CCMSI · 15 hours ago
Workers’ Compensation Claim Adjuster I (Hybrid)
Albuquerque, NM
Full-time
Hybrid
Mid Level
$55K/yr - $65K/yr
3+ years expCCMSI is a leading Third Party Administrator that specializes in risk management and claims solutions. The Workers’ Compensation Claim Representative I is responsible for investigating and adjusting workers’ compensation claims in New Mexico, ensuring compliance with state regulations and company standards while managing claims from start to finish.
Financial ServicesInsuranceRetail
No H1B
Responsibilities
Investigate and adjust workers’ compensation claims in accordance with NM WC laws and CCMSI guidelines under direct supervision
Review medical, legal, and miscellaneous invoices; negotiate disputed bills when necessary
Authorize and process claim payments within settlement authority
Negotiate settlements with claimants and attorneys in compliance with NM WC statutes and client authorization
Assist in selecting and supervising defense attorneys
Monitor subrogation claims for resolution
Prepare reports detailing claims, payments, and reserves
Ensure compliance with service commitments and delivery of quality claim service to clients
Qualification
Required
3+ years of Workers' Compensation claims experience or related insurance industry experience
Strong organizational skills with the ability to manage multiple tasks independently
Effective verbal and written communication skills for interaction with internal teams, clients, and external partners
Proficiency with Microsoft Office applications (Word, Excel, Outlook)
Active NM adjuster license or ability to obtain within required timeframe
Reliable and predictable attendance during established hours
Preferred
Associate's degree or higher, or equivalent insurance experience
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.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
G
G. Bryan G. Bryan Thomas
President/CEO
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