CCMSI · 1 day ago
Workers' Compensation Claim Specialist (CO)
Greenwood Village, CO
Full-time
Hybrid
Mid Level
$60K/yr - $98K/yrCCMSI is a leading Third Party Administrator that partners with global clients to tackle complex risk management challenges. The Workers' Compensation Claim Specialist will investigate and adjust claims while ensuring compliance with corporate standards and client expectations.
Financial ServicesInsuranceRetail
No H1B
Responsibilities
Investigate, evaluate and adjust claims in accordance with established claim handling standards and laws
Establish reserves and/or provide reserve recommendations within established reserve authority levels
Review, approve or provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated claims. Negotiate any disputed bills or invoices for resolution
Authorize and make payments of claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within established payment authority
Negotiate settlements in accordance within Corporate Claim Standards, client specific handling instructions and state laws, when appropriate
Assist in the selection, referral and supervision of designated claim files sent to outside vendors. (i.e. legal, surveillance, case management, etc.)
Review and maintain personal diary on claim system
Assess and monitor subrogation claims for resolution
Compute disability rates in accordance with state laws
Effective and timely coordination of communication with clients, claimants and other appropriate parties throughout the claim adjustment process
Provide notices of qualifying claims to excess/reinsurance carriers
Compliance with Corporate Claim Handling Standards and special client handling instructions as established
Qualification
Required
Demonstrated knowledge of workers' compensation claim handling, including indemnity claims
Experience managing multiple client accounts across varied industries
Colorado workers' compensation claim experience
Strong analytical, organizational, and problem-solving skills with consistent attention to detail
Ability to manage competing priorities in a fast-paced claims environment
Excellent written and verbal communication skills with internal and external stakeholders
Strong customer service orientation with a commitment to accurate, compliant claim outcomes
Reliable, predictable attendance during established client service hours
Preferred
Experience handling claims in Utah
Professional designations such as AIC, ARM, or CPCU
Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required
Benefits
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
Company
CCMSI
CCMSI is a third-party administrator for workers' compensation and property/casualty self-insurance programs.
Founded in 1978
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
G
G. Bryan G. Bryan Thomas
President/CEO
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