Workers' Compensation Claim Adjuster

3 weeks ago

Lisle, 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 Workers' Compensation Claim Specialist for a hybrid role reporting to our Lisle, IL branch. This position entails working two days per week from home and three days per week in the office. The ideal candidate will have several years of experience in adjusting Illinois (IL) and Indiana (IN) workers' compensation claims, with a preference for a Texas (TX) Adjusters license.

In this role, you will be responsible for investigating and adjusting assigned claims across multiple client accounts. Additionally, this position offers advanced training opportunities and potential for promotion consideration into supervisory or management positions. The Claim Specialist is 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.)
  • Review and maintain personal diary on claim system.
  • 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.
  • 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

Ten years claims experience is required.

Computer Skills

Proficient using Microsof Office products such as Word, Excel, Outlook, etc.

Certificates, Licenses, Registrations

Adjuster's license is preferred.

AIC, ARM OR CPCU Designation preferred.

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 #ESOP #EmployeeOwned #WorkLifeBalance #GreatPlaceToWorkCertified #WorkersCompensation #ClaimSpecialist #InsuranceClaims #HybridRole #LisleIL #RemoteWork

#Adjuster #ILClaims #INClaims #CareerOpportunity #CCMSI #InsuranceIndustry #ClaimsManagement #CareerDevelopment #IND1234

  • Workers' Compensation Claim Adjuster

    3 weeks ago

    Lisle, Illinois, 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,...

  • Workers Compensation Claims Specialist

    2 weeks ago

    Lisle, United States CNA Full time

    You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. This individual contributor position works under moderate direction, and...

  • Workers Compensation Claims Specialist

    2 weeks ago

    Lisle, United States CNA Full time

    You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. This individual contributor position works under moderate direction,...

  • Claim Clerk

    4 weeks ago

    Lisle, Illinois, United States Cannon Cochran Management Services, Inc. (CCMSI) Full time

    Join our team at CCMSI and become a vital part of our Illinois Public Risk Fund, the largest Public Entity Workers' Compensation pool in Illinois. We are currently seeking talented individuals for an in-office administrative support position, Monday through Friday from 8:00 AM to 4:30 PM. About Us:Illinois Public Risk Fund operates with a dedicated CCMSI...

  • Complex Claims Consultant

    2 weeks ago

    Lisle, United States CNA Full time

    You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. This individual contributor position works under general direction, and...

  • Claim Clerk

    4 weeks ago

    Lisle, Illinois, United States CCMSI Full time

    Overview: Join our team at CCMSI and become a vital part of our Illinois Public Risk Fund, the largest Public Entity Workers’ Compensation pool in Illinois. We are currently seeking talented individuals for an in-office administrative support position, Monday through Friday from 8:00 AM to 4:30 PM.    About Us: Illinois Public Risk Fund operates with...

  • Medical Only Claims Examiner I

    2 weeks ago

    Lisle, United States ICW Group Insurance Companies Full time

    Are you looking for more than just a job? Do you want to have a voice and feel a sense of belonging? At ICW Group, we hire innovative people who consistently adapt, grow and deliver. We believe in hard work, a fun work environment, and embracing crea Medical, Claims, Examiner, Insurance, Healthcare, Worker

  • System Architect

    3 days ago

    Lisle, United States Lorven technologies Full time

    Job DescriptionJob DescriptionHi, Our client is looking System Architect for Long Term Project in Lisle, IL (Hybrid) below is the detailed requirements.Job Title: System ArchitectLocation: Lisle, IL (Hybrid)Duration: Long Term ProjectMandatory Skills: AWS, .Net/Java, SQL and No SQL DatabasesJob Description:Job Summary: We are seeking an experienced Architect...

  • Mental Health Therapist

    3 weeks ago

    Lisle, United States CENTER FOR INSIGHT & CONNECTION Full time

    Job DescriptionJob DescriptionBenefits/PerksFlexible SchedulingCompetitive CompensationJob SummaryThe Center for Insight and Connection is looking to hire a full-time therapist for the Lisle, IL location. Self-driven candidates serious about their clinical development and learning how to treat trauma with EMDR are encouraged to apply. EMDR is a cutting-edge...

  • Mental Health Therapist

    2 weeks ago

    Lisle, United States CENTER FOR INSIGHT & CONNECTION Full time

    Benefits/Perks Flexible Scheduling Competitive Compensation Job Summary The Center for Insight and Connection is looking to hire a full-time therapist for the Lisle, IL location. Self-driven candidates serious about their clinical development and learning how to treat trauma with EMDR are encouraged to apply. EMDR is a cutting-edge approach to mental health...

  • Mental Health Therapist

    3 weeks ago

    Lisle, United States CENTER FOR INSIGHT & CONNECTION Full time

    Job DescriptionJob DescriptionBenefits/PerksFlexible SchedulingCompetitive CompensationJob SummaryThe Center for Insight and Connection is looking to hire a full-time therapist for the Lisle, IL location. Self-driven candidates serious about their clinical development and learning how to treat trauma with EMDR are encouraged to apply. EMDR is a cutting-edge...

  • Mental Health Therapist

    3 weeks ago

    Lisle, United States CENTER FOR INSIGHT & CONNECTION Full time

    Benefits/Perks Flexible Scheduling Competitive Compensation Job SummaryThe Center for Insight and Connection is looking to hire a full-time therapist for the Lisle, IL location. Self-driven candidates serious about their clinical development and learning how to treat trauma with EMDR are encouraged to apply. EMDR is a cutting-edge approach to mental health...

  • Warehouse Associate IV

    4 days ago

    Lisle, United States DISH Full time

    Job Description Company SummaryDISH, an EchoStar Company, has been reimagining the future of connectivity for more than 40 years. Our business reach spans satellite television service, live-streaming and on-demand programming, smart home installation services, mobile plans and products, and now we are building America’s First Smart Network™. Today, our...

  • Digital Sales Person

    4 weeks ago

    Lisle, United States Dealer eProcess Full time

    Job DescriptionJob Description**Position open to US applicants only. The Digital Sales position requires a highly motivated candidate with in­-depth sales knowledge, preferably in the advertising industry. You will be expected to expand the Streaming TV client list through cold calling, following incoming leads, store visits, and generating interest at...

  • Enterprise Sales Executive

    5 days ago

    Lisle, United States TRUCE Software Full time

    Job Type Full-time Description About TRUCE (trucesoftware.com) At TRUCE, we believe there’s a better way for businesses to leverage everything a mobile device has to offer in the workplace, while still protecting what’s most important – their employees, assets, and IP. As a category leader with 10+ years serving enterprises, TRUCE offers a unique...

  • Secondary Marketing Analyst

    4 weeks ago

    Lisle, United States Fairway Independent Mortgage Full time

    Job Posting: At Fairway, we are committed to cultivating, fostering, and preserving a culture of diversity, equity, inclusion, and belonging. We do this with dialogue and advocacy through voluntary employee-led resource groups and corporate-sponsored events. We strive to attract, recruit, hire, develop, and retain the very best employees at all levels....

  • Finance and Office Manager

    1 day ago

    Lisle, United States NCW Full time

    Job DescriptionJob DescriptionLocation:  Lisle, IllinoisPosition Summary:•    Seeking an experienced Office and Finance Manager with strong accounting and human resources management skills to manage office activities and handle daily operations of the office including accounting, human resources, customer service and some warehouse management. •  ...

  • Secondary Marketing Analyst

    1 month ago

    Lisle, Illinois, United States Fairway Independent Mortgage Corporation Full time

    Job Posting: At Fairway, we are committed to cultivating, fostering, and preserving a culture of diversity, equity, inclusion, and belonging. We do this with dialogue and advocacy through voluntary employee-led resource groups and corporate-sponsored events. We strive to attract, recruit, hire, develop, and retain the very best employees at all levels....