salem,or97301
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Location -
salem, or
Job Description
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Overview:
Job Summary: Workers' Compensation Claim Representative I (Hybrid or Remote)
Join our dedicated team at CCMSI, where your expertise and commitment to excellence will help deliver exceptional service to our clients. This role reports to our Salem, OR office, with the flexibility to work hybrid or remote after an initial training period. With a supportive work culture and structured career growth, CCMSI is the perfect place to advance your career in claims handling.
Position Highlights:
Location: Hybrid or Remote (after initial training), reporting to Salem, OR.
Requirements: Washington Workers' Compensation experience preferred; Washington Claim Adjuster Certificate is required or must be obtained within the first 60 days.
Preferred Experience: 3+ years of Washington Workers' Compensation claims handling.
Skills: Strong communication and time management skills, with the ability to manage priorities effectively.
Why Choose CCMSI?
Culture: At CCMSI, integrity, passion, and enthusiasm are embedded in everything we do, making us a Great Place to Work with top-tier employee satisfaction.
Career Development: We invest in our employees through career development programs, internal training, and opportunities for advancement to senior-level roles.
Comprehensive Benefits: Enjoy four weeks of paid time off in your first year, 10 paid holidays, medical, dental, vision, life insurance, short and long-term disability, 401K, and an Employee Stock Ownership Plan (ESOP).
Work-Life Balance: Our manageable caseloads ensure you have the resources and support to excel in your role while enjoying a fulfilling work environment.
Role Responsibilities:
As a Workers' Compensation Claim Representative I, you will be responsible for investigating and adjusting workers' compensation claims. This role may also provide advanced training for future promotional opportunities within our claims department. Your work will align with CCMSI’s high standards of service, ensuring client satisfaction and exceptional claims management.
At CCMSI, you’ll find a rewarding career with room for growth and a community that values each team member. Start your next career chapter with us today!
Responsibilities:
Investigate and adjust workers compensation claims in accordance with established claims handling procedures using CCMSI guidelines and direct supervision.
Review medical, legal and miscellaneous invoices to determine if reasonable and related to the ongoing workers compensation claims. Negotiate any disputed bills for resolution.
Authorize and make payment of workers compensation claims utilizing a claim payment program in accordance with industry standards and within settlement authority.
Negotiate settlements with claimants and attorneys in accordance with client's authorization.
Assist in selection and supervision of defense attorneys.
Assess and monitor subrogation claims for resolution.
Prepare reports detailing claims, payments and reserves.
Provide reports and monitor files, as required by excess insurers.
Compliance with Service Commitments as established by team.
Delivery of quality claim service to clients.
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.
Individual must be a self-starter with strong organizational abilities.
Ability to coordinate and prioritize required.
Flexibility, initiative, and the ability to work with a minimum of direct supervision a must.
Discretion and confidentiality required.
Ability to work as a team member in a rapidly changing environment.
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
3 or more years of workers compensation claim experience or other related industry experience is required.
Computer Skills
Proficient using Microsoft Office programs such as: Word, Excel, Outlook, etc.
Certificates, Licenses, Registrations
Washington Claim Adjuster Certificate is required or must be obtained within the first 60 days.
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 including Medical, Dental, Prescription Drug, Vision, Flexible Spending, Life, ESOP and 401K.
#CCMSISalem #ESOP #EmployeeOwned #WAWorkComp #WorkersCompensation #ClaimsAdjuster #HiringNow #InsuranceJobs #CareerGrowth #CCMSICareers #RemoteJobs #HybridJobs #GreatPlacetoWork #JoinOurTeam #IND123
Job Summary: Workers' Compensation Claim Representative I (Hybrid or Remote)
Join our dedicated team at CCMSI, where your expertise and commitment to excellence will help deliver exceptional service to our clients. This role reports to our Salem, OR office, with the flexibility to work hybrid or remote after an initial training period. With a supportive work culture and structured career growth, CCMSI is the perfect place to advance your career in claims handling.
Position Highlights:
Location: Hybrid or Remote (after initial training), reporting to Salem, OR.
Requirements: Washington Workers' Compensation experience preferred; Washington Claim Adjuster Certificate is required or must be obtained within the first 60 days.
Preferred Experience: 3+ years of Washington Workers' Compensation claims handling.
Skills: Strong communication and time management skills, with the ability to manage priorities effectively.
Why Choose CCMSI?
Culture: At CCMSI, integrity, passion, and enthusiasm are embedded in everything we do, making us a Great Place to Work with top-tier employee satisfaction.
Career Development: We invest in our employees through career development programs, internal training, and opportunities for advancement to senior-level roles.
Comprehensive Benefits: Enjoy four weeks of paid time off in your first year, 10 paid holidays, medical, dental, vision, life insurance, short and long-term disability, 401K, and an Employee Stock Ownership Plan (ESOP).
Work-Life Balance: Our manageable caseloads ensure you have the resources and support to excel in your role while enjoying a fulfilling work environment.
Role Responsibilities:
As a Workers' Compensation Claim Representative I, you will be responsible for investigating and adjusting workers' compensation claims. This role may also provide advanced training for future promotional opportunities within our claims department. Your work will align with CCMSI’s high standards of service, ensuring client satisfaction and exceptional claims management.
At CCMSI, you’ll find a rewarding career with room for growth and a community that values each team member. Start your next career chapter with us today!
Responsibilities:
Investigate and adjust workers compensation claims in accordance with established claims handling procedures using CCMSI guidelines and direct supervision.
Review medical, legal and miscellaneous invoices to determine if reasonable and related to the ongoing workers compensation claims. Negotiate any disputed bills for resolution.
Authorize and make payment of workers compensation claims utilizing a claim payment program in accordance with industry standards and within settlement authority.
Negotiate settlements with claimants and attorneys in accordance with client's authorization.
Assist in selection and supervision of defense attorneys.
Assess and monitor subrogation claims for resolution.
Prepare reports detailing claims, payments and reserves.
Provide reports and monitor files, as required by excess insurers.
Compliance with Service Commitments as established by team.
Delivery of quality claim service to clients.
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.
Individual must be a self-starter with strong organizational abilities.
Ability to coordinate and prioritize required.
Flexibility, initiative, and the ability to work with a minimum of direct supervision a must.
Discretion and confidentiality required.
Ability to work as a team member in a rapidly changing environment.
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
3 or more years of workers compensation claim experience or other related industry experience is required.
Computer Skills
Proficient using Microsoft Office programs such as: Word, Excel, Outlook, etc.
Certificates, Licenses, Registrations
Washington Claim Adjuster Certificate is required or must be obtained within the first 60 days.
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 including Medical, Dental, Prescription Drug, Vision, Flexible Spending, Life, ESOP and 401K.
#CCMSISalem #ESOP #EmployeeOwned #WAWorkComp #WorkersCompensation #ClaimsAdjuster #HiringNow #InsuranceJobs #CareerGrowth #CCMSICareers #RemoteJobs #HybridJobs #GreatPlacetoWork #JoinOurTeam #IND123
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