Qureos Mentor

CCMSI

<div>Overview:<div></div><div><b><br>
Multi Line Claim Consultant &ndash; Municipal Claims</b></div><div></div><div><div><b><br>
Location: </b>Chicago, IL (Hybrid or Remote)</div><div>
(Position may be performed anywhere within the state of Illinois)</div><div>
(This posting states a location requirement for business needs.)</div><div><b>
Salary Range: </b>$65,000-$80,000 annually (Exempt)</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><br>
The <b>Multi-Line Liability Claim Consultant</b> is responsible for the full investigation, evaluation, and resolution of assigned <b>first- and third-party liability claims</b>, including <b>attorney-represented matters and claims with potential litigation exposure</b>. This role requires sound <b>coverage analysis</b>, professional judgment, and consistent application of corporate claim handling standards.</div><div></div><div><br>
The position is accountable for delivering high-quality claim outcomes that meet client expectations, regulatory requirements, and CCMSI performance standards. This role may also serve as an advanced training position for future progression into more senior claim roles.</div><div></div><div><br>
Limited travel may be required for approximately <b>15% of claims annually</b>, based on claim needs.</div><div></div><div><b><br>
This is a true adjusting role.</b> It is not an HR, consulting, or administrative position. The Representative is accountable for end-to-end claim handling, decision-making, and results.</div></div></div>
Responsibilities:
<div>
When we hire adjusters at CCMSI, we look for professionals who understand that every claim represents a real person&rsquo;s livelihood, take ownership of outcomes, and see challenges as opportunities to solve problems.</div><ul><li><div>
Investigate and adjust multi-line liability claims in accordance with established claims handling procedures using CCMSI guidelines and direct supervision.</div></li><li>
Review medical, legal and miscellaneous invoices to determine if reasonable and related to the ongoing liability claims. Negotiate any disputed bills for resolution.</li><li>
Authorize and make payment of liability claims utilizing a claim payment program in accordance with industry standards and within settlement authority.</li><li>
Negotiate settlements with claimants and attorneys in accordance with client's authorization.</li><li>
Assist in selection and supervision of defense attorneys.</li><li>
Assess and monitor subrogation claims for resolution.</li><li>
Prepare reports detailing claims, payments and reserves.</li><li>
Provide reports and monitor files, as required by excess insurers.</li><li>
Compliance with Service Commitments as established by team.</li><li>
Delivery of quality claim service to clients.</li></ul><br>
<div></div>
Qualifications:
<div>
What You'll Bring...</div><div></div><div><b><br>
Required</b></div><ul><li><b>
5 - 10 years of auto liability claim handling experience</b></li><li><b>
Litigation experience</b></li><li><b>
Experience drafting coverage letters</b><br>
</li><li>
Strong analytical, negotiation, and decision-making skills</li><li>
Ability to manage workload independently in a fast-paced, multi-jurisdiction environment</li><li>
Excellent written and verbal communication skills</li><li>
Strong organizational skills with consistent attention to detail</li><li>
Reliable, predictable attendance during core client service hours</li></ul><div><b>
Nice to Have</b></div><ul><li><b>
Experience with public entity claims is preferred</b></li><li><b>
Bilingual (Spanish) proficiency</b> &mdash; This role may involve communicating with injured workers, employers, or vendors where Spanish-language skills are beneficial but not required.</li></ul><div><div><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><b>
How We Measure Success</b></div><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; strategic litigation management, strong documentation, and well‑supported decisions rooted in coverage, damages evaluation, and legal analysis</li><li><b>
Compliance &amp; audit performance</b> &ndash; adherence to corporate standards, client directives, Illinois jurisdictional requirements, and reinsurance reporting expectations</li><li><b>
Timeliness &amp; accuracy</b> &ndash; purposeful file movement, timely litigation responses, proactive diary management, and dependable execution of litigation strategy</li><li><b>
Client partnership</b> &ndash; proactive, professional communication with municipal clients, defense counsel, reinsurance partners, and stakeholders</li><li><b>
Professional judgment</b> &ndash; applying legal insight, negotiation skills, and sound discretion to drive fair, defensible outcomes</li><li><b>
Cultural alignment</b> &ndash; believing that every claim represents a real person, a real municipality, and a real community impact, and acting accordingly</li></ul><div>
This is where we shine, and we hire adjusters who want to shine with us.</div></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. 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><ul><li><b>
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 #CCMSICareers</div><div>
#LitigationClaims #LiabilitySpecialist #IllinoisJobs #MunicipalClaims #InsuranceCareers #HybridJobs #RemoteJobsIL #IND123 #LI-Remote</div></div></div></div><div></div>

Multi-Line Claim Consultant

<div>Overview:
<div><b>
Workers' Compensation Claim Specialist</b><br>
<b>Location:</b> Las Vegas, NV (reporting remotely)<br>
<b>Schedule:</b> 8:00am - 4:30 pm (PST)<br>
<b>Salary Range:</b> $75,000 - $85,000</div><p></p><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><h3 class="jobSectionHeader"><b>
Job Summary</b></h3><div>
We are seeking a driven and compassionate <b>Workers&rsquo; Compensation Claim Specialist</b> to join our team and make a meaningful impact in the lives of injured workers. In this role, you will take ownership of a <b>single client</b> account, with a dedicated portfolio of claims&mdash;leading investigations, determining compensability, and guiding each case toward a fair and timely resolution.</div><div></div><div><br>
</div><div>The Workers&rsquo; Compensation Claim Specialist is responsible for investigating and managing assigned workers&rsquo; compensation claims. This role may serve as an advanced training opportunity and a potential pathway for promotion into supervisory or management positions. The position is also responsible for ensuring high-quality claim services in alignment with CCMSI&rsquo;s corporate standards and client expectations.</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>
Review and maintain personal diary on claim system.</li><li>
Assess and monitor subrogation claims for resolution.</li><li>
Compute disability rates in accordance with state laws.</li><li>
Effective and timely coordination of communication with clients, claimants and other appropriate parties throughout the claim adjustment process.</li><li>
Provide notices of qualifying claims to excess/reinsurance carriers.</li><li>
Compliance with Corporate Claim Handling Standards and special client handling instructions as established.</li></ul><br>
<div></div>
Qualifications:
<div><b>
Required:</b></div><ul><li><b>
5+ years of Workers&rsquo; Compensation claims handling experience</b>, including full claim investigation, evaluation, and resolution.</li><li>
SIP</li><li>
California Adjuster Certification</li><li><div>
Responsiveness to internal and external client needs.</div></li><li><div>
Strong analytical and negotiation abilities.</div></li><li><div>
Knowledge of all lower‑level claim position responsibilities.</div></li><li>
Excellent verbal and written communication.</li><li>
Initiative to perform and achieve goals.</li></ul><div></div><div><b><br>
Nice to Have:</b></div><ul><li><b>
Bilingual (Spanish) proficiency</b> &mdash; highly valued for communicating with claimants, employers, or vendors, but not required.</li><li>
Bachelor's degree is preferred but not required</li><li>
Professional designations such as AIC, ARM, or CPCU are preferred but not required</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><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>
#EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #ESOP #IND123</div></div>

Workers' Compensation Claim Specialist

<div>Overview:
<div><b>
Position Title:</b> Workers' Compensation Claim Consultant (WV, FL, GA, SC, NC and VA )<br>
<b>Location:</b> Maitland, FL (Hybrid preferred, remote considered)<br>
<b>Schedule:</b> 8:00 am-5:00 pm ET<br>
<b>Salary Range:</b> $70,000-$90,000</div><p></p><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><h3 class="jobSectionHeader"><b>
Job Summary</b></h3><div></div><div><br>
We are seeking an experienced and highly skilled <b>Workers&rsquo; Compensation Claim Consultant</b> to manage a complex portfolio of claims with confidence, empathy, and sound professional judgment. With 5+ years of hands‑on 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.</div><div>
</div><div><div><i>
This is a full life‑cycle WC adjuster position within a TPA environment, and only candidates with proven Workers&rsquo; Compensation claims experience will be considered.</i></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>
Prepare newsletter articles, as requested.</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><ul><li><b>
Five or more years of Workers&rsquo; Compensation claims experience.</b></li><li>
Proficiency with Microsoft Office products, including Word, Excel, and Outlook.</li><li>
Adjuster&rsquo;s license required (one or more):<b> FL, GA, NC, SC, WV</b>.</li></ul><h2 class="jobSectionHeader"><b>
Preferred Qualifications</b></h2><ul><li>
Bachelor&rsquo;s degree is preferred but not required.</li><li><b>
Bilingual (Spanish) proficiency</b> &mdash; highly valued for communicating with claimants, employers, or vendors, but not required.</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 #InsuranceCareers #ClaimsCareers #Maitland #Florida #LI-Hybrid #IND123</div></div></div><div></div>

Workers' Compensation Claim Adjuster - (multi-state)

<div>Overview:
<div><b>
Position Title:</b> Multi-Line Claim Specialist<br>
<b>Location: </b>Maitland, FL (hybrid reporting)<br>
<b>Schedule: </b>8:00 am-4:30 pm ET<br>
<b>Salary Range: </b>$90,000-$95,000</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><br>
At <b>CCMSI</b><b>, </b>we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs, rewarding and recognizing individual and team efforts. Certified as a Great Place To Work, our employee satisfaction and retention ranks in the 95th percentile.<br>
</div><div></div><div><b>Reasons you should consider a career with CCMSI:</b></div><ul><li><ul><li><b><br>
Culture: </b>Our Core Values are embedded into our culture of how we treat our employees as a valued partner-with integrity, passion and enthusiasm.
</li><li><b>Career development:</b> CCMSI offers robust internships and internal training programs for advancement within our organization.</li><li><b>
Benefits:</b> Not only do our benefits include 4 weeks paid time off in your first year, plus 10 paid holidays, but they also include Medical, Dental, Vision, Life Insurance, Critical Illness, Short and Long Term Disability, 401K, and ESOP.</li><li><b>
Work Environment:</b> We believe in providing an environment where employees enjoy coming to work every day, are provided the resources needed to perform their job and claims staff are assigned manageable caseloads.</li></ul></li></ul><div>
The <b>Multi-Line Claim Specialist</b> position is responsible for the investigation and adjustment liability claims for a <b>dedicated client account</b> and is responsible for investigating and adjusting a variety of claims, including <b>commercial auto PD/BI </b>(desk will consist of product and commercial auto claims). This position may be used as an advanced training position for promotion consideration for supervisory/management positions. The position is also accountable for the quality of multi-line claim services as perceived by CCMSI clients and within our corporate claim standards.</div>
Responsibilities:
<ul><li><div>Investigate, evaluate and adjust multi-line claims in accordance with established claim handling standards and laws.</div></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 multi-line claims. Negotiate any disputed bills or invoices for resolution.</li><li>
Authorize and make payments of multi-line 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 multi-line claim files sent to outside vendors. (i.e. legal, surveillance, case management, etc.)</li><li>
Review and maintain personal diary on claim system.</li><li>
Assess and monitor subrogation claims for resolution.</li><li>
Compute disability rates in accordance with state laws.</li><li>
Effective and timely coordination of communication with clients, claimants and other appropriate parties throughout the multi-line claim adjustment process.</li><li>
Provide notices of qualifying claims to excess/reinsurance carriers.</li><li>
Compliance with Corporate Claim Handling Standards and special client handling instructions as established.</li></ul><div></div><div><i><br>
This is a full life</i><i>‑</i><i>cycle ML adjuster position within a TPA environment, and only candidates with proven Multi Line claims experience will be considered.</i></div>
Qualifications:
<div>
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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.</div><div></div><ul><li><div><br>
Excellent oral and written communication skills.
</div></li><li><div>Initiative to set and achieve performance goals.
</div></li><li><div>Good analytic and negotiation skills.
</div></li><li><div>Ability to cope with job pressures in a constantly changing environment.
</div></li><li><div>Knowledge of all lower level claim position responsibilities.
</div></li><li><div>Must be detail oriented and a self-starter with strong organizational abilities.
</div></li><li><div>Ability to coordinate and prioritize required.
</div></li><li><div>Flexibility, accuracy, initiative and the ability to work with minimum supervision.
</div></li><li><div>Discretion and confidentiality required.</div></li><li><div>
Reliable, predictable attendance within client service hours for the performance of this position.</div></li><li><div>
Responsive to internal and external client needs.</div></li><li><div>
Ability to clearly communicate verbally and/or in writing both internally and externally.</div></li></ul><div></div><div><b><br>
Education and/or Experience</b>
</div><div>10+ years multi-line claim experience is required.</div><div>
Bachelor&rsquo;s Degree is preferred.</div><div>
NY License/experience highly preferred</div><div></div><div><b><br>
Nice to Have:</b></div><ul><li><b>
Bilingual (Spanish) proficiency</b> &mdash; highly valued for communicating with claimants, employers, or vendors, but not required</li></ul><div></div><div><b><br>
Computer Skills</b>
</div><div>Proficient with Microsoft Office programs.</div><div><br>
</div><div><b>Certificates, Licenses, Registrations
</b></div><div>Adjusters license may be required based upon jurisdiction.</div><div>
AIC, ARM or CPCU Designation preferred.</div><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>(</i></b><i>Paid time off that accrues throughout the year in accordance with company policy)</i><b><i> </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><div><br>
</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></div><div><b><i><br>
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. 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><i>
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><i><br>
CCMSI posts internal career opportunities in compliance with applicable state and local promotion transparency laws.</i></div><div></div><div><b><i><br>
Visa Sponsorship:</i></b><i> CCMSI does not provide visa sponsorship for this position.</i></div><div><b><i>
ADA Accommodations:</i></b><i> CCMSI is committed to providing reasonable accommodations throughout the application and hiring process.</i></div><div><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><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>
#EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #CCMSICareers #ESOP #Maitland #FL #Florida #MultiLine #Liability #ProductClaims #IND123 #LI-hybrid</div></div><div></div>

Multi-Line Claim Specialist

<div>Overview:
<div><b>
Position Title: Multi Line Claim Representative I</b></div><div><b>
Location:</b> Hybrid&ndash; Reporting to Chicago, IL Region</div><div><i>
Chicago-area candidates preferred. Remote eligible; This role may be performed in states where CCMSI is authorized to hire. Pay transparency requirements are met for applicable jurisdictions.</i></div><div><b>
Schedule:</b> 8:00 am-4:30 pm CT, M-F</div><div><b>
Salary Range:</b> $60,000-$70,000</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><br>
The <b>Multi-Line Liability Claim Representative I</b> is responsible for the investigation and adjustment of assigned multi-line liability claims. This position may be used as an advanced training position for future consideration for promotion to a Multi-Line Liability Claim Rep II or more senior level claim position. Accountable for the quality of claim services as perceived by CCMSI clients and within our corporate claim standards.</div>
Responsibilities:
<ul><li><div>Investigate and adjust multi-line liability claims in accordance with established claims handling procedures using CCMSI guidelines and direct supervision.</div></li><li>
Review medical, legal and miscellaneous invoices to determine if reasonable and related to the ongoing liability claims. Negotiate any disputed bills for resolution.</li><li>
Authorize and make payment of multi-line liability claims utilizing a claim payment program in accordance with industry standards and within settlement authority.</li><li>
Negotiate settlements with claimants and attorneys in accordance with client's authorization.</li><li>
Assist in selection and supervision of defense attorneys.</li><li>
Assess and monitor subrogation claims for resolution.</li><li>
Prepare reports detailing claims, payments and reserves.</li><li>
Provide reports and monitor files, as required by excess insurers.</li><li>
Compliance with Service Commitments as established by team.</li><li>
Delivery of quality claim service to clients.</li></ul><div><i>
This is a full life</i><i>‑</i><i>cycle ML adjuster position within a TPA environment, and only candidates with proven Multi Line claims experience will be considered.</i></div>
Qualifications:
<div>
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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.</div><div></div><ul><li><div><br>
Excellent oral and written communication skills.
</div></li><li><div>Individual must be a self-starter with strong organizational abilities.
</div></li><li><div>Ability to coordinate and prioritize required.</div></li><li><div>
Flexibility, initiative, and the ability to work with a minimum of direct supervision a must.
</div></li><li><div>Discretion and confidentiality required.
</div></li><li><div>Ability to work as a team member in a rapidly changing environment.</div></li><li><div>
Reliable, predictable attendance within client service hours for the performance of this position.</div></li><li><div>
Responsive to internal and external client needs.</div></li><li><div>
Ability to clearly communicate verbally and/or in writing both internally and externally.</div></li></ul><div></div><div><b><br>
Education and/or Experience</b>
</div><ul><li>3+ years liability claim experience or insurance related experience is required or equivalent education, i.e.,
</li><li>Bachelor&rsquo;s degree in Risk Management or Insurance related program.
</li><li>Associates degree is preferred.</li></ul><div></div><div><b><br>
Nice to Have:</b></div><ul><li><b>
Bilingual (Spanish) proficiency</b> &mdash; highly valued for communicating with claimants, employers, or vendors, but not required.</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>(</i></b><i>Paid time off that accrues throughout the year in accordance with company policy)</i><b><i> </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><div><br>
</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></div><div><b><i><br>
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. 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><i>
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><i><br>
CCMSI posts internal career opportunities in compliance with applicable state and local promotion transparency laws.</i></div><div></div><div><b><i><br>
Visa Sponsorship:</i></b><i> CCMSI does not provide visa sponsorship for this position.</i></div><div><b><i>
ADA Accommodations:</i></b><i> CCMSI is committed to providing reasonable accommodations throughout the application and hiring process.</i></div><div><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><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>
#EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #CCMSICareers #ESOP #MultiLine #Claims #Chicago #Illinois #IND123 #LI-Hybrid</div></div>

Multi-Line Claim Representative I

<div>Overview:
<div><b>
Position Title: </b>Multi Line Claim Specialist</div><div><b>
Location: </b>Hybrid- Reporting to Chicago, IL Region</div><div><i>
Chicago-area candidates preferred. Remote eligible; This role may be performed in states where CCMSI is authorized to hire. Pay transparency requirements are met for applicable jurisdictions.</i></div><div><b>
Schedule: </b>8:00 am-4:30 pm CT, M-F</div><div><b>
Salary Range: </b>$80,000-$90,000</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><br>
The <b>Multi-Line Claim Specialist</b> position is responsible for the investigation and adjustment of assigned general liability claims. This position may be used as an advanced training position for promotion consideration for supervisory/management positions. The position is also accountable for the quality of multi-line claim services as perceived by CCMSI clients and within our corporate claim standards.</div><div></div><div><i><br>
This is a full life</i><i>‑</i><i>cycle ML adjuster position within a TPA environment, and only candidates with proven Multi Line claims experience will be considered.</i></div>
Responsibilities:
<ul><li><div>Investigate, evaluate and adjust multi-line claims in accordance with established claim handling standards and laws.</div></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 multi-line claims. Negotiate any disputed bills or invoices for resolution.</li><li>
Authorize and make payments of multi-line 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 multi-line claim files sent to outside vendors. (i.e. legal, surveillance, case management, etc.)</li><li>
Review and maintain personal diary on claim system.</li><li>
Assess and monitor subrogation claims for resolution.</li><li>
Compute disability rates in accordance with state laws.</li><li>
Effective and timely coordination of communication with clients, claimants and other appropriate parties throughout the multi-line claim adjustment process.</li><li>
Provide notices of qualifying claims to excess/reinsurance carriers.</li><li>
Compliance with Corporate Claim Handling Standards and special client handling instructions as established.</li></ul><br>
<div></div>
Qualifications:
<div>
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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.</div><div></div><ul><li><div><br>
Excellent oral and written communication skills.
</div></li><li><div>Initiative to set and achieve performance goals.
</div></li><li><div>Good analytic and negotiation skills.
</div></li><li><div>Ability to cope with job pressures in a constantly changing environment.
</div></li><li><div>Knowledge of all lower level claim position responsibilities.
</div></li><li><div>Must be detail oriented and a self-starter with strong organizational abilities.
</div></li><li><div>Ability to coordinate and prioritize required.
</div></li><li><div>Flexibility, accuracy, initiative and the ability to work with minimum supervision.
</div></li><li><div>Discretion and confidentiality required.</div></li><li><div>
Reliable, predictable attendance within client service hours for the performance of this position.</div></li><li><div>
Responsive to internal and external client needs.</div></li><li><div>
Ability to clearly communicate verbally and/or in writing both internally and externally.</div></li></ul><div></div><div><b><br>
Education and/or Experience</b>
</div><div>10+ years multi-line claim experience is required.</div><div>
Bachelor&rsquo;s Degree is preferred.</div><div></div><div><b><br>
Nice to Have:</b></div><ul><li><b>
Bilingual (Spanish) proficiency</b> &mdash; highly valued for communicating with claimants, employers, or vendors, but not required.
</li></ul><div><b>Why You&rsquo;ll Love Working Here</b></div><div></div><ul><li><b><br>
4 weeks </b><b><i>(</i></b><i>Paid time off that accrues throughout the year in accordance with company policy)</i><b><i> </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><div><br>
</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></div><div><b><i><br>
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. 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><i>
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><i><br>
CCMSI posts internal career opportunities in compliance with applicable state and local promotion transparency laws.</i></div><div></div><div><b><i><br>
Visa Sponsorship:</i></b><i> CCMSI does not provide visa sponsorship for this position.</i></div><div><b><i>
ADA Accommodations:</i></b><i> CCMSI is committed to providing reasonable accommodations throughout the application and hiring process.</i></div><div><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><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>
#EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #CCMSICareers #ESOP #Chicago #Illinois #MultiLine #Claims #IND123 #LI-Hybrid</div></div>

<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

Join CCMSI and explore 8   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

CCMSI

About Company

Multi-Line Claim Consultant

Workers' Compensation Claim Specialist

Workers' Compensation Claim Adjuster - (multi-state)

Multi-Line Claim Specialist

Multi-Line Claim Representative I

Multi-Line Claim Specialist

CA Work Comp Adjuster