Full-Time

Workers Compensation Claim Adjuster

Dedicated-NY

Posted on 12/5/2025

Deadline 11/2/27
CCMSI

CCMSI

1,001-5,000 employees

TPA for workers' comp and self-insurance

Compensation Overview

$68.5k - $83k/yr

No H1B Sponsorship

Lakewood, NJ, USA

Remote

Remote role; reports to Wall Township, NJ; no travel required.

Category
Finance & Banking (1)
Required Skills
Word/Pages/Docs
Excel/Numbers/Sheets
Requirements
  • 5+ years of experience adjusting New York Workers’ Compensation claims.
  • New York Adjuster’s License (must be active).
  • In-depth knowledge of New York Workers’ Compensation law.
  • Proficiency in Microsoft Office (Word, Excel, Outlook).
  • Strong organization and communication skills.
Responsibilities
  • Handle workers’ compensation claims from start to finish in accordance with NY laws and client-specific guidelines.
  • Manage a varied caseload across multiple accounts and industries.
  • Set and recommend reserves within authority levels.
  • Review and process payments, settlements, and medical/legal bills.
  • Collaborate with attorneys, vendors, and case managers to move claims forward.
  • Prepare timely reports on claim status, reserves, and payments.
  • Represent CCMSI at hearings, mediations, and legal proceedings as needed (virtually).
  • Provide outstanding service that meets our internal standards and exceeds client expectations.
Desired Qualifications
  • Experience handling multi-jurisdictional workers’ comp claims.
  • Familiarity with New Jersey workers’ compensation laws.

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

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

INACTIVE