Workers' Compensation Claim Adjuster
7 days ago
Qualifications, skills, and all relevant experience needed for this role can be found in the full description below.
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.
Job Summary: Workers' Compensation Claim Consultant
Join our team as a Workers' Compensation Claim Consultant and take your career to the next level In this role, you will be responsible for investigating and adjusting assigned claims for a single dedicated client account. We offer a hybrid schedule, allowing you to work in the office just one day a week after the initial training period.
Key Responsibilities:
Investigate and adjust workers' compensation claims with a focus on quality and client satisfaction.
Ensure compliance with CCMSI corporate claim standards and provide exceptional service to our clients.
Participate in advanced training opportunities for potential promotion to senior-level claim positions.
Qualifications:
A minimum of 5 years of experience in Arizona workers' compensation claim adjusting is required.
Previous experience working with municipalities is a plus.
An Arizona adjuster's license is required or the ability to obtain it within the first 60 days of employment.
Familiarity with medical terminology is preferred.
If you are a dedicated professional looking for a challenging and rewarding opportunity, 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.
Qualifications:
Education and/or Experience
Five or more years AZ claims experience is required.
Computer Skills
Proficient using MicroSoft Office products such as Word, Excel, Outlook, etc.
Certificates, Licenses, Registrations
AZ Adjuster's license is 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 #CCMSIPhoenix #EmployeeOwned #ESOP #GreatPlaceToWorkCertified #WorkersCompensation #ClaimsAdjuster #HiringNow #ArizonaJobs #JobOpportunity #InsuranceCareers #ClaimsConsultant #JoinOurTeam #HybridWork #AdjustersLicense #MunicipalExperience #CareerGrowth #AZWorkComp #IND123
-
Workers' Compensation Claim Adjuster
1 week ago
Phoenix, 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 Claim Adjuster
7 days ago
Phoenix, United States CCMSI Full timeOverview:Qualifications, skills, and all relevant experience needed for this role can be found in the full description below.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...
-
Claims Assistant
2 weeks ago
Phoenix, Arizona, United States CopperPoint Insurance Companies Full timeCopperPoint Insurance Companies is seeking a skilled Claims Assistant to join our team. As a Claims Assistant, you will play a crucial role in assisting Claims Adjusters and claims leadership with various clerical and administrative tasks related to claims management.Key Responsibilities:Provide administrative support to Claims Adjusters and the claim...
-
Workers' Compensation Manager
4 weeks ago
Phoenix, Arizona, United States Arizona Official Website of State of Arizona Full timeJob Summary:The Arizona Official Website of State of Arizona is seeking a highly skilled professional to oversee the daily operations and staff of the Special Fund Division. As a key member of our team, you will be responsible for creating and maintaining a positive team culture focused on proactive claims management.Key Responsibilities:Oversee the daily...
-
Workers' Compensation Manager
3 weeks ago
Phoenix, Arizona, United States Arizona Official Website of State of Arizona Full timeJob Summary:As a key member of the Arizona Official Website of State of Arizona team, we are seeking a highly skilled Workers' Compensation Manager to join our Special Fund Division. This is an exciting opportunity to leverage your expertise in workers' compensation claims management to drive business results and contribute to the success of our...
-
Workers' Compensation Manager
2 months ago
Phoenix, Arizona, United States Arizona Official Website of State of Arizona Full timeJob Summary:We are seeking a highly skilled and experienced Workers' Compensation Manager to join our team at the Arizona Official Website of State of Arizona. As a key member of our Special Fund Division, you will play a critical role in overseeing the daily operations and staff to create a positive team culture focused on proactive claims management.Key...
-
Experienced Workers Compensation Specialist
4 weeks ago
Phoenix, Arizona, United States The Travelers Companies, Inc. Full timeAbout UsThe Travelers Companies, Inc. is a leading property casualty insurer with a reputation for excellence in the industry for over 160 years.Our CommitmentWe take care of our customers, our communities, and each other. This commitment is at the heart of our Travelers Promise.Job SummaryWe are seeking an experienced Workers Compensation Representative to...
-
Property Claims Adjuster
2 weeks ago
Phoenix, Arizona, United States USAA Full timeUSAA Property Claims Adjuster Job DescriptionAt USAA, we're seeking a skilled Property Claims Adjuster to join our team. As a Property Claims Adjuster, you'll be responsible for investigating and evaluating property insurance claims, ensuring that our members receive fair and timely settlements.Key Responsibilities:Investigate and evaluate property insurance...
-
Property Claims Adjuster
2 weeks ago
Phoenix, Arizona, United States USAA Full timeJob Title: Property Claims AdjusterAt USAA, we are seeking a highly skilled Property Claims Adjuster to join our team. As a Property Claims Adjuster, you will be responsible for investigating, evaluating, and settling complex property insurance claims presented by or against our members.Key Responsibilities:Proactively manage assigned claims caseload...
-
Injury Claims Adjuster
2 weeks ago
Phoenix, Arizona, United States USAA Full timeAbout the RoleAt USAA, we're committed to facilitating the financial security of millions of U.S. military members and their families. As a dedicated Injury Adjuster, you'll play a crucial role in our mission by adjusting non-attorney involved soft tissue bodily injury or auto PIP/MP medical claims.Key ResponsibilitiesConfirm coverage and determine liability...
-
Property Claims Adjuster
2 weeks ago
Phoenix, Arizona, United States USAA Full timeJob DescriptionUSAA is seeking a highly skilled Property Claims Adjuster to join our team. As a Property Claims Adjuster, you will be responsible for investigating, evaluating, and settling complex property insurance claims presented by or against our members.Key Responsibilities:Investigate and evaluate complex property insurance claims, including those...
-
Claims Adjuster
2 weeks ago
Phoenix, Arizona, United States U-Haul Full timeJob Summary:As a Claims Adjuster at U-Haul, you will be responsible for investigating and resolving claims related to damages to our rental equipment. This role requires strong communication and negotiation skills, as well as the ability to work independently and manage a high volume of claims. Key Responsibilities: Investigate and assess damages to U-Haul...
-
Property Claims Adjuster
2 weeks ago
Phoenix, Arizona, United States USAA Full timeAbout the RoleWe are seeking a highly skilled Property Claims Adjuster to join our team at USAA. As a Property Claims Adjuster, you will be responsible for investigating, evaluating, and negotiating complex property insurance claims presented by or against our members.You will work within established guidelines and framework to confirm and analyze coverage,...
-
Office Claims Adjuster
2 weeks ago
Phoenix, Arizona, United States USAA Full timeAbout the RoleUSAA is seeking an experienced Property Adjuster to join our Catastrophe team. As a Property Adjuster, you will investigate, evaluate, negotiate, and settle low to moderate complexity property insurance claims.Key ResponsibilitiesInvestigate claim damages by conducting research from various sources, including the insured, third parties, and...
-
Auto Claims Adjuster
3 weeks ago
Phoenix, Arizona, United States USAA Full timeAbout the RoleUSAA is seeking a highly skilled Sr. Auto Adjuster to join our team. As a dedicated member of our claims team, you will be responsible for adjusting complex auto insurance claims presented by or against our members. This role requires a strong understanding of auto claims contracts, case law, and state laws and regulations.Key...
-
Property Claims Adjuster
3 weeks ago
Phoenix, Arizona, United States USAA Full timeAbout the RoleUSAA is seeking an experienced Property Adjuster to join our Catastrophe team in an in-office claim handling role. As a Property Adjuster, you will work within defined guidelines and framework, investigating, evaluating, negotiating, and settling low to moderate complexity property insurance claims.Key ResponsibilitiesProactively manage...
-
Auto Claims Adjuster
1 month ago
Phoenix, Arizona, United States Freedom National Full timeJob SummaryWe are seeking a highly skilled and detail-oriented Auto PIP Claims Adjuster to join our team at Freedom National. As a key member of our claims team, you will be responsible for managing and adjudicating PIP claims related to auto insurance in Utah, ensuring that claimants receive appropriate benefits within the statutory time limits, and in...
-
Auto Claims Adjuster
4 weeks ago
Phoenix, Arizona, United States USAA Full timeAbout the RoleWe are seeking a highly skilled Auto Claims Adjuster to join our team at USAA. As a dedicated member of our claims team, you will be responsible for adjusting complex auto insurance claims, ensuring that our members receive the best possible service.Key ResponsibilitiesInvestigate and determine coverage and liability for auto claims, including...
-
Property Claims Adjuster
2 weeks ago
Phoenix, Arizona, United States USAA Full timeAbout the RoleAt USAA, we're committed to facilitating the financial security of millions of U.S. military members and their families. As a Property Claims Adjuster, you'll play a vital role in our mission by investigating, evaluating, negotiating, and settling complex property insurance claims presented by or against our members.Key...
-
Auto Claims Adjuster
3 weeks ago
Phoenix, Arizona, United States USAA Full timeAbout the RoleWe are seeking a highly skilled Auto Claims Adjuster to join our team at USAA. As a dedicated member of our claims team, you will play a critical role in resolving complex auto insurance claims in a fair and timely manner.Key ResponsibilitiesInvestigate and determine coverage and liability for auto claims, including comprehensive, collision,...
