Claims Jobs

Overview Workers' Compensation Claim Consultant - Midwest National Account Location: Remote Schedule: Monday – Friday, 8:00 AM – 4:30 PM CT Salary Range: $75,000 - $85,000 Build Your Career With Purpose at CCMSI At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. We don’t just process claims—we support people. As the largest privately owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work®, and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day. Job Summary The Workers’ Compensation Claim Consultant is responsible for the investigation and adjustment of assigned workers’ compensation claims across Midwest jurisdictions , including Kansas, Missouri, Illinois, Iowa, Nebraska, and Indiana , with a strong concentration in Illinois . This role manages claims from assignment through resolution (cradle to grave), including files with litigation exposure , while ensuring compliance with CCMSI claim handling standards, client-specific instructions, and applicable state laws. This position is ideal for experienced adjusters with 3+ years of workers’ compensation claim handling experience who are comfortable managing multi-jurisdictional claims and delivering consistent, high-quality outcomes in a national account environment. The Claim Consultant is accountable for the quality of claim services as perceived by CCMSI clients and plays a key role in delivering responsive, accurate, and timely claim handling. This is a full life-cycle WC adjuster role within a TPA environment, requiring strong communication, follow-through, and the ability to manage a dynamic claim volume. Responsibilities When we hire Workers’ Compensation Adjusters at CCMSI, we look for detail‑driven problem‑solvers who balance empathy with sound judgment, navigate complex regulations with confidence, and deliver fair, timely outcomes that support injured workers and strengthen client trust. 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.) Assess and monitor subrogation claims for resolution. Review and maintain personal diary on claim system. Client satisfaction. Prepare reports detailing claim status, payments and reserves, as requested. Compute disability rates in accordance with state laws. Effective and timely coordination of communication with clients, claimants and appropriate parties throughout the claim adjustment process. Provide notices of qualifying claims to excess/reinsurance carriers. Handle more complex and involved claims than lower level claim positions with minimum supervision. Conduct claim reviews and/or training sessions for designated clients, as requested. Attend and participate at hearings, mediations, and informal legal conferences, as appropriate. Compliance with Corporate Claim Handling Standards and special client handling instructions as established. Qualifications Required Qualifications 3+ years of workers’ compensation claim handling experience Strong experience handling Illinois workers’ compensation claims Experience managing claims across multiple jurisdictions Exposure to or experience with litigated workers’ compensation claims Strong analytical, organizational, and decision-making skills Excellent verbal and written communication skills with a high standard for responsiveness Ability to manage a full caseload independently in a fast-paced environment Proficiency in Microsoft Office applications Reliable, predictable attendance during assigned client service hours Preferred Qualifications IA and/or NE adjuster licenses are a plus Prior TPA experience handling national or multi-state accounts Experience with high-volume or complex claim environments Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required. Why You’ll Love Working Here 4 weeks (Paid time off that accrues throughout the year in accordance with company policy) + 10 paid holidays in your first year Comprehensive benefits : Medical, Dental, Vision, Life, and Disability Insurance Retirement plans : 401(k) and Employee Stock Ownership Plan (ESOP) Career growth : Internal training and advancement opportunities Culture : A supportive, team-based work environment How We Measure Success At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by: Quality claim handling – thorough investigations, strong documentation, well-supported decisions Compliance & audit performance – adherence to jurisdictional and client standards Timeliness & accuracy – purposeful file movement and dependable execution Client partnership – proactive communication and strong follow-through Professional judgment – owning outcomes and solving problems with integrity Cultural alignment – believing every claim represents a real person and acting accordingly This is where we shine, and we hire adjusters who want to shine with us. Compensation & Compliance The posted salary reflects CCMSI’s good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay. CCMSI offers comprehensive benefits including medical, dental, vision, life, and disability insurance. Paid time off accrues throughout the year in accordance with company policy, with paid holidays and eligibility for retirement programs in accordance with plan documents. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws. Our Core Values At CCMSI, we believe in doing what’s right—for our clients, our coworkers, and ourselves. We look for team members who: Lead with transparency We build trust by being open and listening intently in every interaction. Perform with integrity We choose the right path, even when it is hard. Chase excellence We set the bar high and measure our success. What gets measured gets done. Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own. Win together Our greatest victories come when our clients succeed. We don’t just work together—we grow together. If that sounds like your kind of workplace, we’d love to meet you. #CCMSICareers #EmployeeOwned #GreatPlaceToWorkCertified #ESOP #TPA #WorkersCompensation #WorkersCompClaims #ClaimsCareers #RemoteJobs #MidwestJobs #IND123 #LI-Remote

Overview Workers’ Compensation Claim Advocate (Adjuster) Location: Lisle, IL (Hybrid – In office 2x/month after training) Schedule: Monday–Friday, 8:00 AM to 4:30 PM CST Salary Range: $55,000 – $65,000 Client Support: Dedicated Client Account (Illinois Public Risk Fund) CCMSI is seeking the best and brightest talent to join the Illinois Public Risk Fund who is the largest Public Entity Workers’ Compensation pool in the State of Illinois. Illinois Public Risk Fund has a dedicated CCMSI claims team with a staff of 21 and their own dedicated office space. 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. The Workers’ Compensation Claim Advocate position is responsible for the investigation and adjustment of assigned workers’ compensation claims. This position may be used as an advanced training position for promotion consideration for supervisory/management positions. The position is also accountable for the quality of workers’ compensation claim services as perceived by CCMSI clients and within our corporate claim standards. Responsibilities Investigate, evaluate and adjust workers’ compensation 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 workers’ compensation claims. 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. 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 workers’ compensation 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 workers’ compensation 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. 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. 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 5+ years workers’ compensation claim experience is required. Computer Skills Proficient with Microsoft Office programs. Certificates, Licenses, Registrations IL or TX 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. Compensation & Compliance The posted salary reflects CCMSI’s good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. CCMSI offers a comprehensive benefits package, which will be reviewed during the hiring process. Please contact our hiring team with any questions about compensation or benefits. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. If you need assistance or accommodation, please contact our team. Equal Opportunity Employer: CCMSI is an Affirmative Action / Equal Employment Opportunity employer. We comply with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks are conducted only after a conditional offer of employment. #CCMSICareers #IllinoisPublicRiskFund #WorkersCompensation #ClaimsCareers #ILJobs #WorkLifeBalance #EmployeeOwned #ESOP #GreatPlaceToWorkCertified #ClaimsCareers #AdjusterJobs #CareerGrowth #InsuranceIndustry #RemoteWork #CCMSIJobs #JoinOurTeam #IND123 #LI-Hybrid

Overview Multi-Line Claim Consultant - National Accounts Compensation: $75,000–$85,000 annually (based on experience) Schedule: Monday–Friday Work Model: Fully Remote Jurisdictions: All except AK Industry: Commercial Auto / General Liability Build Your Career With Purpose at CCMSI At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. We don’t just process claims—we support people. As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work® , and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day. Job Summary The Multi-Line Claim Consultant is responsible for the investigation, evaluation, and adjustment of assigned multi-line claims across multiple disciplines, including Auto, Commercial Auto, General Liability (GL), and Bodily Injury (BI). This role supports a multi-client desk (up to four national accounts) across all states and requires the ability to shift between claim types throughout the day while maintaining quality and compliance. This position plays a critical role in delivering high-quality claim services aligned with CCMSI corporate standards and client expectations. Exposure to potentially litigated claims is expected. The role may also serve as a developmental opportunity for advancement into senior-level claim positions. This is a fully remote position , Monday through Friday, with core businss hours being 8am to 4:30pm. A valid adjuster license is required. Please note: This is a claims adjuster role, responsible for cradle‑to‑grave liability claim handling. It is not an HR, consulting, or employer‑side position. Responsibilities When we hire adjusters, we look for professionals who take ownership of their work, navigate complex claims with confidence, and deliver exceptional service with integrity. In this role, you’ll manage your files independently while contributing to a collaborative, high‑performing team. What You’ll Do Investigate, evaluate, and adjust multi‑line liability claims (property damage & bodily injury) in accordance with CCMSI standards and state requirements. Manage claims involving commercial vehicles, trucking exposures, and third‑party liability. Determine coverage, assess liability, and develop defensible claim strategies. Review medical, legal, and vendor invoices for accuracy and reasonableness; negotiate discrepancies as needed. Establish, monitor, and adjust reserves in alignment with exposure and authority guidelines. Negotiate settlements with claimants, attorneys, and representatives in accordance with client expectations. Engage, coordinate, and manage defense counsel or other external vendors when appropriate. Identify and pursue subrogation opportunities. Maintain detailed and timely claim documentation, diary management, and financial reporting. Support excess reporting requirements and client communication needs. Deliver consistent, high‑quality service with professionalism and integrity. Qualifications What You Bring Required Active adjuster license in home state required (multi-state licensing preferred) Experience managing a multi-client desk and navigating varying client expectations 5+ years of multi-lin claims experience is required (Auto, Commerical Auto, GL, BI) Strong analytical, negotiation, and decision‑making skills Strong ability to handle diverse claim types and pivot quickly throughout the workday Ability to analyze coverage and communicate claim decisions clearly and professionally Excellent time‑management and organizational abilities Strong written and verbal communication skills Ability to work independently in a remote environment with strong accountability Reliable, predictable attendance during business hours Preferred Litigation experience preferred Third Party Administrator (TPA) experience preferred New York adjuster license (nice to have) Experience performing coverage evaluations and coverage position analysis Comfort reviewing and applying contractual risk transfer, indemnification, and additional insured concepts Litigation management experience Experience working within a TPA environment Bilingual (English/Spanish) is a bonus Why You’ll Love Working Here 4 weeks (Paid time off that accrues throughout the year in accordance with company policy) + 10 paid holidays in your first year Comprehensive benefits : Medical, Dental, Vision, Life, and Disability Insurance Retirement plans : 401(k) and Employee Stock Ownership Plan (ESOP) Career growth : Internal training and advancement opportunities Culture : A supportive, team-based work environment How We Measure Success At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by: Quality claim handling – thorough investigations, strong documentation, well-supported decisions Compliance & audit performance – adherence to jurisdictional and client standards Timeliness & accuracy – purposeful file movement and dependable execution Client partnership – proactive communication and strong follow-through Professional judgment – owning outcomes and solving problems with integrity Cultural alignment – believing every claim represents a real person and acting accordingly This is where we shine, and we hire adjusters who want to shine with us. Compensation & Compliance The posted salary reflects CCMSI’s good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay. CCMSI offers comprehensive benefits including medical, dental, vision, life, and disability insurance. Paid time off accrues throughout the year in accordance with company policy, with paid holidays and eligibility for retirement programs in accordance with plan documents. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws. Our Core Values At CCMSI, we believe in doing what’s right—for our clients, our coworkers, and ourselves. We look for team members who: Lead with transparency We build trust by being open and listening intently in every interaction. Perform with integrity We choose the right path, even when it is hard. Chase excellence We set the bar high and measure our success. What gets measured gets done. Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own. Win together Our greatest victories come when our clients succeed. We don’t just work together—we grow together. If that sounds like your kind of workplace, we’d love to meet you. #EmployeeOwned #GreatPlaceToWorkCertified#LiabilityClaims #ClaimsJobs #InsuranceCareers #CommercialAuto #TruckingIndustry #RemoteJobs #AdjusterJobs #BodilyInjuryClaims #PropertyDamageClaims #HiringNow #TPACareers #CCMSICareers #IND123 #LI-Remote

This is a leading-edge, forward-thinking Claims handling role, responsible for management and oversight of claims handling activities relating to Convex US’ Miscellaneous Professional, Casualty, Commercial Property and Property Facultative Reinsurance claims. Furthermore, you’ll act as a key partner for our brokers and clients. This role is outcome-driven, and one which combines supervision of technical adjusting and direction of claims strategy, account management, commercial and relationship management skills – underpinned by experience in fast paced, technology enriched environments. You will report directly to the Head of Claims, US and will be a key part of the CUS team. The role requires a willingness to be flexible and learn new lines of business as they develop, a critical client service orientation and the ability to nurture and develop a service excellence culture. As our successful candidate, you will embody the Convex values, add to the team spirit and bring a continuous improvement mindset. Deep knowledge of and expertise on any of the following claims: Miscellaneous Professional, Financial Lines, Casualty, Commercial Property and Property Facultative Reinsurance Ability to market to our broker partners and clients Understanding of third party administrators and experience managing same Responsible for developing process for accumulating claims data and actively managing claims to achieve the best indemnity outcomes Oversight, management and direction of the team on large and complex losses Collaborate closely with underwriting teams Review claims movements and be a trusted advisor to the business with regard to potential exposures Take responsibility for data gathering and sharing industry or event knowledge with relevant colleagues Contribute to the attraction and retention of business through service excellence Contribute to the preparation of local claims reports and claims updates to senior management as required Be prepared to participate in wider claims strategic initiatives Be an advocate for client service as a brand differentiator and demonstrate behaviour that align to the Convex core values Travel as needed 5+ years claim handling experience Licensed attorney preferred Broad understanding of coverage issues Willingness to learn new lines of business as they develop A robust and articulate communicator; able to communicate effectively at all levels of seniority Excellent negotiation and diplomacy skills Evidence the ability to empathise and be understanding when dealing with people Demonstrate and role model a client service attitude A high degree of problem-solving capability Detail orientated with analytical mindset Work at speed given complex and difficult technical situations, with strong prioritisation skills Flexible and adaptable to change, able to contribute in an entrepreneurial environment 30 Days Paid Annual Vacation Leave Paid Birthday Leave 10% Employer 401(k) Contribution each pay period, no mandatory match required Medical Insurance for employees and dependants, fully paid by Convex Basic Life Insurance, fully paid by Convex Dental and Vision care insurance for employees and dependants, fully paid by Convex 3 days of Volunteer Leave each year Short & Long Term Disability Cover