Workers’ Compensation Claim Specialist

Ccmsi • Jackson, MS

1d • Hybrid

About The Position

The Workers’ Compensation Claim Specialist is responsible for the investigation and adjustment of lost-time workers’ compensation claims for multiple accounts across the Alabama and Mississippi jurisdictions. This position serves as a key contributor to client satisfaction and compliance, ensuring claims are handled promptly, accurately, and in alignment with CCMSI’s claim-handling standards. The role may also serve as an advanced training opportunity for future senior-level claim positions. Hybrid work is available following initial onboarding, with minimal travel for client claim reviews as needed. This is a true insurance claims adjusting role, not an HR, benefits, safety, consulting, or administrative position. Candidates must have direct experience investigating, evaluating, reserving, negotiating, and resolving claims as an adjuster or adjuster supervisor within a carrier, TPA, or similar claims environment.

Requirements

• Three or more years of workers’ compensation lost-time adjusting experience.
• Valid Alabama and Mississippi Adjuster Licenses (or ability to obtain within 60 days of hire).
• Proficiency in Microsoft Office (Word, Excel, Outlook).

Nice To Haves

• Bachelor’s degree in a related field.
• Experience managing multiple accounts or clients within a TPA or carrier setting.
• Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required.

Responsibilities

• Investigate, evaluate, and adjust assigned workers’ compensation claims in accordance with jurisdictional laws and company best practices.
• Establish, review, and maintain appropriate reserves within established authority levels.
• Review, approve, or negotiate medical, legal, and miscellaneous invoices to ensure accuracy and cost-effectiveness.
• Authorize and issue claim payments per corporate and client procedures.
• Negotiate claim settlements within corporate standards, client handling instructions, and applicable state laws.
• Coordinate and supervise outside vendor activities (e.g., legal, case management, surveillance).
• Evaluate subrogation opportunities and oversee recovery efforts.
• Prepare detailed status reports on claim activity, payments, and reserves as requested.
• Communicate effectively with clients, claimants, and other involved parties throughout the claims process.
• Attend hearings, mediations, and conferences as required.
• Maintain diary notes, documentation, and reports in accordance with compliance and audit standards.

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

What This Job Offers

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