What are the responsibilities and job description for the Workers' Compensation Claim Adjuster (NJ/PA Claims) (Hybrid) position at CCMSI?
Overview
CCMSI is a dynamic and employee-owned Third Party Administrator specializing in self-insurance services. As a Great Place To Work certified company, we take pride in our exceptional service delivery and commitment to employee development. Join our team of professionals and be part of a workplace where culture, career development, and a positive work environment converge.
Why Consider a Career with CCMSI:
- Culture: Our Core Values guide how we treat our employees – as valued partners with integrity, passion, and enthusiasm.
- Career Development: We offer robust internships and internal training programs to foster advancement within our organization.
- Benefits: Enjoy 4 weeks paid time off in your first year, 10 paid holidays, and comprehensive benefits including Medical, Dental, Vision, Life Insurance, Critical Illness, Short and Long Term Disability, 401K, and ESOP.
- Work Environment: We provide a workplace where employees thrive, with the necessary resources and manageable caseloads for our claims staff.
Role Overview: As a Workers' Compensation Claim Consultant, you will be responsible for investigating and adjusting assigned claims. This position may serve as advanced training for future senior-level roles.
Responsibilities
Key responsibilities include:
- Investigate, evaluate, and adjust claims in adherence to established standards and laws.
- Establish reserves and provide reserve recommendations.
- Review and approve invoices for medical, legal, and damage estimates.
- Negotiate settlements, supervise claim files sent to outside vendors, and assess subrogation claims.
- Ensure effective communication with clients, claimants, and relevant parties throughout the adjustment process.
- Prepare reports, compute disability rates, and attend hearings and mediations when necessary.
Qualifications
Qualifications:
- Five or more years of claims experience.
- Computer Skills: Proficient in Microsoft Office products (Word, Excel, Outlook, etc.).
- Certificates, Licenses, Registrations: Adjuster's license required.
Additional Requirements:
- NJ and PA workers' compensation claims experience is required.
- MD and DE adjusters licenses or willingness to learn the jurisdiction.
Core Values & Principles:
Uphold CCMSI's Core Values & Principles, including integrity, client service focus, embracing change as an opportunity, insisting upon excellence, and fostering constructive relationships.
Join Our Team:
CCMSI is an Affirmative Action/Equal Employment Opportunity employer offering an excellent benefit package, including Medical, Dental, Vision, Prescription Drug, Flexible Spending, Life, ESOP, and 401K.
Apply now and be part of a team committed to delivering exceptional service and fostering professional growth!
#CCMSI #ClaimsJobs #WorkersCompensation #GreatPlaceToWork #InsuranceCareers #JoinOurTeam #EmployeeOwned #HiringNow #ClaimsAdjuster
