Workers' Compensation Claims Adjuster

Overview

Position Title: Workers' Compensation Claim Representative II

Location: Remote (or Hybrid) - Maitland, FL

Hours: Monday - Friday, 8:00 AM to 4:30 PM ET

Salary Range: $60,000-$84,500

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.

CCMSI is Hiring! We’re looking for an experienced Workers' Compensation Claim Representative II to join our team. This role can be remote or hybrid, depending on your location relative to our Maitland, FL office.

At CCMSI, we are employee-owned and committed to providing exceptional service. We offer manageable caseloads, extensive career development, and industry-leading benefits.

Why Join CCMSI?

✅ Work-Life Balance – Enjoy 4 weeks of PTO in your first year + 10 paid holidays✅ Comprehensive Benefits – Medical, Dental, Vision, 401K, ESOP & more✅ Career Growth – Structured training programs with opportunities for advancement✅ Supportive Culture – Work in an environment where your expertise is valued

About the Role

As a Workers’ Compensation Claim Representative II, you will handle litigated Florida workers’ compensation claims for a dedicated client account from inception to resolution. This role requires 5-10 years of WC claim handling experience and a Florida adjuster’s license.

The Workers' Compensation Claim Representative II is responsible for the investigation and adjustment of assigned workers' compensation claims for a dedicated client desk. This role offers flexibility with hybrid or remote work options depending on your location. If working remotely, you must be willing to travel to Orlando for meetings and training sessions.

To excel in this role, you must have at least 5 years of experience adjusting Florida Workers' Compensation claims. Experience with behavioral health, hospital, or nursing home claims is preferred. A Florida adjuster's license is required.

Responsibilities

🔹 Investigate, evaluate, and adjust workers’ compensation claims in accordance with FL laws🔹 Manage litigated claims and collaborate with legal professionals🔹 Establish and maintain appropriate reserves🔹 Oversee medical, legal, and damage estimates to ensure proper claim resolution🔹 Negotiate settlements following client-specific handling instructions and state laws🔹 Coordinate subrogation claims and excess carrier notifications

Qualifications

What You Need to Succeed

✔ 5-10 years of workers’ compensation claim handling experience✔ Experience managing litigated claims in Florida✔ FL Adjuster’s License (Required)

✔ AIC, ARM OR CPCU Designation preferred.✔ Strong analytical, negotiation, and communication skills✔ Ability to multitask and thrive in a fast-paced environment

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Individual must be a self-starter with strong organizational abilities.
• Ability to coordinate and prioritize required.  
• Flexibility, initiative, and the ability to work with a minimum of direct supervision a must. 
• Discretion and confidentiality required. 
• Ability to work as a team member in a rapidly changing environment.
• Reliable, predictable attendance within client service hours for the performance of this position.
• Responsive to internal and external client needs.

At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs, rewarding and recognizing individual and team efforts. Certified as a Great Place To Work, our employee satisfaction and retention ranks in the 95th percentile.    

CORE VALUES & PRINCIPLES

Responsible for upholding the CCMSI Core Values & Principles which include: performing with integrity; passionately focus on client service; embracing a client-centered vision; maintaining contagious enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to make things better; and leading by example.

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