Workers' Compensation Claim Adjuster I (Hybrid)
Company: Ccmsi
Location: Reno
Posted on: May 2, 2024
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Job Description:
Overview: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.Reasons you should consider a career with CCMSI:Culture:
Our Core Values are embedded into our culture of how we treat our
employees as a valued partner-with integrity, passion and
enthusiasm.Career development: CCMSI offers robust internships and
internal training programs for advancement within our
organization.Benefits: Not only do our benefits include 4 weeks
paid time off in your first year, plus 10 paid holidays, but they
also include Medical, Dental, Vision, Life Insurance, Critical
Illness, Short and Long Term Disability, 401K, and ESOP.Work
Environment: We believe in providing an environment where employees
enjoy coming to work every day, are provided the resources needed
to perform their job and claims staff are assigned manageable
caseloads.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.This position will
start off in the office and will be hybrid after probationary
period.Responsibilities: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.Performs other
duties as assigned.Qualifications: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.Excellent oral and written
communication skills.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.Ability to clearly communicate verbally
and/or in writing both internally and externally.Education and/or
Experience1 or more years of workers compensation claim experience
or other related industry experience is required.Computer
SkillsProficient using Microsoft Office programs such as: Word,
Excel, Outlook, etc.Certificates, Licenses, RegistrationsAdjuster's
license preferred, but not required.Physical DemandsThe physical
demands described here are representative of those that must be met
by an employee to successfully perform the essential functions of
this job. Reasonable accommodations may be made to enable
individuals with disabilities to perform the essential
functions.Work requires the ability to sit or stand up to 7.5 or
more hours at a time.Work requires sufficient auditory and visual
acuity to interact with others.CORE VALUES & PRINCIPLESResponsible
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.CCMSI is an Affirmative Action / Equal
Employment Opportunity employer offering an excellent benefit
package including Medical, Dental, Prescription Drug, Vision,
Flexible Spending, Life, ESOP and 401K.by Jobble
Keywords: Ccmsi, Carson City , Workers' Compensation Claim Adjuster I (Hybrid), Other , Reno, Nevada
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