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Workers Compensation Claim Adjuster

Role overview

Summary

This role is for a Workers’ Compensation Claim Consultant at CCMSI, focusing on managing claims for multiple accounts in the northeast region. You will work remotely, collaborating with a supportive team to ensure proactive claims management and outstanding service.

Qualifications

  • 5+ years of experience adjusting New York Workers’ Compensation claims.
  • New York Adjuster’s License (must be active).
  • In-depth knowledge of New York Workers’ Compensation law.
  • Proficiency in Microsoft Office (Word, Excel, Outlook).
  • Strong organization and communication skills.

Responsibilities

  • Handle workers’ compensation claims from start to finish in accordance with NY, NJ, PA, DE, MD laws and client-specific guidelines.
  • Manage a varied caseload across multiple accounts and industries.
  • Review and process payments, settlements, and medical/legal bills.
  • Collaborate with attorneys, vendors, and case managers to move claims forward.

Key facts

Hard skills

Other skills

  • Microsoft Office
  • Communication

About the company

CCMSI logo

CCMSI

  • Insurance
  • 1,001–5,000
CCMSI is a leading third-party administrator for workers'​ compensation and property/casualty self-insurance programs. Since 1978, we've successfully administered and provided claim services to individual and group clients, nationwide. Our approach to claims management includes providing sound technical resources, strategic insight, efficient and accessible computer systems, cost containment practices, and the seamless administration of your losses. Our adjuster turnover rate is less than 3%. This is crucial in establishing continuity between your primary contacts and the adjustment staff. Company Homepage: www.ccmsi.com View Job Postings: https://careers-ccmsi.icims.com

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Job description

Overview:

Position Title: Workers’ Compensation Claim Consultant 

Location: Remote (Reporting to Wall Township, NJ)
Schedule: Monday – Friday | 8:00 AM – 4:30 PM EST
Salary Range: $68,500 – $83,000

Join a Company That Invests in You

At CCMSI, we’re proud to be one of the nation’s largest employee-owned Third Party Administrators, specializing in self-insurance services. As a certified Great Place to Work, we offer more than a job—we offer a career path in a culture built on integrity, innovation, and collaboration.

About the Role

We’re seeking an experienced Workers’ Compensation Claim Consultant to manage a remote, multiple-account desk handling claims in the north east region. May include: New York, New Jersey, Pennsylvania, Delaware, and Maryland. This role focuses on proactive claims management with no travel required, a structured workday, and the opportunity to work with a supportive and experienced team.

Responsibilities:

What You’ll Do

  • Handle workers’ compensation claims from start to finish in accordance with NY, NJ, PA, DE, MD laws and client-specific guidelines.

  • Manage a varied caseload across multiple accounts and industries.

  • Set and recommend reserves within authority levels.

  • Review and process payments, settlements, and medical/legal bills.

  • Collaborate with attorneys, vendors, and case managers to move claims forward.

  • Prepare timely reports on claim status, reserves, and payments.

  • Represent CCMSI at hearings, mediations, and legal proceedings as needed (virtually).

  • Provide outstanding service that meets our internal standards and exceeds client expectations.

Qualifications:

What You Bring

Required:

  • 5+ years of experience adjusting New York Workers’ Compensation claims.

  • New York Adjuster’s License (must be active).

  • In-depth knowledge of New York Workers’ Compensation law.

  • Proficiency in Microsoft Office (Word, Excel, Outlook).

  • Strong organization and communication skills.

Preferred:

  • Experience handling multi-jurisdictional workers’ comp claims.

  • Familiarity with New Jersey workers’ compensation laws.

Why You’ll Love Working at CCMSI

✅ Employee-Owned: Share in our success through our ESOP.
✅ Time Off: 4 weeks of PTO in your first year + 10 paid holidays.
✅ Comprehensive Benefits: Medical, Dental, Vision, Life, Disability, Critical Illness, 401K, and more.
✅ Growth Opportunities: We promote from within and support your career development.
✅ Work-Life Balance: Manageable caseloads, flexible environment, no travel.

Ready to elevate your career with a company that values you?
Apply today and be part of a team where your expertise makes an impact.

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 a comprehensive benefits package, which will be reviewed during the hiring process. Please contact our hiring team with any questions about compensation or benefits.

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. If you need assistance or accommodation, please contact our team.

Equal Opportunity Employer:

CCMSI is an Affirmative Action / Equal Employment Opportunity employer. We comply with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks are conducted only after a conditional offer of employment.

#CCMSICareers #RemoteWork #ClaimConsultant #NYWorkComp #InsuranceCareers #EmployeeOwned #GreatPlaceToWork #JoinOurTeam #TPACareers #WorkLifeBalance #NowHiring #LI-Remote #IND123

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