Workers' Compensation Claim Consultant

Ccmsi • Scottsdale, AZ

1d • Hybrid

About The Position

We are seeking an experienced and highly skilled Workers’ Compensation Claim Consultant with experience in multiple states, to manage a complex portfolio of claims with confidence, empathy, and sound professional judgment. With 5+ years of hands‑on claims experience, you will lead thorough investigations, guide claim strategy, and ensure fair, timely resolutions. Supporting a single dedicated client account , you will serve as a trusted claims partner, developing deep expertise in the client's operations and delivering a personalized, high-touch claims experience. This role also offers a strong development pathway for advancement into more senior claim positions. As a Claim Consultant, you will play a key role in delivering exceptional service to CCMSI clients and upholding our high standards of quality and responsiveness. This is a full life‑cycle WC adjuster position within a TPA environment, and only candidates with proven Workers’ Compensation claims experience will be considered.

Requirements

• Five or more years of Workers’ Compensation claims experience.
• Proficiency with Microsoft Office products, including Word, Excel, and Outlook.
• Arizona adjuster’s or home license is required.

Nice To Haves

• Experience in multiple states is a bonus!
• Bachelor’s degree is preferred but not required.
• Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required.
• Previous experience handling waste management accounts is preferred.

Responsibilities

• Investigate, evaluate, and manage workers’ compensation claims in compliance with state regulations and company standards.
• Establish reserves, authorize payments, and negotiate settlements within authority levels.
• Coordinate with attorneys, medical providers, case managers, and other vendors to drive claim resolution.
• Monitor claim progress, maintain accurate documentation, and provide timely claim status reports.
• Identify and pursue subrogation opportunities when appropriate.
• Communicate effectively with clients, claimants, and other stakeholders throughout the claim lifecycle.
• Handle complex claims with minimal supervision while maintaining compliance with client-specific handling instructions and corporate standards.
• Participate in claim reviews, hearings, mediations, training sessions, and client meetings as needed.

Benefits

• 4 weeks (Paid time off that accrues throughout the year in accordance with company policy)
• 10 paid holidays in your first year
• Medical, Dental, Vision, Life, and Disability Insurance
• 401(k) and Employee Stock Ownership Plan (ESOP)
• Internal training and advancement opportunities

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree