</div></li><li><div>
Bilingual (English/Spanish) is a bonus</div></li></ul><div></div><div><b><br>
Why You&rsquo;ll Love Working Here</b></div><div></div><ul><li><b><br>
4 weeks </b><b><i>(Paid time off that accrues throughout the year in accordance with company policy)</i></b><b> + 10 paid holidays in your first year</b></li><li><b>
Comprehensive benefits</b>: Medical, Dental, Vision, Life, and Disability Insurance</li><li><b>
Retirement plans</b>: 401(k) and Employee Stock Ownership Plan (ESOP)</li><li><b>
Career growth</b>: Internal training and advancement opportunities</li><li><b>
Culture</b>: A supportive, team-based work environment</li></ul><div></div><div><b><br>
How We Measure Success</b></div><div></div><div><br>
 At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by:
</div><ul><li><b>Quality claim handling</b> &ndash; thorough investigations, strong documentation, well-supported decisions</li><li><b>
Compliance &amp; audit performance</b> &ndash; adherence to jurisdictional and client standards</li><li><b>
Timeliness &amp; accuracy</b> &ndash; purposeful file movement and dependable execution</li><li><b>
Client partnership</b> &ndash; proactive communication and strong follow-through</li><li><b>
Professional judgment</b> &ndash; owning outcomes and solving problems with integrity</li><li><b>
Cultural alignment</b> &ndash; believing every claim represents a real person and acting accordingly</li></ul><div><b><i>
This is where we shine, and we hire adjusters who want to shine with us.</i></b></div><div></div><div><b><i><br>
Compensation &amp; Compliance</i></b></div><div></div><div><i><br>
The posted salary reflects CCMSI&rsquo;s good-faith estimate in accordance with applicable pay transparency laws. </i><i>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.</i></div><div></div><div><i><br>
CCMSI offers comprehensive benefits including medical, dental, vision, life, and disability insurance.</i></div><div><br>
</div><div><i>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.</i></div><div></div><div><b><i><br>
Visa Sponsorship:</i></b><i> CCMSI does not provide visa sponsorship for this position.</i><br>
<b><i>ADA Accommodations:</i></b><i> CCMSI is committed to providing reasonable accommodations throughout the application and hiring process.</i><br>
<b><i>Equal Opportunity Employer:</i></b><i> CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations.</i></div><div></div><div><i><br>
Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws.</i></div><div></div><div><b><br>
Our Core Values</b></div><div></div><div><br>
At CCMSI, we believe in doing what&rsquo;s right&mdash;for our clients, our coworkers, and ourselves. We look for team members who:</div><div></div><ul><li><b><br>
Lead with transparency </b>We build trust by being open and listening intently in every interaction.
</li><li><b>Perform with integrity </b>We choose the right path, even when it is hard.
</li><li><b>Chase excellence </b>We set the bar high and measure our success. What gets measured gets done.
</li><li><b>Own the outcome </b>Every employee is an owner, treating every claim, every decision, and every result as our own.
</li><li><b>Win together </b>Our greatest victories come when our clients succeed.</li></ul><p></p><div><b><br>
We don&rsquo;t just work together&mdash;we grow together. If that sounds like your kind of workplace, we&rsquo;d love to meet you.</b></div><div></div><div><br>
#EmployeeOwned #GreatPlaceToWorkCertified#LiabilityClaims #ClaimsJobs #InsuranceCareers #CommercialAuto #TruckingIndustry #RemoteJobs #AdjusterJobs #BodilyInjuryClaims #PropertyDamageClaims #HiringNow #TPACareers #CCMSICareers #IND123 #LI-Remote</div></div></div><div></div>

Multi-Line Claims Adjuster – General Liability / Premises Liability

<div><h2 class="jobSectionHeader"><b>Overview
</b></h2><div><div><div><div><b>Multi-Line Claim Representative I (Auto/Property) &ndash; National Accounts</b></div><div></div><div><div><b><br>
Location:</b> Remote<br>
<b>Schedule:</b> Full-Time<br>
<b>Salary Range:</b> $60,000 - $65,000</div><h3 class="jobSectionHeader"><b>
Build Your Career With Purpose at CCMSI</b></h3><div>
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.</div><div></div><div><br>
We don&rsquo;t just process claims&mdash;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&reg;, and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day.</div><div></div><h3 class="jobSectionHeader"><b><br>
Job Summary</b></h3><div>
The <b>Multi-Line Claim Representative I</b> is responsible for the investigation and adjustment of assigned <b>commercial auto and property claims</b> within a <b>national accounts environment</b>. This role manages claims from assignment through resolution (cradle to grave) while adhering to CCMSI claim handling standards, client-specific instructions, and applicable state regulations.</div><div></div><div><br>
This position is designed for early-career adjusters with <b>1&ndash;2 years of claim handling experience</b> who possess a foundational understanding of coverage and liability investigation. The ideal candidate demonstrates accountability, attention to detail, and a strong desire to grow within a multi-line claims environment.</div><div></div><div><br>
This is not a high-volume, quick-resolution claim environment. Adjusters are expected to take ownership of their files, maintain consistent communication, and deliver quality outcomes through strong follow-through and sound judgment.</div></div><br>
<div></div>
</div></div></div><h2 class="jobSectionHeader"><b>Responsibilities<br>
</b></h2>
<div></div><div><div><div><ul><li>Investigate, evaluate, and adjust commercial auto and property claims in accordance with corporate standards, client guidelines, and jurisdictional requirements</li></ul><ul><li>
Apply knowledge of <b>commercial auto policies</b> and coverage to determine compensability and exposure</li></ul><ul><li>
Conduct thorough <b>liability investigations</b>, including fact gathering, analysis, and documentation</li></ul><ul><li>
Apply principles of <b>comparative/contributory negligence</b> in claim evaluation and decision-making</li></ul><ul><li>
Establish and maintain appropriate reserves within authority guidelines</li></ul><ul><li>
Review damage estimates, invoices, and related documentation for accuracy and claim relevance</li></ul><ul><li>
Negotiate settlements within authority limits and in alignment with client expectations</li></ul><ul><li>
Issue claim payments in accordance with CCMSI procedures and industry standards</li></ul><ul><li>
Maintain accurate and timely claim documentation, diary management, and file updates</li></ul><ul><li>
Communicate effectively with clients, claimants, and vendors, ensuring responsiveness and clarity</li></ul><ul><li>
Identify and pursue subrogation opportunities where applicable</li></ul><ul><li>
Manage claims across <b>multiple accounts</b> within a national account structure</li></ul><ul><li>
Ensure compliance with all service commitments and corporate claim handling standards</li></ul><br>
<div></div>
</div></div></div><h2 class="jobSectionHeader"><b>Qualifications<br>
</b></h2>
<div></div><div><div><div><div><h3 class="jobSectionHeader"><b>Required Qualifications</b></h3><ul><li><b>
1&ndash;2 years of claim handling experience</b> (commercial auto and/or property)</li><li>
Foundational understanding of <b>commercial auto coverage</b></li><li>
Experience or training in <b>liability investigations and negligence evaluation</b></li><li>
Strong verbal and written communication skills</li><li>
Ability to manage multiple priorities and maintain organization in a fast-paced environment</li><li>
Self-starter with strong follow-through and accountability</li><li>
Proficiency in Microsoft Office applications</li><li>
Reliable, predictable attendance during assigned client service hours</li><li><b>
Current adjuster license in home state</b></li></ul><h3 class="jobSectionHeader"><b>
Nice to Have</b></h3><ul><li>
Experience handling <b>multiple accounts</b> in a national or carrier environment</li><li>
Prior <b>TPA experience</b></li><li>
Additional state adjuster licenses are a plus</li><li>
Exposure to general liability claims</li><li><b>
Bilingual (Spanish) proficiency preferred</b></li></ul><h3 class="jobSectionHeader"><b>
Why You&rsquo;ll Love Working Here</b></h3><ul><li>
4 weeks (Paid time off that accrues throughout the year in accordance with company policy) + 10 paid holidays in your first year</li><li>
Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance</li><li>
Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP)</li><li>
Career growth: Structured development into multi-line and advanced claim roles</li><li>
Culture: A supportive, team-based work environment</li></ul><div></div><h3 class="jobSectionHeader"><b><br>
How We Measure Success</b></h3><div>
At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by:</div><ul><li>
Quality claim handling &ndash; thorough investigations and strong documentation</li><li>
Timeliness &amp; responsiveness &ndash; proactive communication and dependable follow-through</li><li>
Compliance &ndash; adherence to client and jurisdictional standards</li><li>
Client satisfaction &ndash; consistent and reliable service delivery</li><li>
Professional growth &ndash; development of technical knowledge and claim expertise</li></ul><h3 class="jobSectionHeader"><b>
Compensation &amp; Compliance</b></h3><div>
The posted salary reflects CCMSI&rsquo;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.</div><div></div><div><br>
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.</div><div></div><div><br>
Visa Sponsorship: CCMSI does not provide visa sponsorship for this position.</div><div>
ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process.</div><div>
Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations.</div><div></div><div><br>
Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws.</div><div></div><h3 class="jobSectionHeader"><b><br>
Our Core Values</b></h3><div>
At CCMSI, we believe in doing what&rsquo;s right&mdash;for our clients, our coworkers, and ourselves. We look for team members who:</div><ul><li>
Lead with transparency We build trust by being open and listening intently in every interaction.</li><li>
Perform with integrity We choose the right path, even when it is hard.</li><li>
Chase excellence We set the bar high and measure our success. What gets measured gets done.</li><li>
Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own.</li><li>
Win together Our greatest victories come when our clients succeed.</li></ul><div></div><div><b><br>
We don&rsquo;t just work together&mdash;we grow together. If that sounds like your kind of workplace, we&rsquo;d love to meet you.</b></div><div></div><div><br>
#CCMSICareers #EmployeeOwned #GreatPlaceToWorkCertified #ESOP #TPA #ClaimsCareers #CommercialAutoClaims #PropertyClaims #EntryLevelClaims #RemoteJobs #IND123 #LI-Remote</div></div></div></div></div></div><div></div>

Multi-Line Claim Adjuster I (Auto/Property)

<div>Overview:
<div><b>
Workers' Compensation Claim Consultant</b></div><div></div><div><b><br>
Location: </b>Louisville, KY (Hybrid or Remote Depending on Location)</div><div><b>
Schedule:</b> Full Time<br>
<b>Salary Range: </b>$70,000 - $75,000</div><p></p><h3 class="jobSectionHeader"><b><br>
Build Your Career With Purpose at CCMSI</b></h3><div>
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.</div><div></div><div><br>
We don&rsquo;t just process claims&mdash;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&reg;, and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day.</div><h3 class="jobSectionHeader"><b>
Job Summary</b></h3><div></div><div><div><br>
The <b>Workers&rsquo; Compensation Claim Consultant</b> is responsible for the investigation and adjustment of assigned workers&rsquo; compensation claims for a <b>dedicated Kentucky account</b>. This role manages claims from assignment through resolution (cradle to grave), including those with litigation exposure, while ensuring compliance with CCMSI claim handling standards, client-specific instructions, and Kentucky jurisdictional requirements.</div><div></div><div><br>
This position is designed for experienced adjusters with <b>5+ years of workers&rsquo; compensation claim handling experience</b> who are confident managing complex files, applying sound professional judgment, and delivering consistent, high-quality outcomes. The Claim Consultant plays a critical role in achieving strong client satisfaction through responsiveness, accuracy, and strategic claim management.</div><div></div><div><br>
This is a full life-cycle WC adjuster role within a TPA environment, and only candidates with proven workers&rsquo; compensation claims experience will be considered.</div></div><br>
<div></div>
Responsibilities:
<div>
When we hire Workers&rsquo; Compensation Adjusters at CCMSI, we look for detail‑driven problem‑solvers who balance empathy with sound judgment, navigate complex regulations with confidence, and deliver fair, timely outcomes that support injured workers and strengthen client trust.</div><ul><li>
Investigate, evaluate and adjust claims in accordance with established claim handling standards and laws.</li><li>
Establish reserves and/or provide reserve recommendations within established reserve authority levels.</li><li>
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.</li><li>
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.</li><li>
Negotiate settlements in accordance within Corporate Claim Standards, client specific handling instructions and state laws, when appropriate.</li><li>
Assist in the selection, referral and supervision of designated claim files sent to outside vendors. (i.e. legal, surveillance, case management, etc.)</li><li>
Assess and monitor subrogation claims for resolution.</li><li>
Review and maintain personal diary on claim system.</li><li>
Client satisfaction.</li><li>
Prepare reports detailing claim status, payments and reserves, as requested.</li><li>
Compute disability rates in accordance with state laws.</li><li>
Effective and timely coordination of communication with clients, claimants and appropriate parties throughout the claim adjustment process.</li><li>
Provide notices of qualifying claims to excess/reinsurance carriers.</li><li>
Handle more complex and involved claims than lower level claim positions with minimum supervision.</li><li>
Conduct claim reviews and/or training sessions for designated clients, as requested.</li><li>
Attend and participate at hearings, mediations, and informal legal conferences, as appropriate.</li><li>
Compliance with Corporate Claim Handling Standards and special client handling instructions as established.</li></ul><br>
<div></div>
Qualifications:<div></div><div><h2 class="jobSectionHeader"><b><br>
Required Qualifications</b></h2><div></div><div><div><br>
</div></div><ul><li><b>
Minimum of 3 years of workers&rsquo; compensation claim handling experience</b></li><li>
Experience managing claims in <b>Kentucky workers&rsquo; compensation jurisdiction</b></li><li>
Exposure to <b>litigated workers&rsquo; compensation claims</b></li><li>
Strong analytical, decision-making, and negotiation capabilities</li><li>
Excellent verbal and written communication skills</li><li>
Ability to work independently with strong organizational and time management skills</li><li>
Proficiency in Microsoft Office applications</li><li>
Reliable, predictable attendance during assigned client service hours</li></ul><h2 class="jobSectionHeader"><b>
Preferred Qualifications</b></h2><ul><li><b>
Prior TPA experience</b></li><li>
Experience handling <b>governmental or public entity accounts</b></li><li>
Advanced experience managing complex or high-exposure claims</li><li>
Knowledge of KY Managed Care plans is a plus</li></ul><div><b>
Why You&rsquo;ll Love Working Here</b></div><div></div><ul><li><b><br>
4 weeks </b><b><i>(Paid time off that accrues throughout the year in accordance with company policy)</i></b><b> + 10 paid holidays in your first year</b></li><li><b>
Comprehensive benefits</b>: Medical, Dental, Vision, Life, and Disability Insurance</li><li><b>
Retirement plans</b>: 401(k) and Employee Stock Ownership Plan (ESOP)</li><li><b>
Career growth</b>: Internal training and advancement opportunities</li><li><b>
Culture</b>: A supportive, team-based work environment</li></ul><div></div><div><b><br>
How We Measure Success</b></div><div></div><div><br>
 At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by:
</div><ul><li><b>Quality claim handling</b> &ndash; thorough investigations, strong documentation, well-supported decisions</li><li><b>
Compliance &amp; audit performance</b> &ndash; adherence to jurisdictional and client standards</li><li><b>
Timeliness &amp; accuracy</b> &ndash; purposeful file movement and dependable execution</li><li><b>
Client partnership</b> &ndash; proactive communication and strong follow-through</li><li><b>
Professional judgment</b> &ndash; owning outcomes and solving problems with integrity</li><li><b>
Cultural alignment</b> &ndash; believing every claim represents a real person and acting accordingly</li></ul><div><b><i>
This is where we shine, and we hire adjusters who want to shine with us.</i></b></div><div></div><div><b><i><br>
Compensation &amp; Compliance</i></b></div><div><i>
The posted salary reflects CCMSI&rsquo;s good-faith estimate in accordance with applicable pay transparency laws. </i><i>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.</i></div><div></div><div><i><br>
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.</i></div><div></div><div><b><i><br>
Visa Sponsorship:</i></b><i> CCMSI does not provide visa sponsorship for this position.</i><br>
<b><i>ADA Accommodations:</i></b><i> CCMSI is committed to providing reasonable accommodations throughout the application and hiring process.</i><br>
<b><i>Equal Opportunity Employer:</i></b><i> CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations.</i></div><div></div><div><i><br>
Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws.</i></div><div></div><div><b><br>
Our Core Values</b></div><div></div><div><br>
At CCMSI, we believe in doing what&rsquo;s right&mdash;for our clients, our coworkers, and ourselves. We look for team members who:</div><div></div><ul><li><b><br>
Lead with transparency </b>We build trust by being open and listening intently in every interaction.
</li><li><b>Perform with integrity </b>We choose the right path, even when it is hard.
</li><li><b>Chase excellence </b>We set the bar high and measure our success. What gets measured gets done.
</li><li><b>Own the outcome </b>Every employee is an owner, treating every claim, every decision, and every result as our own.
</li><li><b>Win together </b>Our greatest victories come when our clients succeed.</li></ul><p></p><div><b><br>
We don&rsquo;t just work together&mdash;we grow together. If that sounds like your kind of workplace, we&rsquo;d love to meet you.</b></div><div></div><div><br>
#CCMSICareers #EmployeeOwned #GreatPlaceToWorkCertified #ESOP #TPA #WorkersCompensation #WorkersCompClaims #ClaimsCareers #KYJobs #RemoteJobs #IND123 #LI-Hybrid #LI-Remote</div></div></div><div></div>

Workers’ Compensation Claims Adjuster (KY Dedicated Account)

<p>Overview:<br/></p><p>Position Title: Workers' Compensation Claim Specialist<br/>Location: Concord, CA (reporting remotely)<br/>Schedule: 8:00am - 4:30pm<br/>Salary Range: $85,000-$98,000 (depending on experience)<br/></p><p>Build Your Career With Purpose at CCMSI<br/></p><p>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.<br/></p><p>We don&rsquo;t just process claims&mdash;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&reg;, and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day.<br/></p><p>Job Summary<br/>We are seeking a driven and compassionate Workers&rsquo; Compensation Claim Specialist to join our team and make a meaningful impact in the lives of injured workers. In this role, you will take ownership of multiple accounts by &mdash;leading investigations, determining compensability, and guiding each case toward a fair and timely resolution.<br/></p><p>This position offers the opportunity to grow your technical expertise and can serve as an advanced development path for future supervisory or management roles. As a Claim Specialist, you play a vital role in delivering the high‑quality service our clients count on and upholding CCMSI&rsquo;s commitment to excellence.<br/></p><p>Responsibilities:<br/>When we hire Workers&rsquo; Compensation Adjusters at CCMSI, we look for detail‑driven problem‑solvers who balance empathy with sound judgment, navigate complex regulations with confidence, and deliver fair, timely outcomes that support injured workers and strengthen client trust.<br/>Investigate, evaluate and adjust claims in accordance with established claim handling standards and laws.<br/>Establish reserves and/or provide reserve recommendations within established reserve authority levels.<br/>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.<br/>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.<br/>Negotiate settlements in accordance within Corporate Claim Standards, client specific handling instructions and state laws, when appropriate.<br/>Assist in the selection, referral and supervision of designated claim files sent to outside vendors. (i.e. legal, surveillance, case management, etc.)<br/>Review and maintain personal diary on claim system.<br/>Assess and monitor subrogation claims for resolution.<br/>Compute disability rates in accordance with state laws.<br/>Effective and timely coordination of communication with clients, claimants and other appropriate parties throughout the claim adjustment process.<br/>Provide notices of qualifying claims to excess/reinsurance carriers.<br/>Compliance with Corporate Claim Handling Standards and special client handling instructions as established.<br/></p><p>Qualifications:<br/></p><p>Required:<br/></p><p>5+ years of Workers&rsquo; Compensation claims handling experience, including full claim investigation, evaluation, and resolution.<br/>Responsiveness to internal and external client needs.<br/>Strong analytical and negotiation abilities.<br/>Knowledge of all lower‑level claim position responsibilities.<br/>Adjuster&rsquo;s license may be required based on jurisdiction.<br/></p><p>Nice to Have:<br/></p><p>Bilingual (Spanish) proficiency &mdash; highly valued for communicating with claimants, employers, or vendors, but not required.<br/>Bachelor's degree is preferred but not required<br/>Professional designations such as AIC, ARM, or CPCU are preferred but not required<br/></p><p>Why You&rsquo;ll Love Working Here<br/></p><p>4 weeks (Paid time off that accrues throughout the year in accordance with company policy) + 10 paid holidays in your first year<br/>Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance<br/>Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP)<br/>Career growth: Internal training and advancement opportunities<br/>Culture: A supportive, team-based work environment<br/></p><p>How We Measure Success<br/></p><p>At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by:<br/></p><p>Quality claim handling &ndash; thorough investigations, strong documentation, well-supported decisions<br/>Compliance &amp; audit performance &ndash; adherence to jurisdictional and client standards<br/>Timeliness &amp; accuracy &ndash; purposeful file movement and dependable execution<br/>Client partnership &ndash; proactive communication and strong follow-through<br/>Professional judgment &ndash; owning outcomes and solving problems with integrity<br/>Cultural alignment &ndash; believing every claim represents a real person and acting accordingly<br/></p><p>This is where we shine, and we hire adjusters who want to shine with us.<br/></p><p>Compensation &amp; Compliance<br/></p><p>The posted salary reflects CCMSI&rsquo;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.<br/></p><p>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.<br/></p><p>Visa Sponsorship: CCMSI does not provide visa sponsorship for this position.<br/>ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process.<br/>Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations.<br/></p><p>Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws.<br/></p><p>Our Core Values<br/></p><p>At CCMSI, we believe in doing what&rsquo;s right&mdash;for our clients, our coworkers, and ourselves. We look for team members who:<br/></p><p>Lead with transparency We build trust by being open and listening intently in every interaction.<br/>Perform with integrity We choose the right path, even when it is hard.<br/>Chase excellence We set the bar high and measure our success. What gets measured gets done.<br/>Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own.<br/>Win together Our greatest victories come when our clients succeed.<br/></p><p>We don&rsquo;t just work together&mdash;we grow together. If that sounds like your kind of workplace, we&rsquo;d love to meet you.<br/></p><p>#EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #WorkersCompensation #CaliforniaJobs #InsuranceCareers #ESOP #IND123 #ClaimsAdjuster #LI-Remote<br/></p>

CA Work Comp Adjuster

<p>Overview:<br/></p><p>Position Title: CA Work Comp Supervisor<br/>Location: Irvine, California<br/>Schedule: Hybrid - 8am to 4:30pm PST<br/>Salary Range: $110,000 - $115,000<br/></p><p>Build Your Career With Purpose at CCMSI<br/></p><p>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.<br/></p><p>We don&rsquo;t just process claims&mdash;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&reg;, and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day.<br/></p><p>Job Summary<br/>We are seeking an experienced Workers&rsquo; Compensation Claim Supervisor with indemnity experience to lead a single‑account team in our Irvine, California office. This is a hybrid position, and an in‑office presence is required to effectively coach, mentor, and support the team.<br/></p><p>The Supervisor will oversee a typically 4-5 Examiners and 1 Assistant, guiding the full investigation, evaluation, and resolution of California Workers&rsquo; Compensation claims. This role ensures timely and accurate claim handling, compliance with all CA requirements, and adherence to CCMSI&rsquo;s Corporate Claim Standards. It also serves as a strong developmental path for advancement into management.<br/></p><p>Responsibilities:<br/>Supervise and direct daily workers&rsquo; compensation claim activity for assigned accounts, ensuring compliance with corporate claim standards, client-specific instructions, and California workers&rsquo; compensation laws.<br/>Review, assign, and oversee claim files to ensure timely, accurate, and compliant handling by claim staff.<br/>Directly handle and provide oversight of complex, litigated, and high-exposure workers&rsquo; compensation claims.<br/>Establish, review, and authorize claim reserves within designated authority levels in accordance with best practices and regulatory requirements.<br/>Evaluate medical, legal, indemnity, and expense invoices to ensure appropriateness, necessity, and claim-relatedness; negotiate disputed charges to resolution.<br/>Authorize and process workers&rsquo; compensation payments within established authority using claim management and payment systems.<br/>Negotiate settlements in compliance with corporate standards, client instructions, and applicable California regulations.<br/>Guide and support claim staff in vendor selection and management, including legal counsel, medical case management, surveillance, and other external resources.<br/>Provide coaching, training, performance feedback, and professional development support to assigned claim staff.<br/>Maintain review oversight of claim diaries and documentation to ensure accuracy, timeliness, and audit readiness.<br/>Ensure adherence to corporate claim handling standards, internal controls, and special client requirements at all times.<br/></p><p>Qualifications:<br/></p><p>Required<br/></p><p>10+ years of Workers&rsquo; Compensation claims handling experience, including full claim investigation, evaluation, and resolution.<br/></p><p>Demonstrated ability to lead and oversee adjusters in a fast-paced, compliance-driven environment while maintaining quality and service standards.<br/></p><p>Strong understanding of California Workers&rsquo; Compensation regulations, claim practices, and compliance requirements.<br/></p><p>Active SIP is required<br/></p><p>Effective communication skills with the ability to engage professionally with adjusters, clients, and internal partners.<br/></p><p>Working knowledge of entry- and mid-level WC adjusting roles and workflows.<br/></p><p>Reliable attendance during established client service hours for the Irvine branch location.<br/></p><p>Nice to Have<br/></p><p>Prior supervisory or people-lead experience within Workers&rsquo; Compensation.<br/></p><p>Bachelor&rsquo;s degree or equivalent combination of education and experience.<br/></p><p>Industry certifications such as [Certification &ndash; e.g., SIP, WCP, AIC].<br/></p><p>AIC, CPCU, or ARM preferred<br/>Bilingual (Spanish) proficiency &mdash; highly valued for communicating with claimants, employers, or vendors, but not required.<br/></p><p>Why You&rsquo;ll Love Working Here<br/></p><p>4 weeks PTO + 10 paid holidays in your first year<br/>Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance<br/>Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP)<br/>Career growth: Internal training and advancement opportunities<br/>Culture: A supportive, team-based work environment<br/></p><p>How We Measure Success<br/></p><p>At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by:<br/></p><p>Quality claim handling &ndash; thorough investigations, strong documentation, well-supported decisions<br/>Compliance &amp; audit performance &ndash; adherence to jurisdictional and client standards<br/>Timeliness &amp; accuracy &ndash; purposeful file movement and dependable execution<br/>Client partnership &ndash; proactive communication and strong follow-through<br/>Professional judgment &ndash; owning outcomes and solving problems with integrity<br/>Cultural alignment &ndash; believing every claim represents a real person and acting accordingly<br/></p><p>This is where we shine, and we hire adjusters who want to shine with us.<br/></p><p>Compensation &amp; Compliance<br/></p><p>Compensation: The posted salary reflects CCMSI&rsquo;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.<br/></p><p>Visa Sponsorship: CCMSI is unable to provide visa sponsorship for this position.<br/></p><p>ADA Accommodations: Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.<br/></p><p>Equal Opportunity Employer: CCMSI is proud to be an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.<br/></p><p>Our Core Values<br/></p><p>At CCMSI, we believe in doing what&rsquo;s right&mdash;for our clients, our coworkers, and ourselves. We look for team members who:<br/></p><p>Lead with transparency We build trust by being open and listening intently in every interaction.<br/>Perform with integrity We choose the right path, even when it is hard.<br/>Chase excellence We set the bar high and measure our success. What gets measured gets done.<br/>Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own.<br/>Win together Our greatest victories come when our clients succeed.<br/></p><p>We don&rsquo;t just work together&mdash;we grow together. If that sounds like your kind of workplace, we&rsquo;d love to meet you.<br/></p><p>#EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #TPA #InsuranceCareers#WorkersCompensation #WorkersComp #WCClaims #ClaimSupervisor #ClaimsLeadership #ClaimsManagement #InsuranceCareers #InsuranceJobs #TPACareers #CAWorkersComp #CaliforniaJobs #IrvineJobs #SoCalJobs #LeadershipOpportunity #JoinOurTeam #HiringNow #IND123 #LI-Hybrid<br/></p>

CA Work Comp Supervisor