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CCMSI

TPA for workers' comp and self-insurance

Auto & GL Claim Adjuster

Full-TimeDeadline 9/9/27
$70k - $80k
Senior
Bachelor's
Chicago, IL, USA
Remote
InsuranceClaims Adjudication
No H1B Sponsorship

About the job

Requirements
  • Excellent oral and written communication skills.
  • Initiative to set and achieve performance goals.
  • Good analytic and negotiation skills.
  • Ability to cope with job pressures in a constantly changing environment.
  • Knowledge of all lower-level claim position responsibilities.
  • Must be detail-oriented and a self-starter with strong organizational abilities.
  • Ability to coordinate and prioritize.
  • Flexibility, accuracy, initiative, and the ability to work with minimum supervision.
  • Discretion and confidentiality.
  • Reliable, predictable attendance within client service hours.
  • Responsive to internal and external client needs.
  • Five or more years of multi-line claim experience.
  • Proficiency with Microsoft Office programs.
  • An adjuster's license may be required based on jurisdiction.
Responsibilities
  • Investigate, evaluate, and adjust multi-line claims in accordance with established claim-handling standards and laws.
  • Establish reserves or provide reserve recommendations within established authority levels.
  • Review, approve, or oversee medical, legal, damage-estimate, and miscellaneous invoices to determine whether they are reasonable and related to assigned claims.
  • Negotiate disputed bills or invoices for resolution.
  • Authorize and make multi-line claim payments according to company 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 with selecting and referring designated multi-line claim files to outside vendors, and supervise those files.
  • Assess and monitor subrogation claims through resolution.
  • Review and maintain a personal diary in the claim system.
  • Prepare reports detailing claim status, payments, and reserves, as requested.
  • Compute disability rates in accordance with state laws.
  • Coordinate timely communication with clients, claimants, and appropriate parties throughout the claim-adjustment process.
  • Prepare newsletter articles, as requested.
  • Provide notices of qualifying claims to excess or reinsurance carriers.
  • Handle more complex and involved multi-line claims than lower-level claim positions with minimum supervision.
  • Conduct claim reviews or training sessions for designated clients, as requested.
  • Attend and participate in hearings, mediations, and informal legal conferences, as appropriate.
  • Comply with corporate claim-handling standards and special client-handling instructions.
Desired Qualifications
  • Bilingual Spanish proficiency is highly valued for communicating with claimants, employers, or vendors, but is not required.
  • Experience handling municipal claims.

About the company

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

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Simplify Jobs

Simplify's Take

What believers are saying

  • Florida Insurance Trust moved historical and new claims to CCMSI on January 1, 2026.
  • Data Dimensions partnered with CCMSI in October 2025, strengthening claims workflow infrastructure.
  • CCMSI’s July 2026 Irvine office move suggests continued operational expansion and client servicing capacity.

What critics are saying

  • BBB recorded 29 complaints in three years, including seven closed during 2026.
  • California audit complaints against CCMSI reached 7,319 by July 2025, signaling compliance strain.
  • Nevada’s March 24, 2026 reversal in Donovan v. City of Henderson keeps CCMSI exposed to claim disputes.

What makes CCMSI unique

  • CCMSI calls itself the nation’s largest independent third-party administrator in 2026.
  • Its 2026 Florida Insurance Trust transition shows broad workers’ compensation and liability coverage.
  • Its iCE claims platform gives clients real-time visibility, supporting faster claims decisions.

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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