Workers’ Compensation Claims Adjuster – Mid to Senior Level (Hybrid, Phoenix AZ)

CCMSI • Phoenix, AZ

141d • $65,000 - $90,000

About The Position

We are seeking an experienced Workers’ Compensation Claim Consultant or Specialist to join our Phoenix, AZ team. This position supports a single dedicated client account – a municipality – and is responsible for investigating, evaluating, and resolving workers’ compensation claims. The role begins with in-office training (up to six months), transitioning to a hybrid schedule of one day in office per week. Title and salary will be based on experience and demonstrated expertise. Please note: This is a claims adjuster position responsible for investigating, evaluating, and resolving insurance claims. It is not an HR, risk management, or employer-side role.

Requirements

• Arizona Adjuster License (or ability to obtain within 60 days; employment contingent upon licensure).
• Arizona ICA Adjuster Authorization.
• Previous TPA experience preferred.
• Strong organizational skills and the ability to manage a high-volume desk.
• Excellent written and verbal communication skills.
• Service-minded, dependable, and driven to do what’s right.

Nice To Haves

• Municipality account experience.
• Medical background (terminology, billing/coding, or coverage understanding).
• AIC designation and/or Bachelor’s degree.

Responsibilities

• Investigate and adjust workers’ compensation claims in compliance with CCMSI standards and Arizona state laws.
• Establish reserves and authorize claim payments within authority levels.
• Review and oversee medical, legal, and related invoices; negotiate disputed bills.
• Negotiate settlements in accordance with client handling instructions and state laws.
• Direct and manage outside vendors (legal, surveillance, case management, etc.) as needed.
• Maintain active diary management and handle bill/document queues.
• Coordinate effective and timely communication with clients, claimants, and internal partners.
• Deliver service with integrity, accountability, and responsiveness.

Benefits

• 4 weeks PTO + 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 career advancement opportunities
• A supportive and team-focused work environment

What This Job Offers

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