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CCMSI

TPA for workers' comp and self-insurance

Workers' Compensation Claims Associate 1

Claims AdjudicationPosted on Nov 5
Full-timeLas Vegas, NV, USA

About the Job

Requirements

  • A high school diploma or equivalent is required.
  • Interest in building a long-term career in a professional office environment is required.
  • Strong organization and time-management skills, including prioritizing, tracking tasks, and meeting deadlines, are required.
  • Strong written communication, including clear grammar, complete sentences, and accurate documentation, is required.
  • Strong interpersonal skills, including professionalism, respect, listening, and explaining information, are required.
  • Comfort using technology and learning new systems, including typing and navigating multiple applications, is required.
  • Dependability, including consistent attendance, follow-through, and ownership of work, is required.
  • Ability to learn and follow guidelines, documentation standards, and time-sensitive requirements is required.
  • Ability to work effectively with feedback, coaching, and evaluations throughout the program is required.
  • Ability to pass a state licensing exam is required for the claims assigned; CCMSI will provide training and assistance.
  • Applicants must be able to work at a desk, use computer systems, and regularly use the phone.
  • Applicants must communicate clearly and professionally in writing and verbally and use facts and good judgment when making decisions.

Responsibilities

  • Learn CCMSI systems and everyday tools, including email, calendars, shared drives, and claim systems.
  • Process incoming documents and bills.
  • Complete required forms and claim paperwork.
  • Communicate by phone and email with injured employees, medical offices, employers, and attorneys involved in claims.
  • Assist experienced Claims Professionals with claim files.
  • Set up new claims and gather key information.
  • Make required timely contact with injured employees, employers, and medical providers.
  • Conduct basic claim investigations and clearly document findings.
  • Build action plans, track deadlines, and move claims forward.
  • Work with a mentor and take on a growing claim workload as skills develop.
  • Manage a larger group of active claim files with increased independence in later phases.
  • Participate in claim reviews and legal reviews as part of the training program.
  • Complete advanced best-practices training and prepare for promotion.

Desired Qualifications

  • Experience in customer service, call-center, administrative-support, healthcare-office, legal-support, or similar fast-paced environments is preferred.
  • Spanish proficiency is highly valued for communicating with injured employees, employers, or partners, but is not required.
  • Experience managing multiple tasks while maintaining accuracy and attention to detail is preferred.
  • Familiarity with medical terminology is helpful but not required.

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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