Workers' Compensation Claim Specialist

Workers' Compensation Claim Specialist - GA, FL, NC, SC, VA and WV

Location: Remote
Schedule: Monday–Friday, 8:00 AM–4:30 PM (Remote)

Salary Range: $72,000–$85,000

The posted salary reflects CCMSI’s good-faith estimate of the base pay range for this role, in accordance with applicable pay transparency laws. Actual compensation will depend on qualifications, experience, and internal equity. Additional compensation may include bonuses, benefits, or other forms of pay. A full summary of benefits—including Medical, Dental, Vision, Life Insurance, ESOP, and 401K—is available upon request. Please discuss any compensation and benefits questions with our hiring team.

CCMSI is an Affirmative Action / Equal Employment Opportunity employer. Background checks are conducted in compliance with applicable laws.

About the Role:

CCMSI is seeking an experienced Workers’ Compensation Claim Specialist to join our team remotely. This role is dedicated to a single client account within the commercial trucking industry, managing a caseload of workers’ compensation claims across Florida, Georgia, North Carolina, South Carolina, Virginia, and West Virginia. The role requires a strong investigative approach and effective communication with clients, insureds, and defense counsel. Occasional travel (1–2 times per year) may be required for client claim reviews or training sessions.

• Investigate, evaluate, and adjust workers’ compensation claims in accordance with corporate standards and applicable state laws.

• Collaborate with clients, injured workers, and vendors to manage claims efficiently and deliver high-quality service.

• Establish and recommend reserves within authority levels.

• Coordinate and manage defense counsel activity with a focus on cost-effective outcomes.

• Review and approve medical and legal bills in accordance with state guidelines and client expectations.

• Maintain thorough documentation, notes, and activity logs for each claim.

• Monitor diary tasks and ensure timely completion of key claim milestones.

• Participate in virtual or on-site claim reviews and trainings as needed.

Required:

• 5+ years of experience adjusting workers’ compensation claims.

• Strong investigative, analytical, and communication skills.

• Ability to manage a full caseload with a focus on timely, thorough documentation and proactive file handling.

• Experience working independently in a remote environment.

• Proficiency in Microsoft Office (Word, Excel, Outlook).

• Ability to effectively manage defense counsel and communicate legal strategy to clients.

Preferred:

• Florida Workers’ Compensation Adjuster’s License is highly desired; licenses in other covered jurisdictions are a plus.

• Prior experience working with commercial trucking or transportation industry claims.

• Strong understanding of jurisdictional requirements in FL, GA, NC, SC, VA, and WV.

Why Join CCMSI?

Culture: As an Employee-Owned Company, we are committed to integrity, teamwork, and client service.
Growth: We support professional development through structured training and advancement opportunities.
Benefits: 4 weeks of PTO in your first year, 10 paid holidays, medical/dental/vision, 401(k), ESOP, and more.
Balance: Manageable caseloads, a supportive team, and flexibility to work remotely.

Take the next step in your career with CCMSI—where your expertise and dedication are valued every day.

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