Colorado Workers' Compensation Claims Adjuster (TPA)

Ccmsi • Greenwood Village, CO

1d • Hybrid

About The Position

CCMSI is seeking a Colorado Workers’ Compensation Claim Specialist to manage a dedicated portfolio of claims. The specialist investigates claims, determines compensability, and guides cases toward fair and timely resolution while delivering high-quality service to clients and supporting injured workers. The position can provide a development path toward future supervisory or management roles. The preferred work arrangement is hybrid in Greenwood Village, Colorado, though remote work may be possible for an experienced adjuster. The listed schedule is 8:00 a.m. to 4:30 p.m. PST. The salary range is $75,000 to $95,000, depending on experience; the role may also qualify for bonuses or other forms of pay. CCMSI is a privately owned third-party administrator and employee-owned company that emphasizes collaborative problem-solving, professional growth, and service to clients and injured workers.

Requirements

• At least 5 years of Colorado workers’ compensation claims-handling experience, including full claim investigation, evaluation, and resolution.
• Experience handling indemnity claims.
• A Colorado adjuster's license is required.
• Ability to be assertive when making claim decisions and managing difficult conversations.
• Ability to balance compassion and empathy with sound claim-management practices.
• Responsiveness and excellent communication skills with internal and external clients.
• Strong analytical and negotiation abilities.
• Knowledge of responsibilities associated with lower-level claim positions.

Nice To Haves

• Experience handling Utah claims.
• Bilingual Spanish proficiency; valued for communicating with claimants, employers, or vendors, but not required.
• Bachelor’s degree; preferred but not required.
• Professional designations such as AIC.

Responsibilities

• Investigate, evaluate, and adjust claims in accordance with claim-handling standards and applicable laws.
• Establish reserves or provide reserve recommendations within established authority levels.
• Review, approve, or oversee medical, legal, damage-estimate, and miscellaneous invoices to determine whether they are reasonable and related to the claims.
• Negotiate disputed bills or invoices toward resolution.
• Authorize and make claim payments according to procedures, industry standards, and established payment authority.
• Negotiate settlements in accordance with corporate claim standards, client instructions, and state laws, when appropriate.
• Assist with selecting, referring, and supervising claim files assigned to outside vendors, such as legal, surveillance, and case-management vendors.
• Review and maintain a personal diary in the claim system.
• Assess and monitor subrogation claims for resolution.
• Compute disability rates in accordance with state laws.
• Coordinate timely and effective communication with clients, claimants, and other appropriate parties throughout the claim adjustment process.
• Provide notices of qualifying claims to excess or reinsurance carriers.
• Comply with corporate claim-handling standards and special client handling instructions.

Benefits

• Four weeks of paid time off, accruing throughout the year in accordance with company policy.
• 10 paid holidays in the first year.
• Medical insurance.
• Dental insurance.
• Vision insurance.
• Life insurance.
• Disability insurance.
• 401(k) retirement plan.
• Employee Stock Ownership Plan (ESOP).
• Internal training and advancement opportunities.
• Supportive, team-based work environment.
• Potential eligibility for bonuses or additional forms of pay.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed