Claim Associate

 

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 a detail-oriented and customer-focused Claim Assistant to provide administrative and clerical support to claim personnel and other team members. In this role, you will help ensure the timely and accurate handling of claim-related documentation, correspondence, and data entry while supporting the delivery of exceptional service to our clients. The ideal candidate is proficient with computers and office software, possesses strong written and verbal communication skills, and thrives in a collaborative team environment. This position offers an excellent opportunity for professional development and career growth within the claims industry. Success in this role includes maintaining high standards of quality, professionalism, and customer service consistent with CCMSI's Corporate Claim Standards and client expectations.

 

 

• →Establish and maintain assigned claim files, ensuring all required setup activities and documentation are completed accurately and timely.
• →Review, summarize, and document correspondence and medical records in claim notes while ensuring records are properly filed within the appropriate claim file.
• →Coordinate referrals to external vendors on designated claims under the guidance and direction of claims staff.
• →Prepare, copy, scan, and distribute claim-related documents as needed to support claim operations.
• →Respond to healthcare provider inquiries and communications as directed, delivering professional and timely customer service.
• →Monitor and follow up on outstanding bills, invoices, and related claim documentation.
• →Process and release approved claim payments in accordance with established procedures and authorization guidelines.
• →Provide backup support for front desk reception duties and incoming/outgoing mail processing as needed.
• →Support claims personnel with administrative, clerical, and customer service tasks to ensure efficient department operations.

• Strong organizational skills and the ability to manage tasks in a fast‑paced office environment.
• Knowledge of medical terminology preferred.
• Comfort handling high‑volume clerical work with accuracy and attention to detail.
• Excellent verbal and written communication skills.
• Reliability, initiative, and the ability to work with minimal direct supervision.
• Commitment to confidentiality and professionalism.
• Strong teamwork and customer service mindset.
• Reliable, predictable attendance during business hours.
• Proficiency with Microsoft Office (Word, Excel, Outlook).

• Bilingual in English and Spanish.

  — highly valued for communicating with claimants, employers, or vendors, but not required.

• Experience supporting a high‑volume claims desk.
• Associate degree or two years of related business/office experience.

 

• 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

 

At CCMSI, great Claim Assistants stand out through accuracy, responsiveness, and strong operational support. We measure success by:

• Quality file support – precise claim setup, clean documentation, and reliable coordination
• Workflow dependability – timely processing of tasks, diary items, and document queues
• Accuracy & attention to detail – correct coding, proper routing, and consistent data integrity
• Team collaboration – proactive communication and effective support for a busy claims team
• Professional ownership – taking initiative, following through, and solving problems with care
• Cultural alignment – understanding that every task supports real people and real outcomes

This is where we shine, and we hire Claim Assistants who want to shine with us.

 

 

At CCMSI, we believe in doing what’s right—for our clients, our coworkers, and ourselves. We look for team members who:

 

• Lead with transparency We build trust by being open and listening intently in every interaction.
• Perform with integrity We choose the right path, even when it is hard.
• Chase excellence We set the bar high and measure our success. What gets measured gets done.
• Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own.
• Win together Our greatest victories come when our clients succeed. 

 

 

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