Workers' Compensation Claim Associate I

3 days ago


Maitland, Florida, United States CCMSI Full time

At CCMSI, we're committed to helping you grow your career in insurance. Our Workers' Compensation Claim Associate I LevelUP position is designed to provide you with the skills and knowledge needed to succeed as a Workers' Compensation Adjuster.

This 12-month program is specifically tailored to fast-track individuals, whether you're a career-minded college student seeking your first professional role or a mid-career professional looking for a fresh start. Through our comprehensive training curriculum, you'll gain the skills and knowledge needed to thrive in the role of a Workers' Compensation Adjuster.

As a Workers' Compensation Claim Associate I, you'll be accountable for delivering top-notch claim service that exceeds our clients' expectations and aligns with Corporate Claim Standards. You'll investigate and evaluate contested medical-only claims, handle non-litigated indemnity cases under close supervision, and establish reserves and/or provide reserve recommendations within established authority levels.

Key responsibilities include:

  • Investigating and evaluating contested medical-only claims
  • Handling non-litigated indemnity cases under close supervision
  • Establishing reserves and/or providing reserve recommendations within established authority levels
  • Setting up designated claim files and completing all setup instructions
  • Requesting and monitoring medical treatment of designated claims in accordance with corporate claim standards
  • Negotiating disputed bills/invoices for resolution under direct supervision
  • Authorizing and making payments on claims utilizing a claim payment program in accordance with industry standards and within established authority levels
  • Computing disability rates in accordance with state laws under direct supervision, when appropriate
  • Summarizing all correspondence and medical records in claim log notes and filing same in the appropriate claim
  • Reviewing and maintaining personal diary on claim system
  • Providing technical and clerical claims support to designated clients, as requested

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. If you're looking for a challenging and rewarding career in insurance, we encourage you to apply for this exciting opportunity.

CCMSI offers a comprehensive benefits package, including medical, dental, vision, life insurance, critical illness, short and long-term disability, 401K, and ESOP. We're an Affirmative Action/Equal Employment Opportunity employer committed to diversity and inclusion.



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