Workers' Compensation Claim Adjuster
3 weeks ago
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. 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.
Reasons you should consider a career with CCMSI:
- Culture: Our Core Values are embedded into our culture of how we treat our employees as a valued partner-with integrity, passion and enthusiasm.
- Career development: CCMSI offers robust internships and internal training programs for advancement within our organization.
- Benefits: 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.
- Work Environment: 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.
We are seeking a Workers' Compensation Adjuster with at least 1 year of experience in workers' compensation claims adjusting, specifically focusing on various jurisdictions across the country. The ideal candidate should have diverse Workers' Compensation experience.
As a Workers' Compensation Claim Adjuster, you will investigate and manage assigned claims from multiple jurisdictions across the country. This role serves as an opportunity for professional development, with potential advancement to senior-level claim positions. You will ensure the quality of claim services aligns with CCMSI clients' expectations and our corporate claim standards.
This is a hybrid position, requiring in-office presence two times per month, with flexibility for remote work. If you have the requisite experience and are prepared to contribute to our team, we encourage you to apply.
Responsibilities- Investigate, evaluate and adjust claims in accordance with established claim handling standards and laws.
- Establish reserves and/or provide reserve recommendations within established reserve authority levels.
- 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.
- 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.
- Negotiate settlements in accordance within Corporate Claim Standards, client specific handling instructions and state laws, when appropriate.
- Assist in the selection, referral and supervision of designated claim files sent to outside vendors. (i.e. legal, surveillance, case management, etc.)
- Assess and monitor subrogation claims for resolution.
- Review and maintain personal diary on claim system.
- Client satisfaction.
- Prepare reports detailing claim status, payments and reserves, as requested.
- Compute disability rates in accordance with state laws.
- Effective and timely coordination of communication with clients, claimants and appropriate parties throughout the claim adjustment process.
- Prepare newsletter articles, as requested.
- Provide notices of qualifying claims to excess/reinsurance carriers.
- Handle more complex and involved claims than lower level claim positions with minimum supervision.
- Conduct claim reviews and/or training sessions for designated clients, as requested.
- Attend and participate at hearings, mediations, and informal legal conferences, as appropriate.
- Compliance with Corporate Claim Handling Standards and special client handling instructions as established.
- Performs other duties as assigned.
Education and/or Experience
- Minimum of 3 years of experience adjusting California workers' compensation claims.
- Strong understanding of California workers' compensation laws, regulations, and procedures.
- Excellent investigative and analytical skills.
- Ability to effectively communicate and negotiate with stakeholders, including claimants, attorneys, and medical professionals.
- Proficiency in using claims management software and other relevant tools.
- Detail-oriented with the ability to prioritize and manage multiple tasks efficiently.
- Strong commitment to delivering high-quality claim services and meeting client expectations.
- Flexibility to work a hybrid schedule, combining in-office and remote work options.
- Commitment to continuous learning and professional development in the field of workers' compensation claims adjusting.
- Bachelor's degree in a related field preferred, but not required.
Computer Skills
Proficient using MicroSoft Office products such as Word, Excel, Outlook, etc.
Certificates, Licenses, Registrations
AZ Adjuster license is preferred, but not required.
CORE VALUES & PRINCIPLES
Responsible for upholding the CCMSI Core Values & Principles which include: performing with integrity; passionately focus on client service; embracing a client-centered vision; maintaining contagious enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to make things better; and leading by example.
CCMSI is an Affirmative Action/Equal Employment Opportunity employer offering an excellent benefit package included Medical, Dental, Vision, Prescription Drug, Flexible Spending, Life, ESOP and 401K.
#CCMSICareers #EmployeeOwned #ESOP #WorkersCompensation #ClaimsAdjuster #InsuranceCareer #AdjusterLife #WorkComp #GreatPlaceToWork #WorkLifeBalance #HybridWork #CareerGrowth #ScottsdaleJobs #InsuranceIndustry #ProfessionalDevelopment #RemoteWork #ClaimManagement
-
Workers' Compensation Claim Adjuster
2 weeks ago
Scottsdale, Arizona, United States Cannon Cochran Management Services, Inc. (CCMSI) Full timeAt 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. As an Employee-Owned Company, we focus on developing our staff through structured career development programs, rewarding...
-
Hybrid - Litigation Specialist
4 weeks ago
Scottsdale, Arizona, United States Masis Professional Group Full timeHybrid in various locations across the Northeast, Mid-Atlantic, Southeast and Arizona.Manage outside coverage counsel and directly handle bad faith lawsuits against Company and DJ actions involving claim matters.Work directly with Litigation Director on lawsuits against the company and with the discovery process.Determine what investigation and discovery is...
-
Auto Liability Supervisor
4 weeks ago
Scottsdale, Arizona, United States TheBest Claims Solutions Full timeOur client, who is a National Insurance Company, is looking for an Auto Liability Supervisor for their Scottsdale office. This employee will be able to work remotely after a training period.Required Qualifications:3+ Years of experience supervising auto liability adjusters handling from inception to closeAbility to follow company best practices and provide a...
-
Sr. Manager
3 weeks ago
Scottsdale, Arizona, United States Cognizant Technology Solutions Full timeAbout Us:Cognizant (Nasdaq: CTSH) engineer's modern businesses. We help our clients modernize technology, reimagine processes and transform experiences so they can stay ahead in our fast-changing world. Together, we're improving everyday life. See how at or @cognizant. Cognizant is looking for a "Guidewire – Claim Center Sr. Manager" for developing...
-
Underwriting Analyst
2 weeks ago
Scottsdale, Arizona, United States Berkshire Hathaway GUARD Insurance Company Full timeOverview Berkshire Hathaway GUARD Insurance Companies is looking to hire an Underwriting Associate (Entry Level) to evaluate risks for Workers' Compensation, Businessowners', Commercial Auto, and Umbrella policies for small businesses. We are looking to fill the position in our Corporate office in Scottsdale, AZ. Berkshire Hathaway GUARD offers a...
-
Workers' Compensation Claim Adjuster
3 weeks ago
Scottsdale, United States Cannon Cochran Management Services, Inc. (CCMSI) Full timeAt 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. As an Employee-Owned Company, we focus on developing our staff through structured career development programs, rewarding...
-
Workers' Compensation Claim Adjuster
1 week ago
Scottsdale, United States Cannon Cochran Management Services, Inc. (CCMSI) Full timeAt 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. As an Employee-Owned Company, we focus on developing our staff through structured career development programs, rewarding...
-
Workers' Compensation Claim Adjuster
2 weeks ago
Scottsdale, United States CCMSI Full timeOverview: 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. As an Employee-Owned Company, we focus on developing our staff through structured career development programs,...
-
Workers' Compensation Claims Adjuster III
2 weeks ago
Scottsdale, United States AmTrust Financial Full timeOverview: The Workers' Compensation Adjuster III is responsible for prompt and efficient investigation, evaluation and settlement or declination of insurance claims through effective research, negotiation and interaction with insureds, claimants and medical providers. The Adjuster III is often, though not always, assigned to larger or more complex claims...
-
Workers' Compensation Claim Adjuster
3 weeks ago
Scottsdale, Arizona, United States CCMSI Full timeOverview: 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. As an Employee-Owned Company, we focus on developing our staff through structured career development programs,...
-
Manager, Claims
2 days ago
Scottsdale, United States AmTrust Financial Services, Inc. Full timeOverview: AmTrust Financial Services, a fast growing commercial insurance company, has an immediate need for a Workers' Compensation Claims Manager. The Workers Compensation Claims Manager is responsible to supervise activities within the worker compensation lost time claims department. This may encompass supervision of administrative tasks and staff or...
-
Manager, Claims
2 days ago
Scottsdale, Arizona, United States AmTrust Financial Services, Inc. Full timeOverview: AmTrust Financial Services, a fast growing commercial insurance company, has an immediate need for a Workers' Compensation Claims Manager. The Workers Compensation Claims Manager is responsible to supervise activities within the worker compensation lost time claims department. This may encompass supervision of administrative tasks and staff or...
-
Property Claims Supervisor
3 weeks ago
Scottsdale, United States Western Mutual Insurance Company Full timeWe have an immediate opening for a Property Claim Supervisor. The qualified candidate should be a professional, experienced, and self-motivated individual. Candidate must have excellent leadership and supervisorial skills with the ability to guide and develop a team of adjusters. The candidate must possess excellent written and skills, must be able to write...
-
Property Claims Supervisor
4 weeks ago
Scottsdale, United States Western Mutual Insurance Full timeWe have an immediate opening for a Property Claim Supervisor. The qualified candidate should be a professional, experienced, and self-motivated individual.Candidate must have excellent leadership and supervisorial skills with the ability to guide and develop a team of adjusters. The candidate must possess excellent written and skills, must be able to write...
-
Property Claims Supervisor
2 hours ago
Scottsdale, United States Western Mutual Insurance Full timeWe have an immediate opening for a Property Claim Supervisor. The qualified candidate should be a professional, experienced, and self-motivated individual.Candidate must have excellent leadership and supervisorial skills with the ability to guide and develop a team of adjusters. The candidate must possess excellent written and skills, must be able to write...
-
Senior Claims Analyst
6 days ago
Scottsdale, United States PURE Insurance Full timeAbout the role. The Senior Claim Analyst is a key member of the Claims team reporting to the Casualty Manager and sitting out of our Scottsdale, AZ PURE office on a hybrid schedule, although we are open to remote candidates as well. The primary goal of this position is to deliver flawless service to our members and independent agency partners. This...
-
Auto Liability Supervisor
4 weeks ago
Scottsdale, United States TheBest Claims Solutions Full timeOur client, who is a National Insurance Company, is looking for an Auto Liability Supervisor for their Scottsdale office. This employee will be able to work remotely after a training period.Required Qualifications:3+ Years of experience supervising auto liability adjusters handling from inception to closeAbility to follow company best practices and provide a...
-
Accounts Receivable Specialist
3 weeks ago
Scottsdale, United States Southwest Medical Imaging Full timeJob DescriptionJob DescriptionSince 1980, SMIL has evolved into the premier imaging provider in the southwest. SMIL won the 2016 Southwest Alliance for Excellence award for customer and employee satisfaction, sound management, innovation and results. SMIL was again recognized with the prestigious Advisory Board Company's 2017 Workplace of the Year Award,...
-
Sr. Manager
4 weeks ago
Scottsdale, United States Cognizant Technology Solutions Full timeAbout Us: Cognizant (Nasdaq: CTSH) engineer’s modern businesses. We help our clients modernize technology, reimagine processes and transform experiences so they can stay ahead in our fast-changing world. Together, we're improving everyday life. See how at www.cognizant.com or @cognizant. Cognizant is looking for a “Guidewire – Claim Center...
-
Arizona Associate Attorney
3 weeks ago
Scottsdale, United States Brown Gren Abraham & McCracken, LLC Full timeThe Law Firm of Brown Gren Abraham & McCracken LLC () is an insurance defense firm that provides comprehensive and responsive legal services to employers and insurers throughout Colorado, Arizona, and Utah. We are seeking a full-time motivated and knowledgeable Associate Attorney to add to our dynamic Phoenix, Arizona-based team in our Workers’...
-
Accounts Receivable Specialist
6 days ago
Scottsdale, United States Southwest Medical Imaging Full timeSince 1980, SMIL has evolved into the premier imaging provider in the southwest. SMIL won the 2016 Southwest Alliance for Excellence award for customer and employee satisfaction, sound management, innovation and results. SMIL was again recognized with the prestigious Advisory Board Company's 2017 Workplace of the Year Award, and in 2019 SMIL was named a...
-
Risk Manager
1 day ago
Scottsdale, United States Inspired Healthcare Capital Full timeWhat you'll be doing: - Manages, plans, and coordinates risk and insurance programs of establishment to control risks and losses. - Identifies, evaluates, and implements corrective action against risks that may result in injury, property loss, damage, or legal liability. - Analyzes and classifies risks as to frequency and potential severity, and measures...
-
Arizona Paralegal
3 days ago
Scottsdale, Arizona, United States Brown Gren Abraham & McCracken, LLC Full timeThe Law Firm of Brown Gren Abraham & McCracken LLC, ((url removed)), is a mid-size insurance defense firm based in Colorado that provides comprehensive and responsive legal services to employers and insurers throughout Colorado, Arizona, and Utah. We are seeking a full-time motivated Experienced Paralegal to add to our dynamic Arizona team in our Workers’...
-
Billing Specialist- Remote in Arizona
1 week ago
Scottsdale, United States Turnwell Mental Health Network, Inc. Full timeWe are a high-end mental health clinic with office locations in Scottsdale, Glendale,and Tempe, Arizona. We provide face-to-face and telepsychiatry services at the clinics and to patients in multiple other organizations, rehabilitation centers, and detox facilities throughout Arizona. We strive to provide the best health care & customer service in a very...
-
Underwriting Analyst
3 weeks ago
Scottsdale, United States Berkshire Hathaway GUARD Insurance Company Full timeOverview Berkshire Hathaway GUARD Insurance Companies is looking to hire an Underwriting Associate (Entry Level) to evaluate risks for Workers' Compensation, Businessowners', Commercial Auto, and Umbrella policies for small businesses. We are looking to fill the position in our Corporate office in Scottsdale, AZ. Berkshire Hathaway GUARD offers a...