Workers Compensation Claim Consultant
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. We’re seeking an experienced Workers’ Compensation Claim Consultant to manage a remote, multiple-account desk handling claims in New York and New Jersey . 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.
Requirements
- 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.
Nice To Haves
- Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required.
- Experience handling multi-jurisdictional workers’ comp claims.
- Familiarity with New Jersey workers’ compensation laws.
Responsibilities
- Handle workers’ compensation claims from start to finish in accordance with NY 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.
Benefits
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
