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CCMSI

TPA for workers' comp and self-insurance

Workers' Compensation Claim Supervisor

Claims AdjudicationUpdated on Nov 10
Full-timeReading, MA, USA

About the Job

Requirements

  • At least 8 years of claims experience is required.
  • Excellent oral and written communication skills are required.
  • The candidate must demonstrate initiative to set and achieve performance goals.
  • Good analytical and negotiation skills are required.
  • The candidate must be able to cope with job pressures in a constantly changing environment.
  • Knowledge of all lower-level claim position responsibilities is required.
  • The candidate must be detail-oriented, self-starting, and strongly organized.
  • The candidate must be able to coordinate and prioritize work.
  • Flexibility, accuracy, initiative, and the ability to work with minimum supervision are required.
  • Discretion and confidentiality are required.
  • Reliable, predictable attendance during client service hours is required.
  • The candidate must respond to internal and external client needs.
  • The candidate must hold active adjuster licenses for New Hampshire and Vermont.
  • Proficiency with Microsoft Office programs is required.

Responsibilities

  • Review, assign, and supervise claim activity for designated claims to ensure compliance with Corporate Claim Standards, client-specific handling instructions, and applicable laws.
  • Investigate, evaluate, and adjust assigned claims in accordance with established claim-handling standards and laws.
  • Establish reserves and/or oversee reserves for designated claims within established authority levels.
  • Oversee medical, legal, damage-estimate, and miscellaneous invoices to determine whether charges are reasonable and related to designated claims; negotiate disputed bills or invoices for resolution.
  • Authorize and make claim payments using the claim payment program, in accordance with claim procedures, industry standards, and established payment authority.
  • Negotiate settlements in accordance with Corporate Claim Standards, client-specific handling instructions, and state laws, when appropriate.
  • Assist designated claim staff with selecting, referring, and supervising designated claim files sent to outside vendors, such as legal, surveillance, and case-management vendors.
  • Direct the handling of designated litigated and complex claims.
  • Provide education and training and assist in developing claim staff.
  • Review and maintain a personal diary in the claim system.
  • Supervise all claim activity for specified accounts.
  • Comply with Corporate Claim Handling Standards and special client handling instructions.

Desired Qualifications

  • At least 3 years of supervisory experience is preferred.
  • A Bachelor's Degree is preferred.
  • Bilingual Spanish proficiency is highly valued for communicating with claimants, employers, or vendors, but is not required.
  • An AIC, CPCU, or ARM designation is preferred.

About the Company

CCMSI

TPA for workers' comp and self-insurance

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
Not listed
Total funding
Not listed
Headquarters
Danville, IL
Founded
1978

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