Workers' Compensation Claim Supervisor Technical
4 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 Claim Supervisor, Technical to oversee and manage the investigation, adjustment, and supervision of assigned workers’ compensation claims in Massachusetts, Connecticut, and Rhode Island. This role specifically focuses on claims supervision and technical oversight, without direct people management responsibilities.
The ideal candidate will hold a Connecticut and/or Rhode Island claims adjuster license. This position is a hybrid role, requiring in-office presence three days per week and remote work two days per week. Minimal travel is expected for claim reviews, meetings, and training sessions.
Responsibilities include ensuring the quality and accuracy of workers’ compensation claim services aligned with CCMSI clients’ expectations and Corporate Claim Standards. This role may serve as advanced training for future leadership opportunities within our organization.
If you are detail-oriented, possess strong claims handling expertise, and thrive in a collaborative environment, we invite you to apply.
Responsibilities:
Review, assign and provide supervision of all workers’ compensation claim activity for designated claims to ensure compliance with Corporate Claim Standards, client specific handling instructions and in accordance with applicable laws and State licensure requirements.
Investigate, evaluate and adjust assigned workers’ compensation claims in accordance with established claim management standards and laws.
Reserve establishment and/or oversight of reserves for designated claims within established reserve authority levels.
Responsible for providing litigation management oversight, direction and analysis including: attorney identification and selection criteria, litigation planning and budgeting, status reporting, strategic resolution facilitation and overall direction of litigated claim files.
Provide oversight of medical and miscellaneous invoices to determine if reasonable and related to the designated claim. Negotiate any disputed bills or invoices for resolution.
Authorize and make payments of workers’ compensation claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within established payment authority.
Direct handling of designated complex claims.
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:
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
Seven (7) years of Workers' Compensation claim adjusting experience is required.
Three years supervisory experience preferred.
Computer Skills
Proficient with Microsoft Office programs.
Certificates, Licenses, Registrations
CT and/or RI Adjusters License if required.
AIC preferred.
WORKING CONDITIONS
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.
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