Workers' Compensation Claim Specialist

2 weeks ago

Concord, United States CCMSI Full time

Overview:
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 remote **Workers' Compensation Claim Specialist** to join our team, reporting to our Concord, CA office. This position manages claims across multiple client accounts within construction, staffing, and commercial trucking industries. A California Self-Insurance Plan (SIP) license is required, and occasional travel may be necessary for in-person claim reviews.

As a **Workers' Compensation Claim Specialist**, you will be responsible for investigating and adjusting assigned claims. This role also serves as an advanced training opportunity, preparing individuals for potential promotion to supervisory or management positions. You will be accountable for delivering high-quality claim services that meet the expectations of CCMSI clients and align with our corporate claim standards.

**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.
- Compute disability rates in accordance with state laws.
- Effective and timely coordination of communication with clients, claimants and other appropriate parties throughout the claim adjustment process.
- Provide notices of qualifying claims to excess/reinsurance carriers.
- Handle more complex and involved claims than intermediate/lower level claims positions with minimum supervision, as requested.
- Attend and participate at hearings, mediations, and informal legal conferences, as appropriate.
- Supervision of all claim activity for specified accounts.
- Compliance with Corporate Claim Handling Standards and special client handling instructions as established.
- Performs other duties as assigned.

Qualifications:
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.Excellent oral and written communication skills.- Initiative to set and achieve performance goals.- Good analytic and negotiation skills. Ability to cope with job pressures in a constantly changing environment.- Knowledge of all lower level claim position responsibilities.- Must be detail oriented and a self-starter with strong organizational abilities.- Ability to coordinate and prioritize required.- Flexibility, accuracy, initiative and the ability to work with minimum supervision.- Discretion and confidentiality required.- Reliable, predictable attendance within client service hours for the performance of this position.- Responsive to internal and external client needs.- Ability to clearly communicate verbally and/or in writing both internally and externally.

**Education and/or Experience**

10+ years cla

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