Workers’ Compensation Claim Adjuster I (Hybrid)

Ccmsi•Albuquerque, NM

13d•$55,000 - $65,000•Hybrid

About The Position

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 claims—we 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 Representative I is responsible for investigating and adjusting assigned workers’ compensation claims in New Mexico . This role is ideal for professionals looking to grow into more senior-level claim positions. You’ll manage claims from start to finish, ensuring compliance with NM Workers’ Compensation regulations and CCMSI standards. When we hire adjusters at CCMSI, we look for professionals who understand that every claim represents a real person’s livelihood, take ownership of outcomes, and see challenges as opportunities to solve problems.

Requirements

3+ years of Workers’ Compensation claims experience or related insurance industry experience.
Strong organizational skills with the ability to manage multiple tasks independently.
Effective verbal and written communication skills for interaction with internal teams, clients, and external partners.
Proficiency with Microsoft Office applications (Word, Excel, Outlook).
Active NM adjuster license or ability to obtain within required timeframe.
Reliable and predictable attendance during established hours.

Nice To Haves

Associate’s degree or higher, or equivalent insurance experience.
Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required.

Responsibilities

Investigate and adjust workers’ compensation claims in accordance with NM WC laws and CCMSI guidelines under direct supervision.
Review medical, legal, and miscellaneous invoices; negotiate disputed bills when necessary.
Authorize and process claim payments within settlement authority.
Negotiate settlements with claimants and attorneys in compliance with NM WC statutes and client authorization.
Assist in selecting and supervising defense attorneys.
Monitor subrogation claims for resolution.
Prepare reports detailing claims, payments, and reserves.
Ensure compliance with service commitments and delivery of quality claim service to clients.

Benefits

4 weeks PTO + 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

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