Workers' Compensation Claim Representative I
CCMSI, Danville, IL, United States
Overview
Position Title:
Workers' Compensation Claim Representative I
Location:
Danville, IL (hybrid preferred, remote possible)
Schedule:
8:00 am-4:30 pm CT
Compensation:
$60,000-$85,000
At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem‑solving, and an unwavering commitment to their success. We don’t just process claims—we support people. As the largest privately owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work®, and our employee‑owners are empowered to grow, collaborate, and make meaningful contributions every day.
Job Summary
The Workers' Compensation Claim Representative I is responsible for the investigation and adjustment of assigned workers compensation claims. This position may be used as an advanced training position for future consideration for promotion to a Work Comp Claim Rep II or more senior level claim position. Accountable for the quality of claim services as perceived by CCMSI clients and within our corporate claim standards.
Responsibilities
When we hire adjusters at CCMSI, we look for professionals who understand that every claim represents a real person’s livelihood, take ownership of outcomes, and see challenges as opportunities to solve problems.
Investigate and adjust workers compensation claims in accordance with established claims handling procedures using CCMSI guidelines and direct supervision.
Review medical, legal and miscellaneous invoices to determine if reasonable and related to the ongoing workers compensation claims. Negotiate any disputed bills for resolution.
Authorize and make payment of workers compensation claims utilizing a claim payment program in accordance with industry standards and within settlement authority.
Negotiate settlements with claimants and attorneys in accordance with client’s authorization.
Assist in selection and supervision of defense attorneys.
Assess and monitor subrogation claims for resolution.
Prepare reports detailing claims, payments and reserves.
Provide reports and monitor files, as required by excess insurers.
Compliance with Service Commitments as established by team.
Delivery of quality claim service to clients.
Qualifications
What You’ll Bring
3+ years of Workers’ Compensation claims experience or related insurance industry experience.
Strong organizational skills with the ability to prioritize and manage multiple tasks independently.
Effective verbal and written communication skills for interaction with internal teams, clients, and external partners.
Ability to work collaboratively in a fast‑paced, changing environment while maintaining accuracy and confidentiality.
Reliable and predictable attendance during established hours.
Proficiency with Microsoft Office applications (Word, Excel, Outlook).
Active adjuster license in KY, MI or TX preferred or ability to obtain required licensing within 60 days of hire, if applicable.
Experience supporting IL, IN, IA, MI, MO, KS, NE, MI, KY Workers’ Compensation claims.
Nice to Have
Associate’s degree or higher, or related insurance industry experience.
Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required.
Why You’ll Love Working Here
4 weeks PTO + 10 paid holidays in your first year
Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance
Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP)
Career growth: Internal training and advancement opportunities
Culture: A supportive, team‑based work environment
How We Measure Success
Quality claim handling – thorough investigations, strong documentation, well‑supported decisions
Compliance & audit performance – adherence to jurisdictional and client standards
Timeliness & accuracy – purposeful file movement and dependable execution
Client partnership – proactive communication and strong follow‑through
Professional judgment – owning outcomes and solving problems with integrity
Cultural alignment – believing every claim represents a real person and acting accordingly
Equal Employment Opportunity & EEO
CCMSI is an affirmative action / equal employment opportunity employer. We comply with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks are conducted only after a conditional offer of employment. CCMSI does not provide visa sponsorship for this position. CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. If you need assistance or accommodation, please contact our team.
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Position Title:
Workers' Compensation Claim Representative I
Location:
Danville, IL (hybrid preferred, remote possible)
Schedule:
8:00 am-4:30 pm CT
Compensation:
$60,000-$85,000
At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem‑solving, and an unwavering commitment to their success. We don’t just process claims—we support people. As the largest privately owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work®, and our employee‑owners are empowered to grow, collaborate, and make meaningful contributions every day.
Job Summary
The Workers' Compensation Claim Representative I is responsible for the investigation and adjustment of assigned workers compensation claims. This position may be used as an advanced training position for future consideration for promotion to a Work Comp Claim Rep II or more senior level claim position. Accountable for the quality of claim services as perceived by CCMSI clients and within our corporate claim standards.
Responsibilities
When we hire adjusters at CCMSI, we look for professionals who understand that every claim represents a real person’s livelihood, take ownership of outcomes, and see challenges as opportunities to solve problems.
Investigate and adjust workers compensation claims in accordance with established claims handling procedures using CCMSI guidelines and direct supervision.
Review medical, legal and miscellaneous invoices to determine if reasonable and related to the ongoing workers compensation claims. Negotiate any disputed bills for resolution.
Authorize and make payment of workers compensation claims utilizing a claim payment program in accordance with industry standards and within settlement authority.
Negotiate settlements with claimants and attorneys in accordance with client’s authorization.
Assist in selection and supervision of defense attorneys.
Assess and monitor subrogation claims for resolution.
Prepare reports detailing claims, payments and reserves.
Provide reports and monitor files, as required by excess insurers.
Compliance with Service Commitments as established by team.
Delivery of quality claim service to clients.
Qualifications
What You’ll Bring
3+ years of Workers’ Compensation claims experience or related insurance industry experience.
Strong organizational skills with the ability to prioritize and manage multiple tasks independently.
Effective verbal and written communication skills for interaction with internal teams, clients, and external partners.
Ability to work collaboratively in a fast‑paced, changing environment while maintaining accuracy and confidentiality.
Reliable and predictable attendance during established hours.
Proficiency with Microsoft Office applications (Word, Excel, Outlook).
Active adjuster license in KY, MI or TX preferred or ability to obtain required licensing within 60 days of hire, if applicable.
Experience supporting IL, IN, IA, MI, MO, KS, NE, MI, KY Workers’ Compensation claims.
Nice to Have
Associate’s degree or higher, or related insurance industry experience.
Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required.
Why You’ll Love Working Here
4 weeks PTO + 10 paid holidays in your first year
Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance
Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP)
Career growth: Internal training and advancement opportunities
Culture: A supportive, team‑based work environment
How We Measure Success
Quality claim handling – thorough investigations, strong documentation, well‑supported decisions
Compliance & audit performance – adherence to jurisdictional and client standards
Timeliness & accuracy – purposeful file movement and dependable execution
Client partnership – proactive communication and strong follow‑through
Professional judgment – owning outcomes and solving problems with integrity
Cultural alignment – believing every claim represents a real person and acting accordingly
Equal Employment Opportunity & EEO
CCMSI is an affirmative action / equal employment opportunity employer. We comply with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks are conducted only after a conditional offer of employment. CCMSI does not provide visa sponsorship for this position. CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. If you need assistance or accommodation, please contact our team.
#J-18808-Ljbffr