Claim specialist Jobs in Orlando, FL

Overview

Position Title : Workers' Compensation Claim Supervisor

Location : Hybrid- Maitland, FL

Hours : Monday - Friday, 8 : 00 AM to 4 : 30 PM ET

Salary Range : $87,500-$100,000

CCMSI is Hiring! We’re looking for an experienced Workers' Compensation Claim Supervisor to join our team. This role is hybrid, reporting to our Maitland, FL office.

At CCMSI, we are employee-owned and committed to providing exceptional service. We offer manageable caseloads, extensive career development, and industry-leading benefits.

Why Join CCMSI?

Work-Life Balance – Enjoy 4 weeks of PTO in your first year + 10 paid holidays ✅ Comprehensive Benefits – Medical, Dental, Vision, 401K, ESOP & more✅ Career Growth – Structured training programs with opportunities for advancement✅ Supportive Culture – Work in an environment where your expertise is valued

About The Role :

The Workers' Compensation Claim Supervisor is responsible for the investigation, adjustment and supervision of assigned claims.  This position may be used as an advanced training position for consideration for promotion to a management position. Is accountable for the quality of claim services as perceived by CCMSI clients and within our Corporate Claim Standards.

Responsibilities

• Review, assign and provide supervision of all claim activity for designated claims to ensure compliance with Corporate Claim Standards, client specific handling instructions and in accordance with applicable laws.
• Investigate, evaluate and adjust assigned claims in accordance with established claim handling standards and laws.
• Reserve establishment and / or oversight of reserves for designated claims within established reserve authority levels.
• 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 designated claim staff in the selection, referral and supervision of designated claim files sent to outside vendors. (i.e. legal, surveillance, case management, etc.)
• Direct handling of designated litigated and complex claims.
• Provide education, training and assist in the development of claim staff.
• Review and maintain personal diary on claim system.
• Supervision of all claim activity for specified accounts.
• Compliance with Corporate Claim Handling Standards and special client handling instructions as established.
• 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.

Education and / or Experience

10 + years claim experience is required.

Three years supervisory experiences preferred.

Bachelor Degree is preferred.

Computer Skills

Proficient in Microsoft Office products such as Word, Excel, Outlook, etc.

Certificates, Licenses, Registrations

FL Adjusters license required.

AIC, CPCU, or ARM preferred

CORE VALUES & PRINCIPLES

Responsible 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 benefits package, including Medical, Dental, Vision, Prescription Drug, Life, ESOP, 401K, Flexible Spending, and more. CCMSI conducts background checks in accordance with applicable federal, state, and local laws.

Salary Disclaimer :

The posted salary range reflects the anticipated base pay for this role. Actual pay will depend on factors such as qualifications, experience, location, and internal equity. Additional compensation may include bonuses, benefits, or other forms of pay. This range complies with state and local transparency laws. Please discuss any questions about compensation or benefits with our hiring team.

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