Workers’ Compensation Claims Adjuster (TX License Required)

Ccmsi•Dallas, TX

26d•Hybrid

About The Position

Build Your Career With Purpose at CCMSI. 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 are seeking an experienced and highly skilled Workers’ Compensation Claim Consultant 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. The Workers’ Compensation Claim Consultant is responsible for the investigation, evaluation, and adjustment of assigned workers’ compensation claims within the state of Texas, managing claims across a multiple account desk and ensuring compliance with Texas jurisdictional requirements. As a Claim Consultant, you will play a key role in delivering exceptional service to CCMSI clients, upholding our high standards of quality and responsiveness, and positioning yourself for advancement into more senior claim roles. 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

Active Texas Workers’ Compensation Adjuster License
5+ years of experience handling Texas workers’ compensation claims end-to-end
Strong knowledge of Texas jurisdictional requirements and regulatory compliance
Excellent customer service, time management, and organizational skills
Strong written and verbal communication skills
Ability to prioritize and manage multiple claims across accounts
Ability to work independently with minimal direct supervision
Proficiency with Microsoft Office applications

Nice To Haves

Bilingual (Spanish) proficiency is not required but highly desired
Experience working in a Third Party Administrator (TPA) environment is helpful
Experience managing multiple account desks

Responsibilities

Investigate and adjust Texas workers’ compensation claims in accordance with CCMSI claim handling standards and state regulatory guidelines
Manage claims from intake through resolution, including compensability determination, benefit administration, and claim closure
Maintain a multiple account desk, balancing varying client expectations and service commitments
Evaluate medical treatment plans and coordinate with providers to ensure appropriate care and cost containment
Establish and manage reserves in accordance with claim exposure and corporate guidelines
Communicate regularly with injured employees, employers, attorneys, and medical providers
Identify and pursue subrogation opportunities where applicable
Prepare detailed reports on claim status, payments, and reserve activity
Ensure timely statutory filings and compliance with Texas workers’ compensation regulations
Maintain accurate documentation, diary management, and adherence to service standards
Deliver consistent, high-quality service to internal and external clients

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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