Workers' Compensation Claim Consultant

Overview:

Workers’ Compensation Claim Consultant

Location: Lisle, IL — Hybrid (1 day in office per week after initial training; Lisle-area candidates preferred. This role may be performed remote in states where CCMSI is authorized to hire. Pay transparency requirements are met for applicable jurisdictions.)

Schedule: Monday–Friday

Salary Range: $80,000–$85,000

Build Your Career With Purpose at CCMSI

At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.

We don’t just process claims—we support people. As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work®, and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day.

Job Summary

The Workers’ Compensation Claim Consultant is responsible for the investigation, evaluation, and adjustment of assigned workers’ compensation claims across a multi state desk, primarily supporting Wisconsin, Illinois, Indiana, and Michigan with additional exposure to Iowa and Kentucky. This role manages claims from start to finish (cradle to grave) and plays a key role in delivering high‑quality claim outcomes in alignment with CCMSI standards and client expectations.

This is a multiple‑account desk within a fast‑paced TPA environment. The position offers two weeks of structured training with management and colleagues before assuming a pending caseload, followed by continued support as claims are assigned. After training, the role transitions to a hybrid schedule with two in‑office days per week.

Responsibilities:

Investigate workers’ compensation claims by reviewing accident details, medical records, wage information, and employment history
Determine compensability and claim strategy in accordance with applicable state laws and client handling instructions
Establish, monitor, and adjust claim reserves accurately based on exposure and claim progression
Coordinate medical treatment to ensure timely, appropriate, and cost‑effective care
Issue indemnity and medical payments accurately and within statutory timelines
Communicate effectively with injured workers, employers, attorneys, medical providers, and internal partners
Document all claim activity clearly, thoroughly, and timely within the claim management system
Manage litigated claims in collaboration with defense counsel, including strategy discussions and status updates
Identify and pursue subrogation opportunities when applicable
Monitor claim diaries and take proactive action to move claims toward resolution
Prepare claim summaries, reports, and client updates as requested
Participate in client claim reviews or training sessions when needed
Maintain compliance with corporate claim handling standards, audit requirements, and jurisdictional regulations

Qualifications:

Required:
5+ years of workers’ compensation claim handling experience
Experience managing full life‑cycle (cradle‑to‑grave) WC claims
Strong Wisconsin workers’ compensation knowledge is very helpful
Experience handling multi‑state claims, primarily WI, IL, and IN
Ability to manage a multiple‑account desk independently
Active Texas adjuster license is preferred
Strong analytical, organizational, and decision‑making skills
Excellent written and verbal communication skills
Ability to manage workload in a fast‑paced environment with minimal supervision
Proficiency with Microsoft Office and claim management systems

Nice to Have:

Experience handling claims in Iowa and/or Kentucky
Prior experience in a TPA environment
Litigation management experience
Bachelor’s degree

Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required.

Why You’ll Love Working Here

4 weeks (Paid time off that accrues throughout the year in accordance with company policy) + 10 paid holidays in your first year
Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance
Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP)
Career growth: Internal training and advancement opportunities
Culture: A supportive, team-based work environment

How We Measure Success

At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by:

Quality claim handling – thorough investigations, strong documentation, well-supported decisions
Compliance & audit performance – adherence to jurisdictional and client standards
Timeliness & accuracy – purposeful file movement and dependable execution
Client partnership – proactive communication and strong follow-through
Professional judgment – owning outcomes and solving problems with integrity
Cultural alignment – believing every claim represents a real person and acting accordingly

This is where we shine, and we hire adjusters who want to shine with us.

Compensation & Compliance

The posted salary reflects CCMSI’s good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay.

CCMSI offers comprehensive benefits including medical, dental, vision, life, and disability insurance. Paid time off accrues throughout the year in accordance with company policy, with paid holidays and eligibility for retirement programs in accordance with plan documents.

Visa Sponsorship: CCMSI does not provide visa sponsorship for this position.
ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process.
Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations.

Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws.

Our Core Values

At CCMSI, we believe in doing what’s right—for our clients, our coworkers, and ourselves. We look for team members who:

Lead with transparency We build trust by being open and listening intently in every interaction.
Perform with integrity We choose the right path, even when it is hard.
Chase excellence We set the bar high and measure our success. What gets measured gets done.
Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own.
Win together Our greatest victories come when our clients succeed.

We don’t just work together—we grow together. If that sounds like your kind of workplace, we’d love to meet you.

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