Paid Training-Entry Level-WC Claim Associate I LevelUP

Ccmsi-posted 9 months ago
$23 - $60,000/Yr
Full-time • Entry Level
Danville, IL
Insurance Carriers and Related Activities
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The Workers' Compensation Claim Associate I LevelUP position within CCMSI's innovative Career Pathways Program is designed to fast-track individuals into the insurance industry. This structured 12-month program is ideal for career-minded college students or mid-career professionals seeking a fresh start. Participants will receive comprehensive training to develop the skills necessary to thrive as Workers' Compensation Adjusters. The program includes investigating and evaluating contested medical-only claims and handling non-litigated indemnity cases under supervision, with opportunities for advancement to Claim Associate II and Claim Representative I. CCMSI is committed to employee growth and offers a supportive environment for success.

  • Investigate, evaluate and adjust medical only claims, contested medical-only claims and handle a maximum of 30 indemnity claims under direct supervision.
  • Establish reserves and/or provide reserve recommendations within established authority levels under direct supervision.
  • Set up designated claim files and complete all set up instructions, as requested.
  • Set up independent medical exams as deemed necessary under direct supervision.
  • Request and monitor medical treatment of designated claims in accordance with corporate claim standards.
  • Review and approve related medical, legal, damage estimates and miscellaneous invoices on designated claims.
  • Negotiate any disputed bills/invoices for resolution under direct supervision.
  • Make referrals to outside vendors on designated cases under direct supervision.
  • Coordinate communication with clients, claimants and other appropriate parties throughout the claim adjustment process.
  • Authorize and make payments on claims utilizing a claim payment program in accordance with industry standards.
  • Compute disability rates in accordance with state laws under direct supervision.
  • Summarize all correspondence and medical records in claim log notes.
  • Review and maintain personal diary on claim system.
  • Provide technical and clerical claims support to designated clients, as requested.
  • Comply with corporate claim standards and special client handling instructions.
  • Act as a back-up to designated adjusters when needed.
  • Perform other duties as assigned.
  • Possess a long-term career goal to work in insurance as an adjuster.
  • Excellent oral and written communication skills.
  • Self-starter with strong organizational abilities.
  • Demonstrated independent critical thinking skills.
  • Ability to coordinate and prioritize tasks with exceptional time management.
  • Ability to operate general office equipment and perform clerical duties.
  • Flexibility, initiative, and ability to work with minimal supervision.
  • Discretion and confidentiality required.
  • Ability to work as a team member in a rapidly changing environment.
  • Reliable, predictable attendance within client service hours.
  • Associate's degree or two years related business experience preferred.
  • Knowledge of medical terminology preferred.
  • Commitment and willingness to learn roles with increasing decision-making authority.
  • 4 weeks paid time off in the first year.
  • 10 paid holidays.
  • Medical, Dental, Vision, Life Insurance.
  • Critical Illness, Short and Long Term Disability.
  • 401K and ESOP.
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