Full-Time

Workers’ Compensation Claims Adjuster

Deadline 5/20/27
CCMSI

CCMSI

1,001-5,000 employees

TPA for workers' comp and self-insurance

Compensation Overview

$65k - $80k/yr

+ Bonus

No H1B Sponsorship

Dallas, TX, USA

Hybrid

Hybrid schedule begins after initial training; on-site presence in Dallas, TX.

Category
Finance & Banking (1)
Requirements
  • Active Texas Workers’ Compensation Adjuster License
  • 5+ years of experience handling Texas workers’ compensation claims end-to-end
  • Strong knowledge of Texas jurisdictional requirements and regulatory compliance
  • Excellent customer service, time management, and organizational skills
  • Strong written and verbal communication skills
  • Ability to prioritize and manage multiple claims across accounts
  • Ability to work independently with minimal direct supervision
  • Proficiency with Microsoft Office applications
Responsibilities
  • Investigate and adjust Texas workers’ compensation claims in accordance with CCMSI claim handling standards and state regulatory guidelines
  • Manage claims from intake through resolution, including compensability determination, benefit administration, and claim closure
  • Maintain a multiple account desk, balancing varying client expectations and service commitments
  • Evaluate medical treatment plans and coordinate with providers to ensure appropriate care and cost containment
  • Establish and manage reserves in accordance with claim exposure and corporate guidelines
  • Communicate regularly with injured employees, employers, attorneys, and medical providers
  • Identify and pursue subrogation opportunities where applicable
  • Prepare detailed reports on claim status, payments, and reserve activity
  • Ensure timely statutory filings and compliance with Texas workers’ compensation regulations
  • Maintain accurate documentation, diary management, and adherence to service standards
  • Deliver consistent, high-quality service to internal and external clients
Desired Qualifications
  • Bilingual (Spanish) proficiency is not required but highly desired
  • Experience working in a Third Party Administrator (TPA) environment is helpful
  • Experience managing multiple account desks

CCMSI provides third-party administration services for workers' compensation and property/casualty self-insurance programs. It manages claims and offers risk management and cost-containment strategies for self-insured entities, including group self-insurance associations. The product works by acting as an administrator for a client’s self-insurance program: handling claims, administering payments, and implementing risk controls and cost-saving measures on a fee basis. CCMSI differentiates itself by focusing on the self-insurance niche and serving organizations that bear their own insurance risks, rather than selling traditional insurance policies. The company’s goal is to help clients reduce claim costs and manage their self-insurance programs more effectively.

Company Size

1,001-5,000

Company Stage

N/A

Total Funding

N/A

Headquarters

Danville, Illinois

Founded

1978

Your Connections

People at CCMSI who can refer or advise you

Simplify Jobs

Simplify's Take

What believers are saying

  • Self-insurance market growing as companies seek cost control alternatives.
  • AI capabilities enable competitive pricing and faster claims resolution.
  • Deep claims expertise and regional presence create switching costs.

What critics are saying

  • Larger TPAs like Sedgwick undercut pricing through superior scale.
  • State mandates for AI triage tools by 2027 require heavy investment.
  • Insurtech disruptors integrate blockchain, threatening legacy iCE system obsolescence.

What makes CCMSI unique

  • Largest independent TPA in US with 1,400+ employees across 41 offices.
  • AI-powered claims triage saved clients $300 million in workers' compensation costs.
  • 100% employee-owned firm prioritizes client-focused decisions over shareholder returns.

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Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

Health Savings Account/Flexible Spending Account

Unlimited Paid Time Off

Paid Holidays

401(k) Company Match

Company Equity