Workers' Compensation Claim Supervisor Technical

Ccmsi • Maitland, FL

2d • 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 Supervisor, Technical position is responsible for the supervision and oversight, investigation, adjustment, supervision of assigned workers’ compensation claims. This position may be used as an advanced training position for consideration for promotion to a management position. Accountable for the quality of workers’ compensation claim services as perceived by CCMSI clients and within our Corporate Claim Standards.

Requirements

• Excellent oral and written communication skills.
• Initiative to set and achieve performance goals.
• Good analytic and negotiation skills.
• Ability to cope with job pressures in a constantly changing environment.
• Knowledge of all lower-level claim position responsibilities.
• Must be detail oriented and a self-starter with strong organizational abilities.
• Ability to coordinate and prioritize required.
• Flexibility, accuracy, initiative and the ability to work with minimum supervision.
• Discretion and confidentiality required.
• Reliable, predictable attendance within client service hours for the performance of this position.
• Responsive to internal and external client needs.
• Ability to clearly communicate verbally and/or in writing both internally and externally.
• Seven (7) years of claim experience is required.
• NC focus, some SC, VA, GA, and ability to learn other jurisdictions.
• Proficient with Microsoft Office programs.

Nice To Haves

• Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required.
• Bachelor’s Degree is preferred.
• AIC preferred.
• Adjuster’s license may be required based upon jurisdiction.

Responsibilities

• Review, assign and provide supervision of all workers’ compensation claim activity for designated claims to ensure compliance with Corporate Claim Standards, client specific handling instructions and in accordance with applicable laws and State licensure requirements.
• Investigate, evaluate and adjust assigned workers’ compensation claims in accordance with established claim management standards and laws.
• Reserve establishment and/or oversight of reserves for designated claims within established reserve authority levels.
• Provide oversight of medical and miscellaneous invoices to determine if reasonable and related to the designated claim.
• Negotiate any disputed bills or invoices for resolution.
• Authorize and make payments of workers’ compensation claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within established payment authority.
• Direct handling of designated complex claims.
• Supervision of all claim activity for specified accounts.
• Compliance with Corporate Claim Handling Standards and special client handling instructions as established.
• Act as a Workers’ Compensation subject matter expert to highly involved dedicated client group.
• Attend meetings and provide guidance and feedback on the Workers’ Compensation process.
• Extremely high degree of customer service and consultative nature is required.

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)

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level