Workers’ Compensation Claim Specialist

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 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.

When we hire adjusters at CCMSI, we look for professionals who understand that every claim represents a real person’s livelihood, take ownership of outcomes, and see challenges as opportunities to solve problems.

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  Investigate, evaluate, and adjust assigned workers’ compensation claims in accordance with jurisdictional laws and company best practices.

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  Establish, review, and maintain appropriate reserves within established authority levels.

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  Review, approve, or negotiate medical, legal, and miscellaneous invoices to ensure accuracy and cost-effectiveness.

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  Authorize and issue claim payments per corporate and client procedures.

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  Negotiate claim settlements within corporate standards, client handling instructions, and applicable state laws.

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  Coordinate and supervise outside vendor activities (e.g., legal, case management, surveillance).

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  Evaluate subrogation opportunities and oversee recovery efforts.

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  Prepare detailed status reports on claim activity, payments, and reserves as requested.

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  Communicate effectively with clients, claimants, and other involved parties throughout the claims process.

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  Attend hearings, mediations, and conferences as required.

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  Maintain diary notes, documentation, and reports in accordance with compliance and audit standards.

• 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).

• 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.

• 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

At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by: 

• Quality claim handling – thorough investigations, strong documentation, well-supported decisions• Compliance & audit performance – adherence to jurisdictional and client standards• Timeliness & accuracy – purposeful file movement and dependable execution• Client partnership – proactive communication and strong follow-through• Professional judgment – owning outcomes and solving problems with integrity• Cultural alignment – believing every claim represents a real person and acting accordingly 

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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