CCMSI
Workers' Compensation Claim Consultant
Location:
Lisle, IL Schedule:
Monday–Friday, 8:00 AM–4:30 PM Work Arrangement:
Hybrid after initial training (60‑90 days); hybrid status contingent on performance and attendance. Hybrid Preferred, Remote Possible Salary Range:
$70,000–$85,000
At CCMSI, 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.
Reasons you should consider a career with CCMSI
Culture: Our core values are embedded into our culture of treating employees as valued partners with integrity, passion and enthusiasm.
Career development: CCMSI offers robust internships and internal training programs for advancement within our organization.
Benefits: 4 weeks paid time off in your first year, 10 paid holidays, Medical, Dental, Vision, Life Insurance, Critical Illness, Short and Long Term Disability, 401(k), and ESOP.
Work environment: We provide an environment where employees enjoy coming to work every day and have manageable caseloads.
Responsibilities
Investigate, evaluate and adjust claims in accordance with established claim handling standards and laws.
Establish reserves and/or provide reserve recommendations within assigned authority levels.
Review, approve or oversee medical, legal, damage estimates and miscellaneous invoices; negotiate disputed bills or invoices for resolution.
Authorize and make payments of claims according to claim procedures and within payment authority.
Negotiate settlements in accordance with corporate claim standards, client-specific instructions and state laws.
Assist in the selection, referral and supervision of designated claim files sent to outside vendors.
Assess and monitor subrogation claims for resolution.
Maintain personal diary on claim system and prepare reports detailing claim status, payments, and reserves.
Coordinate communication with clients, claimants and appropriate parties throughout the claim adjustment process.
Prepare newsletter articles and provide notices of qualifying claims to excess/reinsurance carriers.
Handle complex claims with minimum supervision.
Conduct claim reviews and training sessions for designated clients and attend hearings, mediations, and informal legal conferences as appropriate.
Ensure compliance with corporate claim handling standards and special client handling instructions.
Perform other duties as assigned.
Qualifications
5 or more years of claims experience is required.
3 or more years of indemnity WC experience.
State/Jurisdiction experience: IL, IN, WI, IA, MI, KY, NE.
Bachelor’s degree is preferred.
Computer Skills Proficient using Microsoft Office products such as Word, Excel, Outlook, etc.
Certificates, Licenses, Registrations Adjuster’s license may be required based on jurisdiction.
Physical Demands
Ability to stoop, bend, reach and grab with arms and hands; manual dexterity.
Ability to sit or stand for 7.5 or more hours at a time.
Requires sufficient auditory and visual acuity to interact with others.
Core Values & Principles Responsible for upholding CCMSI core values: integrity, client‑centered focus, enthusiasm, excellence, and trust.
Compensation & Compliance The posted salary reflects CCMSI’s good‑faith estimate. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. The role may also qualify for bonuses or additional pay.
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. Contact our team if you need assistance or accommodation.
Equal Opportunity Employer CCMSI is an affirmative action / equal employment opportunity employer. We comply with all applicable employment laws, including pay transparency and fair‑chance hiring regulations. Background checks are conducted only after a conditional offer of employment.
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Lisle, IL Schedule:
Monday–Friday, 8:00 AM–4:30 PM Work Arrangement:
Hybrid after initial training (60‑90 days); hybrid status contingent on performance and attendance. Hybrid Preferred, Remote Possible Salary Range:
$70,000–$85,000
At CCMSI, 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.
Reasons you should consider a career with CCMSI
Culture: Our core values are embedded into our culture of treating employees as valued partners with integrity, passion and enthusiasm.
Career development: CCMSI offers robust internships and internal training programs for advancement within our organization.
Benefits: 4 weeks paid time off in your first year, 10 paid holidays, Medical, Dental, Vision, Life Insurance, Critical Illness, Short and Long Term Disability, 401(k), and ESOP.
Work environment: We provide an environment where employees enjoy coming to work every day and have manageable caseloads.
Responsibilities
Investigate, evaluate and adjust claims in accordance with established claim handling standards and laws.
Establish reserves and/or provide reserve recommendations within assigned authority levels.
Review, approve or oversee medical, legal, damage estimates and miscellaneous invoices; negotiate disputed bills or invoices for resolution.
Authorize and make payments of claims according to claim procedures and within payment authority.
Negotiate settlements in accordance with corporate claim standards, client-specific instructions and state laws.
Assist in the selection, referral and supervision of designated claim files sent to outside vendors.
Assess and monitor subrogation claims for resolution.
Maintain personal diary on claim system and prepare reports detailing claim status, payments, and reserves.
Coordinate communication with clients, claimants and appropriate parties throughout the claim adjustment process.
Prepare newsletter articles and provide notices of qualifying claims to excess/reinsurance carriers.
Handle complex claims with minimum supervision.
Conduct claim reviews and training sessions for designated clients and attend hearings, mediations, and informal legal conferences as appropriate.
Ensure compliance with corporate claim handling standards and special client handling instructions.
Perform other duties as assigned.
Qualifications
5 or more years of claims experience is required.
3 or more years of indemnity WC experience.
State/Jurisdiction experience: IL, IN, WI, IA, MI, KY, NE.
Bachelor’s degree is preferred.
Computer Skills Proficient using Microsoft Office products such as Word, Excel, Outlook, etc.
Certificates, Licenses, Registrations Adjuster’s license may be required based on jurisdiction.
Physical Demands
Ability to stoop, bend, reach and grab with arms and hands; manual dexterity.
Ability to sit or stand for 7.5 or more hours at a time.
Requires sufficient auditory and visual acuity to interact with others.
Core Values & Principles Responsible for upholding CCMSI core values: integrity, client‑centered focus, enthusiasm, excellence, and trust.
Compensation & Compliance The posted salary reflects CCMSI’s good‑faith estimate. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. The role may also qualify for bonuses or additional pay.
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. Contact our team if you need assistance or accommodation.
Equal Opportunity Employer CCMSI is an affirmative action / equal employment opportunity employer. We comply with all applicable employment laws, including pay transparency and fair‑chance hiring regulations. Background checks are conducted only after a conditional offer of employment.
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