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CCMSI
Workers' Compensation Claim Supervisor TechnicalCCMSI • Maitland, FL, United States
Workers' Compensation Claim Supervisor Technical

Workers' Compensation Claim Supervisor Technical

CCMSI • Maitland, FL, United States
30+ days ago
Job type
  • Full-time
Job description

Workers' Compensation Claim Supervisor, Technical

Position Title: Workers' Compensation Claim Supervisor, Technical

Location: Maitland, FL

Schedule: 8:00 am-4:30 pm ET

Salary Range: $70,000-$95,000

Build Your Career With Purpose at CCMSI

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 claimswe 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.

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

Responsibilities

Review, assign and provide supervision of all workers' compensation claim activity for designated claims to ensure compliance with Corporate Claim Standards, client specific handling instructions and in accordance with applicable laws and State licensure requirements.

Investigate, evaluate and adjust assigned workers' compensation claims in accordance with established claim management standards and laws.

Reserve establishment and/or oversight of reserves for designated claims within established reserve authority levels.

Provide litigation management oversight, direction and analysis including: attorney identification and selection criteria, litigation planning and budgeting, status reporting, strategic resolution facilitation and overall direction of litigated claim files.

Provide oversight of medical and miscellaneous invoices to determine if reasonable and related to the designated claim. Negotiate any disputed bills or invoices for resolution.

Authorize and make payments of workers' compensation claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within established payment authority.

Direct handling of designated complex claims.

Supervision of all claim activity for specified accounts.

Compliance with Corporate Claim Handling Standards and special client handling instructions as established.

Act as a Workers' Compensation subject matter expert to highly involved dedicated client group. Attend meetings and provide guidance and feedback on the Workers' Compensation process.

Extremely high degree of customer service and consultative nature is required.

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. Initiative to set and achieve performance goals. Good analytic and negotiation skills. Ability to cope with job pressures in a constantly changing environment. Knowledge of all lower-level claim position responsibilities. Must be detail oriented and a self-starter with strong organizational abilities. Ability to coordinate and prioritize required. Flexibility, accuracy, initiative and the ability to work with minimum supervision. Discretion and confidentiality required.

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 Experience: Seven (7) years of claim experience is required. Bachelor's Degree is preferred. NC focus, some SC, VA, GA, and ability to learn other jurisdictions.

Nice to Have:

Bilingual (Spanish) proficiency highly valued for communicating with claimants, employers, or vendors, but not required.

Proficient with Microsoft Office programs.

Adjuster's license may be required based upon jurisdiction. AIC preferred.

Why You'll Love Working Here

4 weeks (Paid time off that accrues throughout the year in accordance with company policy) + 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

At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by:

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

This is where we shine, and we hire adjusters who want to shine with us.

Compensation & Compliance

The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay.

CCMSI offers comprehensive benefits including medical, dental, vision, life, and disability insurance. Paid time off accrues throughout the year in accordance with company policy, with paid holidays and eligibility for retirement programs in accordance with plan documents.

CCMSI posts internal career opportunities in compliance with applicable state and local promotion transparency laws.

Visa Sponsorship: CCMSI does not provide visa sponsorship for this position.

ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process.

Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations.

Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws.

Our Core Values

At CCMSI, we believe in doing what's rightfor our clients, our coworkers, and ourselves. We look for team members who:

Lead with transparency We build trust by being open and listening intently in every interaction.

Perform with integrity We choose the right path, even when it is hard.

Chase excellence We set the bar high and measure our success. What gets measured gets done.

Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own.

Win together Our greatest victories come when our clients succeed.

We don't just work togetherwe grow together. If that sounds like your kind of workplace, we'd love to meet you.

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Workers' Compensation Claim Supervisor Technical • Maitland, FL, United States

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