Claims Management Resources jobs

• Great Work Life Balance! • Quarterly Bonus Opportunities! • Free CEU's for licenses and certificates • License and national certification reimbursement This is a work from home position requiring local field case management travel to cover the Sacramento, California region. RN degree required National Certification such as CCM, CRC, COHN, CRRC preferred Prior Workers Compensation Case Management preferred To provide effective case management services in an appropriate, cost effective manner. Provides medical case management service which is consistent with URAC standards and CMSA Standards of Practice and Broadspire Quality Assurance (QA) Guidelines to patients/employees who are receiving benefits under an Insurance Line including but not limited to Workers' Compensation, Group Health, Liability, Disability, and Care Management. Associate's degree or relevant course work/certification in Nursing is required; BSN Degree is preferred. Minimum of 1-3 years diverse clinical experience and one of the below: Certification as a case manager from the URAC-approved list of certifications (preferred); A registered nurse (RN) license. Must be compliant with state requirements regarding national certifications. General working knowledge of case management practices and ability to quickly learn and apply workers compensation/case management products and services. Excellent oral and written communications skills to effectively facilitate return-to-work solutions within a matrix organization and ensure timely, quality documentation. Excellent analytical and customer service skills to facilitate the resolution of case management problems. Basic computer skills including working knowledge of Microsoft Office products and Lotus Notes. Demonstrated ability to establish collaborative working relationships with claims adjusters, employers, patients, attorneys and all levels of employees. Demonstrated ability to gather and analyze data and establish plans to improve trends, processes, and outcomes. Excellent organizational skills as evidenced by proven ability to handle multiple tasks simultaneously. Demonstrated leadership ability with a basic understanding of supervisory and management principles. Based on federal, state, or local law, this position may require you to be fully vaccinated for COVID-19. Active RN home state licensure in good standing without restrictions with the State Board of Nursing. Must meet specific requirements to provide medical case management services. Minimum of 1 National Certification (CCM, CDMS, CRRN, and COHN) is preferred. If not attained, must plan to take certification exam within proceeding 36 months. National certification must be obtained in order to reach Senior Medical Case Management status. Travel may entail approximately 70% of work time. Must maintain a valid driver's license in state of residence. #LI-KE1 Reviews case records and reports, collects and analyzes data, evaluates injured worker/disabled individual's medical status, identifies needs and obstacles to medical case resolution and RTW by providing proactive case management services. Render opinions regarding case costs, treatment plan, outcome and problem areas, and makes recommendations to facilitate case management goals to include RTW. Demonstrates ability to meet administrative requirements, including productivity, time management and QA standards, with a minimum of supervisory intervention. May perform job site evaluations/summaries to facilitate case management process. Facilitates timely return to work date by establishing a professional working relationship with the injured worker/disabled individual, physician, and employer. Coordinate RTW with injured worker, employer and physicians. Maintains contact and communicates with claims adjusters to apprise them of case activity, case direction or secure authorization for services. Maintains contact with all parties involved on case, necessary for case management the injured worker/disabled individual. May obtain records from the branch claims office. May review files for claims adjusters and supervisors for appropriate referral for case management services. May meet with employers to review active files. Makes referrals for Peer reviews and IME's by obtaining and delivering medical records and diagnostic films, notifying injured worker/disabled individual and conferring with physicians. Utilizes clinical expertise and medical resources to interpret medical records and test results and provides assessment accordingly. May spend approximately 70% of their work time traveling to homes, health care providers, job sites and various offices as required facilitating RTW and resolution of cases. Meets monthly production requirements and quality assessment (QA) requirements to ensure a quality product. Reviews cases with supervisor monthly to evaluate files and obtain directions. Upholds the Crawford and Company Code of Business Conduct at all times. Demonstrates excellent customer service, and respect for customers, co-workers, and management. Independently approaches problem solving by appropriate use of research and resources. May perform other related duties as assigned.

Overview Workers' Compensation Claim Representative I - Remote (CA Jurisdiction, Future Medical / Lien Specialist) Schedule: Monday-Friday, 8:00 AM-4:30 PM PST Salary Range: $60,000-$75,000 annually Reports To: Workers' Compensation Supervisor Accounts: Multiple accounts within the staffing and transportation industries 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. Job Summary We are seeking an experienced Workers' Compensation Claim Representative I to handle California jurisdiction claims with a focus on lien resolution and lifetime medical management. This remote position supports multiple accounts within the staffing and transportation industries and requires an individual who can manage complex medical issues, negotiate lien settlements, and maintain strong compliance with state and client requirements. This role is ideal for someone who enjoys analytical problem-solving, communicating with medical providers and attorneys, and driving claims toward fair and timely resolution. Important - Please Read Before Applying 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. Responsibilities 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. Investigate, evaluate, and adjust workers' compensation claims in accordance with established procedures and California regulations. Negotiate and settle liens with lien claimants, medical providers, and applicant attorneys. Handle future medical/lifetime medical claims, ensuring timely authorization and payment of treatment, services, and prescriptions. Review medical reports, legal correspondence, and billing to determine reasonableness and relatedness to ongoing claims. Coordinate with defense counsel and vendors to resolve complex lien disputes. Maintain current and accurate diary, documentation, and billing records. Ensure compliance with CCMSI standards, client requirements, and jurisdictional timeframes. Deliver exceptional customer service to clients, claimants, and internal partners. Qualifications Required: Minimum 2 years of workers' compensation claim handling experience, with exposure to lien resolution and/or lifetime medical management. SIP certification or Experienced Adjuster designation. Excellent written and verbal communication skills. Strong time management and organizational abilities with attention to detail. Proficiency in Microsoft Office programs (Word, Excel, Outlook). Preferred: Prior experience managing claims within the staffing or transportation industries. Bilingual (Spanish) proficiency - highly valued for communicating with claimants, employers, or vendors, but not required. Why You'll Love Working Here 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 How We Measure Success 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 This is where we shine, and we hire adjusters who want to shine with us. Compensation & Compliance The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations. Our Core Values 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. We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you. #NowHiring #WorkersCompensation #ClaimsAdjuster #LienResolution #RemoteJobs #InsuranceCareers #CaliforniaClaims #CareerGrowth #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #LI-Remote #WorkersComp #WorkersCompensationJobs #WCAdjuster #ClaimsJobs #AdjusterJobs #InsuranceJobs #RemoteAdjuster #CaliforniaJobs #CaliforniaAdjusters #InsuranceProfessionals #RiskManagementJobs #LegalSupportJobs #TPACareers #ClaimsHandling #LienSpecialist #FutureMedicalClaims #RemoteWork #HiringNow #RemoteCareers #JobSearch #LI-Remote We can recommend jobs specifically for you! Click here to get started.

Primary DetailsTime Type: Full time Worker Type: Employee The Opportunity: The purpose of this role is to lead and define IT Service Management (ITSM) processes aligned with the overall IT strategy, driving adoption and compliance while prioritizing enhancements. Ensuring business outcomes through process efficiencies and improvements, managing customer experience, IT Service Desk, incident and request management, and core IT processes are key responsibilities. Additionally, direct supervision of teams leading business critical applications, vendor management, and budget control to ensure operational efficiency and effectiveness of computer operations. •Location: Ramsey, Minnesota, Fargo, North Dakota or Sun Prairie, Wisconsin •Work Arrangement: This role requires 3 days/week in the office •The starting salary range for this role is between $120,000-$180,000 Your New Role: Collaborate with VP, Infrastructure Manager, IT Operations Manager, IT Customer Support Manager with overall strategies, maximizing productivity and performance, while defining and implementing plans, controls, and management information to ensure effective process adherence and continuous improvement. Maintain awareness of technical changes, legislative updates, and industry best practices. Develop and refine IT Service Management (ITSM) processes to meet customer needs and market changes. Lead embedding of ITSM processes within divisions and ensure effectiveness through MI. Build positive relationships with stakeholders to ensure processes deliver business outcomes. Promote a service-oriented culture within teams and third-party suppliers. Manage IT infrastructure expenses, optimizing costs and adhering to budget constraints. Provide leadership, mentoring, and coaching on service management and cost optimization. Support IT teams in cost control, reporting, and procurement policies. Balance operational delivery and risk commitments by identifying emerging, underlying, and accumulating risks across processes and controls. Understand their impact on service recipients and stakeholders, clearly communicate the risk landscape to leaders, and assist in prioritizing resources in response and formalizing, where required, in conjunction with the first line risk team. Work Experience: Necessary Work Experience includes: Significant relevant experience. Preferred Work Experience includes: Experience in computer operations. Qualifications: Necessary Qualifications include: Tertiary Degree or equivalent combination of education and work experience. ITIL V3 foundation certificate must be held, and Expert (or equivalent) within the key processes. Ideally Expert (or equivalent) or Practitioner within one or more processes. QBE, a global insurance leader, is the proud parent company of NAU Country Insurance Company. NAU Country writes in 48 states and has nine locations nationwide. Together, we combine the history, expertise, innovation, and a shared commitment to excellence to provide unparalleled insurance solutions to our customers and communities worldwide. Compensation Package: The salary range for this role is provided above. This is the national range for location(s) listed. The salary offer will be decided based on the role's complexity, its location, and the candidate's professional background, including their education and experience. Beyond the base salary, regular full-time and part-time employees will also be eligible for QBE's annual discretionary bonus plan based on business and individual performance. We encourage all candidates to apply, even if their salary expectations fall outside of this range, as we are committed to finding the right fit for our team. QBE Benefits: We offer a range of benefits to help provide holistic support for your work life, whatever your circumstances. As a QBE employee you will have access to: Hybrid Working - a mix of working from home and in the office 22 weeks of paid leave for family growth, with 12 weeks available to all parents on a gender-equal basis Competitive 401(k) program with company match up to 8% Well-being program including holistic wellbeing coaching, gym membership, confidential counselling, financial and legal advice Tuition Reimbursement for professional certifications, and continuing education Employee Network and Community - QBE actively supports six Employee Networks, and many ways to give back to your community To learn more, click here: Benefits | QBE US. Why QBE? What if you could have a positive impact - at work and in the world? At QBE, we're enabling a more resilient future - for our customers, communities, environment, and for our people. We're building momentum to achieve something significant and know our people are at the center of our success. Our industry offers interesting and varied careers where you can help people to protect what matters most. As part of the QBE team, you'll get to spend every day working with people who are passionate, talented and kind. And our international scale means we're big enough for your ambitions, yet small enough for you to make a real impact. Join us now, so you can be part of our success - and we can be part of yours! *************************************************** Commitment to Diversity QBE is committed to providing reasonable accommodation to, among others, individuals with disabilities and disabled veterans. If you need an accommodation because of a disability to search and apply for a career opportunity with QBE, please inform our Talent Acquisition team to let us know the nature of your accommodation request and your contact information. Equal Employment Opportunity: QBE provides equal employment opportunities to applicants and employees without regard to race; color; gender; gender identity; sexual orientation; religious practices and observances; national origin; pregnancy, childbirth, or related medical conditions; protected veteran status; or disability or any other legally protected status. Supplementary information Skills: Communication, Critical Thinking, Customer Service, Incident Response, Information Technology (IT) Services, Information Technology Applications, Intentional collaboration, IT Business Solutions, IT Infrastructure Operations, IT Operations Management (ITOM), Managing performance, Operational Efficiency, Problem Solving, Risk Management, Stakeholder Management How to Apply: To submit your application, click "Apply" and follow the step by step process. Equal Employment Opportunity: QBE is an equal opportunity employer and is required to comply with equal employment opportunity legislation in each jurisdiction it operates.

Overview Workers' Compensation Claim Specialist (California Jurisdiction - Remote) Schedule: Monday-Friday, 8:00 AM - 4:30 PM PST Compensation Range: $87,000 - $97,000 annually (based on experience) Work Type: Full-Time | Employee-Owned Company 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. Job Summary As a Workers' Compensation Claim Specialist, you'll manage a caseload of mostly litigated and complex claims from start to finish (“cradle to grave”). You'll ensure timely benefit payments, coordinate medical treatment through MMI, evaluate reserves, and pursue fair settlements and closure. You'll also work closely with our client to provide exceptional claim outcomes and uphold CCMSI's commitment to quality and compliance. ⚠️ Please Note: This is an experienced insurance adjusting position. It is not an HR, consultant, or risk management role. We're seeking a skilled California workers' compensation adjuster experienced in litigated and complex claims. Applicants without hands-on adjusting experience will not be considered. Responsibilities 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. Investigate, evaluate, and adjust California workers' compensation claims in accordance with CCMSI standards and state laws. Manage medical treatment plans and ensure benefits are paid timely and accurately. Evaluate claim reserves and settlement potential; negotiate settlements within authority and client guidelines. Collaborate effectively with clients, attorneys, medical providers, and internal partners. Maintain accurate and timely claim documentation and diary management. Participate in regular file reviews and provide thoughtful updates to the client. Contribute to a supportive, high-performing team culture rooted in employee ownership. Qualifications Required: Proven experience handling California jurisdiction workers' compensation claims (litigated and/or complex). Strong communication, organization, and time management skills. Analytical mindset with sound judgment and decision-making. Proficiency in Microsoft Word and Excel. Preferred: SIP designation (or willingness to obtain). AIC, ARM, or CPCU certification a plus. Bilingual (Spanish) proficiency - highly valued for communicating with claimants, employers, or vendors, but not required. Candidates with less experience may be considered at a lower range within the posted salary band. Why You'll Love Working Here 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 How We Measure Success 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 This is where we shine, and we hire adjusters who want to shine with us. Compensation & Compliance The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations. Our Core Values 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. We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you. #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #WorkersCompensation #ClaimsAdjuster #CaliforniaJobs #RemoteWork #LI-Remote We can recommend jobs specifically for you! Click here to get started.

Overview Part-Time Utilization Review Nurse - Remote (Nevada License Required) Schedule: Monday-Friday, 8:00 AM-12:00 PM PST Compensation: $40,000-$45,000 annually (part-time, 20 hours/week) Travel: Once per year to Carson City, NV Reports To: Utilization Review Nurse Supervisor Bring Your Nursing Expertise to a Flexible, Part-Time Role 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. Job Summary We're seeking a Part-Time Utilization Review Nurse to conduct medical necessity reviews for treatment requests related to workers' compensation claims. This role is fully remote (Nevada-based) and ideal for a nurse who thrives in a structured, detail-driven environment and enjoys applying clinical judgment to ensure quality, appropriate care. You will review provider-submitted treatment requests, apply evidence-based guidelines, and issue determinations in accordance with Nevada's utilization review standards. Responsibilities Utilization Review concerns the quality of care provided to injured employees, including whether the service is appropriate and effective and the quality of treatment. Appropriate service is health care service that is medically necessary and reasonable, and based on objective, clinical findings. Pursuant to the NAC 616C.123 (1), the criteria or guidelines used in the UR Plan, are consistent with the ACOEM Practice guidelines adopted as standards for the provision of accident benefits to employees who have suffered industrial injuries or occupational diseases. Other Medical Criteria utilized include but are not limited to: Official Disability Guidelines The Medical Disability Guidelines NCM/UR shall use the Guidelines as minimum standards for evaluating and ensuring the quality of programs of treatment provided the injured employee who is entitled to accident benefits. Reports the diagnosis, ICD 9 code, medical appropriateness of the service, pertinent physical findings, diagnostic and therapeutic procedures, concurrent problems, follow‑up care and the injured employee's functional limitations. Authorize a determination based on the health care service request reviewed; based on the information provided, meets or does not meet the clinical requirements for medical necessity and reasonableness of said service in accordance with appropriate medical guidelines. The UR reviewer will process requests in accordance with the timelines specified in Nevada Revised Statute and Nevada Administrative Code. Qualifications Qualifications (Required) Active, unrestricted Nevada nursing license (RN). Nursing degree (Associate's or Bachelor's). Prior Utilization Review experience. Strong clinical background; ability to evaluate complex medical information. Excellent written and verbal communication skills. High attention to detail with the ability to shift priorities as needed. Proficiency with Microsoft Office and electronic documentation systems. Nice to Have Experience in trauma, orthopedics, occupational medicine, rehab therapy, med-surg, or workers' compensation. Exceptional organizational skills and the ability to work independently. Bilingual (English/Spanish) communications skills - This role may involve communicating with injured workers, employers, or vendors where Spanish-language skills are beneficial but not required. Why You'll Love Working Here 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 How We Measure Success 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 This is where we shine, and we hire nurses who want to shine with us. Compensation & Compliance The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations. Our Core Values 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. We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you. #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #NurseJobs #NursingCareers #RemoteNurse #WorkFromHomeNurse #PartTimeNurse #UtilizationReviewNurse #HealthcareJobs #MedicalReview #WorkersCompensation #NurseLife #NevadaJobs #CarsonCityJobs #ClinicalReview #NurseHiring #NowHiringNurses #HealthcareCareers #RNJobs #NursingCommunity #HiringNow #WorkFromHomeJobs #PartTimeJobs #RemoteJobs #WorkInHealthcare #NursesOfLinkedIn #NursingProfessional #NurseRecruitment #NurseOpportunities #HealthcareAdministration #MedicalCaseManagement #ClinicalNurseSpecialist #NurseSupport #LI-Part Time #LI-Remote We can recommend jobs specifically for you! Click here to get started.

Under the direction of Vehicle Services Management and Heavy Equipment Specialists. Prepared written appraisals on damage to “on or off road” heavy equipment. Responsible for establishing accurate and acceptable repair figures if repairable. Establishes pre-loss actual cash value and possible salvage value if non-repairable. Heavy Equipment Claims Appraiser (Remote - US) Got 5+ years in insurance claims? Help us assess damage, value losses, and settle claims with precision. • Estimate repair & salvage values • Prep reports & follow client instructions • Support calls & local outreach • ✅ Always act with integrity Work from anywhere in the U.S. Looking for candidates with 5 years of experience in claims Remote - but should reside in Dallas, Philadelphia, Chicago, Los Angeles, Newtown Square or Texas High school or vocational school graduate or an equivalent combination of education and experience. 5 years of previous experience with heavy equipment and appraising vehicle damage. Licensing as required by jurisdiction. Must possess a valid driver's license. Must complete continuing education requirements per Crawford Educational Services. Ability to read and interpret technical reference material. Ability to communicate effectively, both orally and in writing. In-depth working knowledge of various types of vehicle construction and repair techniques. Ability to learn automated appraisal systems. Solid negotiating and customer service skills. Must possess solid mathematical and computational skills. #LI-CB3 Appraises heavy equipment damage to determine repair costs for claim settlement. Establishes pre-loss actual cash value and salvage value for heavy equipment beyond repair. Establishes cargo loss value if applicable. Examines damaged unity for interior/exterior damage. Interprets client special instructions to accurately handle claims. Prepares reports/documents for appropriate personnel as required. Records case time/billings. Solicits business locally when called upon to do so. Back up point of contact in the call. Upholds the Crawford Code of Business Conduct at all times. Performs other duties as requested. Upholds the Crawford Code of Conduct.

Overview Workers' Compensation Claim Consultant or Specialist Schedule: Monday-Friday, 8:00 AM-4:30 PM (hours flexible, 37.5 hours/week) Salary Range: $65,000-$90,000 annually (commensurate with experience and title) Build Your Career With Purpose at CCMSI At Cannon Cochran Management Services, Inc. (CCMSI), we're more than a claims administrator-we're a team of employee-owners dedicated to delivering what matters most to our clients. Certified as a Great Place to Work , CCMSI offers a supportive environment with manageable caseloads, career growth opportunities, and long-term stability. Our employee-owned model means your success is our success. Job Summary 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. Responsibilities What You'll Do 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. Qualifications What You'll Bring Required: 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 Have: Municipality account experience. Medical background (terminology, billing/coding, or coverage understanding). AIC designation and/or Bachelor's degree. How We Measure Success Effective benefit and medical management. Timely diary and document/bill queue handling. Client satisfaction and responsiveness. Consistent demonstration of integrity and service-minded work. What We Offer 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 Compensation & Compliance The posted wage reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual pay will be based on experience, qualifications, and internal equity. This role may also be eligible for additional compensation or bonuses. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. If you need assistance, please contact our team. Equal Opportunity Employer: CCMSI is an Affirmative Action / Equal Employment Opportunity employer. We comply with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks are conducted only after a conditional offer of employment. Our Core Values At CCMSI, we believe in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who: Act with integrity Deliver service with passion and accountability Embrace collaboration and change Seek better ways to serve Build up others through respect, trust, and communication Lead by example-no matter their title We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you. Ready to build your career with purpose? Apply today! #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #WorkersCompensation #InsuranceJobs #ClaimsAdjuster #HybridJobs #PhoenixJobs #MunicipalityClaims #NowHiring #AdjusterLife #IND123 #LI-Hybrid We can recommend jobs specifically for you! Click here to get started.

• Great Work Life Balance! • Quarterly Bonus Opportunities! • Free CEU's for licenses and certificates • License and national certification reimbursement This is a work from home position requiring local field case management travel to cover the Los Angeles, California region. RN degree required National Certification such as CCM, CRC, COHN, CRRC required Prior Workers Compensation Case Management preferred To provide quality case management services in an appropriate, cost effective manner. Provides medical case management service which is consistent with URAC standards and CMSA Standards of Practice and Quality Improvement Guidelines to patients/employees who are receiving benefits under an Insurance Line including but not limited to Workers' Compensation, Group Health, Liability and Disability. Bachelor's Degree in a health-related field is preferred. Associates or diploma in nursing also accepted. Three years of Workers' Compensation case management with ability to independently coordinate a diverse caseload ranging in moderate to high complexity. Demonstrated ability to handle complex assignments and ability to work independently is required. Effective oral and written communication skills are required. Thorough understanding of jurisdictional WC statutes. Advanced knowledge to exert positive influence in all areas of case management. Advanced communications and interpersonal skills in order to conduct training, provide mentorship, and assist supervisor in general areas as assigned. Highly skilled at promoting all managed care products and services internally and externally. Based on federal, state, or local law, this position may require you to be fully vaccinated for COVID-19. Active RN home state licensure in good standing without restrictions with the State Board of Nursing. Minimum of 1 nationally recognized Certification from the URAC list of approved certifications. Must be able to travel as required. Individuals who conduct initial clinical review possess an active, professional license or certification: To practice as a health professional in a state or territory of the U.S.; and With a scope of practice that is relevant to the clinical area(s) addressed in the initial clinical review. Must maintain a valid driver's license in state of residence. #LI-KE1 May assist supervisor/manager in review of reports, staff development. Reviews case records and reports, collects and analyzes data, evaluates client's medical and vocational status and defines needs and problems in order to provide proactive case management services. Demonstrates ability to meet or surpass administrative requirements, including productivity, time management, quality assessment (QA) standards with a minimum of supervisory intervention. Facilitates a timely return to work date by establishing a professional working relationship with the client, physician and employer. Coordinates return to work with patient, employer and physicians. May recommend and facilitate completion of peer reviews and IME's by obtaining and delivering medical records and diagnostic films notifying patients. Manages cases of various product lines of at least 3-4 areas of service (W/C, Health, STD, LTD, Auto, Liability, TPA, Catastrophic, Life Care Planning). Specifically, the case manager should be experienced in catastrophic cases plus 2-3 additional types listed above. Renders opinions regarding case cost, treatment plan, outcome, and problem areas and makes recommendations to facilitate rehabilitation goals and RTW. May review files for claims adjusters and supervisors. May perform job site evaluations/summaries. Prepares monthly written evaluation reports denoting case activity, progress and recommendations in accordance with state regulations and company standards. May obtain referrals from branch claims office or assist in fielding phone calls for management as needed. Maintains contact and communicates with insurance adjusters to apprise them of case activity, case direction or receive authorization for services. Maintains contact with all parties involved on case, necessary for rehabilitation of the client. May spend approximately 70% of work time traveling to homes, health care providers, job sites, and various offices as required to facilitate return to work and resolution of cases. May meet with employers to review active files. Reviews cases with supervisor monthly to evaluate file and obtain direction. Upholds the Crawford Code of Business Conduct at all times. Demonstrates excellent customer service, and respect for customers, co-workers, and management. Independently approaches problem resolution by appropriate use of research and resources. May perform other related duties as assigned.

Primary Details Time Type: Full time Worker Type: Employee The Opportunity: The purpose of this role is to lead and define IT Service Management (ITSM) processes aligned with the overall IT strategy, driving adoption and compliance while prioritizing enhancements. Ensuring business outcomes through process efficiencies and improvements, managing customer experience, IT Service Desk, incident and request management, and core IT processes are key responsibilities. Additionally, direct supervision of teams leading business critical applications, vendor management, and budget control to ensure operational efficiency and effectiveness of computer operations. * Location: Ramsey, Minnesota, Fargo, North Dakota or Sun Prairie, Wisconsin * Work Arrangement: This role requires 3 days/week in the office * The starting salary range for this role is between $120,000-$180,000 Your New Role: * Collaborate with VP, Infrastructure Manager, IT Operations Manager, IT Customer Support Manager with overall strategies, maximizing productivity and performance, while defining and implementing plans, controls, and management information to ensure effective process adherence and continuous improvement. * Maintain awareness of technical changes, legislative updates, and industry best practices. * Develop and refine IT Service Management (ITSM) processes to meet customer needs and market changes. * Lead embedding of ITSM processes within divisions and ensure effectiveness through MI. * Build positive relationships with stakeholders to ensure processes deliver business outcomes. * Promote a service-oriented culture within teams and third-party suppliers. * Manage IT infrastructure expenses, optimizing costs and adhering to budget constraints. * Provide leadership, mentoring, and coaching on service management and cost optimization. * Support IT teams in cost control, reporting, and procurement policies. * Balance operational delivery and risk commitments by identifying emerging, underlying, and accumulating risks across processes and controls. Understand their impact on service recipients and stakeholders, clearly communicate the risk landscape to leaders, and assist in prioritizing resources in response and formalizing, where required, in conjunction with the first line risk team. Work Experience: Necessary Work Experience includes: * Significant relevant experience. Preferred Work Experience includes: * Experience in computer operations. Qualifications: Necessary Qualifications include: * Tertiary Degree or equivalent combination of education and work experience. * ITIL V3 foundation certificate must be held, and Expert (or equivalent) within the key processes. * Ideally Expert (or equivalent) or Practitioner within one or more processes. QBE, a global insurance leader, is the proud parent company of NAU Country Insurance Company. NAU Country writes in 48 states and has nine locations nationwide. Together, we combine the history, expertise, innovation, and a shared commitment to excellence to provide unparalleled insurance solutions to our customers and communities worldwide. Compensation Package: The salary range for this role is provided above. This is the national range for location(s) listed. The salary offer will be decided based on the role's complexity, its location, and the candidate's professional background, including their education and experience. Beyond the base salary, regular full-time and part-time employees will also be eligible for QBE's annual discretionary bonus plan based on business and individual performance. We encourage all candidates to apply, even if their salary expectations fall outside of this range, as we are committed to finding the right fit for our team. QBE Benefits: We offer a range of benefits to help provide holistic support for your work life, whatever your circumstances. As a QBE employee you will have access to: * Hybrid Working - a mix of working from home and in the office * 22 weeks of paid leave for family growth, with 12 weeks available to all parents on a gender-equal basis * Competitive 401(k) program with company match up to 8% * Well-being program including holistic wellbeing coaching, gym membership, confidential counselling, financial and legal advice * Tuition Reimbursement for professional certifications, and continuing education * Employee Network and Community - QBE actively supports six Employee Networks, and many ways to give back to your community To learn more, click here: Benefits | QBE US. Why QBE? What if you could have a positive impact - at work and in the world? At QBE, we're enabling a more resilient future - for our customers, communities, environment, and for our people. We're building momentum to achieve something significant and know our people are at the center of our success. Our industry offers interesting and varied careers where you can help people to protect what matters most. As part of the QBE team, you'll get to spend every day working with people who are passionate, talented and kind. And our international scale means we're big enough for your ambitions, yet small enough for you to make a real impact. Join us now, so you can be part of our success - and we can be part of yours! *************************************************** Commitment to Diversity QBE is committed to providing reasonable accommodation to, among others, individuals with disabilities and disabled veterans. If you need an accommodation because of a disability to search and apply for a career opportunity with QBE, please inform our Talent Acquisition team to let us know the nature of your accommodation request and your contact information. Equal Employment Opportunity: QBE provides equal employment opportunities to applicants and employees without regard to race; color; gender; gender identity; sexual orientation; religious practices and observances; national origin; pregnancy, childbirth, or related medical conditions; protected veteran status; or disability or any other legally protected status. Supplementary information Skills: Communication, Critical Thinking, Customer Service, Incident Response, Information Technology (IT) Services, Information Technology Applications, Intentional collaboration, IT Business Solutions, IT Infrastructure Operations, IT Operations Management (ITOM), Managing performance, Operational Efficiency, Problem Solving, Risk Management, Stakeholder Management How to Apply: To submit your application, click "Apply" and follow the step by step process. Equal Employment Opportunity: QBE is an equal opportunity employer and is required to comply with equal employment opportunity legislation in each jurisdiction it operates.

Overview Workers' Compensation Claim Specialist (California Jurisdiction - Remote) Schedule: Monday-Friday, 8:00 AM - 4:30 PM PST Compensation Range: $87,000 - $97,000 annually (based on experience) Work Type: Full-Time | Employee-Owned Company 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. Job Summary As a Workers' Compensation Claim Specialist, you'll manage a caseload of mostly litigated and complex claims from start to finish (“cradle to grave”). You'll ensure timely benefit payments, coordinate medical treatment through MMI, evaluate reserves, and pursue fair settlements and closure. You'll also work closely with our client to provide exceptional claim outcomes and uphold CCMSI's commitment to quality and compliance. ⚠️ Please Note: This is an experienced insurance adjusting position. It is not an HR, consultant, or risk management role. We're seeking a skilled California workers' compensation adjuster experienced in litigated and complex claims. Applicants without hands-on adjusting experience will not be considered. Responsibilities 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. Investigate, evaluate, and adjust California workers' compensation claims in accordance with CCMSI standards and state laws. Manage medical treatment plans and ensure benefits are paid timely and accurately. Evaluate claim reserves and settlement potential; negotiate settlements within authority and client guidelines. Collaborate effectively with clients, attorneys, medical providers, and internal partners. Maintain accurate and timely claim documentation and diary management. Participate in regular file reviews and provide thoughtful updates to the client. Contribute to a supportive, high-performing team culture rooted in employee ownership. Qualifications Required: Proven experience handling California jurisdiction workers' compensation claims (litigated and/or complex). Strong communication, organization, and time management skills. Analytical mindset with sound judgment and decision-making. Proficiency in Microsoft Word and Excel. Preferred: SIP designation (or willingness to obtain). AIC, ARM, or CPCU certification a plus. Bilingual (Spanish) proficiency - highly valued for communicating with claimants, employers, or vendors, but not required. Candidates with less experience may be considered at a lower range within the posted salary band. Why You'll Love Working Here 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 How We Measure Success 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 This is where we shine, and we hire adjusters who want to shine with us. Compensation & Compliance The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations. Our Core Values 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. We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you. #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #WorkersCompensation #ClaimsAdjuster #CaliforniaJobs #RemoteWork #LI-Remote

Overview Workers' Compensation Claim Consultant (CA Jurisdiction Only) - Remote Salary: $77,000-$87,000 annually Schedule: Monday-Friday, 8:00 AM-4:30 PM PST Experience Required: 5+ Years (Litigated & Some Complex Claims) 🚨 Please Note This is not an HR, risk management, or consulting position. This is an experienced California Workers' Compensation adjusting role requiring hands-on claim investigation, evaluation, negotiation, and settlement. 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. Applicants without hands-on adjusting experience will not be considered. 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. Job Summary We're seeking an experienced Workers' Compensation Claim Consultant to handle California jurisdiction claims for a multi-account desk supporting clients in the trucking & warehouse, valet/shuttle services, and staffing agency industries. This fully remote position requires strong litigated claim handling experience, the ability to independently manage complex files, and a commitment to CCMSI's best practice standards. You'll join a collaborative team of four other consultants, working together to deliver high-quality, timely, and accurate claim service to our clients. Responsibilities 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. Conduct timely 3-point contact per CCMSI best practices. Investigate, evaluate, and adjust California workers' compensation claims with independence and sound judgment. Establish, maintain, and justify detailed reserve levels. Administer indemnity and award payments in accordance with CA jurisdictional requirements. Negotiate settlements consistent with corporate standards, client instructions, and state law. Maintain a current and thorough diary, ensuring all deadlines and statutory requirements are met. Pursue subrogation recovery as applicable. Prepare claim status reports, reserve analyses, and updates for client meetings. Conduct claim reviews with clients and participate in discussions as needed. Communicate effectively with injured workers, employers, providers, and attorneys throughout the claim lifecycle. Ensure all documentation meets CCMSI best practice requirements. Qualifications Qualifications - Required 5+ years of California WC adjusting experience, including litigated files and some complex exposure. Adjuster designation required. Strong working knowledge of California WC laws, timelines, benefits, and litigation processes. Proficiency with Microsoft Office (Word, Excel, Outlook). Excellent written and verbal communication skills, critical thinking, and decision-making ability. Nice to Have SIP certification preferred. Strong documentation habits per CCMSI best practices. Experience presenting or conducting client reviews. Bilingual (Spanish) proficiency - highly valued for communicating with claimants, employers, or vendors, but not required. Work Environment & Travel Remote role reporting to the Irvine, CA branch. Occasional travel to the office may be required for rare mandatory in-office meetings. Why You'll Love Working Here 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 How We Measure Success 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 This is where we shine, and we hire adjusters who want to shine with us. Compensation & Compliance The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations. Our Core Values 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. We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you. #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #WorkersCompJobs #CaliforniaAdjuster #RemoteJobs #ClaimsConsultant #InsuranceCareers #AdjusterLife #NowHiring #LI-Remote We can recommend jobs specifically for you! Click here to get started.

Multi-Line Claim Specialist (Hybrid) - Scottsdale, AZ Salary Range: $70,000-$80,000 annually (DOE) Schedule: Monday-Friday, 8:00 AM-4:30 PM MST Work Model: Hybrid (1 mandatory weekly office day + additional in-office time for team meetings, trainings, and claim reviews as needed) Reports To: Claim Supervisor Account: Single dedicated account Build Your Career With Purpose at CCMSI At CCMSI, we don't just adjust claims-we support people. As one of the largest employee-owned Third Party Administrators in the country and a certified Great Place to Work , we offer manageable caseloads, a collaborative culture, and the stability of employee ownership. Here, you'll have the autonomy to do meaningful work-and the support to grow your career. Job Summary We are seeking an experienced Multi-Line Claim Specialist, to join our Scottsdale liability team. This hybrid role is ideal for a high-performing claim professional skilled in managing bodily injury (BI) and property damage (PD) claims, including mid-level injuries, represented and unrepresented claimants, and files that may be in suit. You will independently handle a caseload files for a single dedicated Waste Management industry account, delivering high-quality service, thorough investigations, and timely resolutions. This position offers growth potential and may serve as an advanced training pathway toward senior-level claim roles. Responsibilities Investigate, evaluate, and adjust multi-line claims in accordance with CCMSI standards, jurisdictional laws, and client requirements. Handle bodily injury and property damage claims involving mid-level injuries, represented and unrepresented claimants, and files in suit. Establish reserves and make recommendations within assigned authority levels. Review and approve medical, legal, and vendor invoices for relatedness and reasonableness; negotiate disputed charges. Authorize payments and negotiate settlements in alignment with client expectations, state regulations, and corporate standards. Coordinate and oversee external vendors such as defense counsel, surveillance, and case management when required. Maintain claim documentation, diary entries, and communication logs in the claim system. Assess and monitor subrogation opportunities. Prepare status reports, reserve updates, and client-facing documentation as requested. Attend mediations, hearings, and informal conferences as appropriate. Participate in claim reviews and training sessions with internal stakeholders and the client. Uphold CCMSI's Core Values through client service excellence and collaborative team engagement Qualifications Qualifications - Required 5+ years of multi-line liability claim experience (PD/BI). Experience handling represented and unrepresented claimants and files with mid-level injuries. Ability to manage 125 active files with accuracy, organization, and timely follow-up. At least one valid home state adjuster license (additional licenses a plus). Strong written and verbal communication skills. Solid analytical, investigative, and negotiation abilities. Proficiency with Microsoft Office and ability to learn claim system platforms. Reliable and consistent attendance during client service hours. Nice to Have Prior experience with Waste Management or transportation-related accounts. Strong technical BI evaluation skills. Comfort participating in client presentations or claim reviews. Training & Support Training Duration: As long as needed-tailored to your experience level. You will join a large, supportive claim organization of 80+ team members, with ~40 dedicated to liability. You'll have access to peer support, leadership guidance, technical resources, and client interaction opportunities that strengthen your long-term growth path. How We Measure Success Audit results Claim review performance File quality and timeliness Client satisfaction Annual performance evaluation Compensation & Compliance Compensation: $70,000-$80,000 annually, based on experience. Visa Sponsorship: CCMSI is unable to provide visa sponsorship for this position. ADA Accommodations: Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. Equal Opportunity Employer: CCMSI is proud to be an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Our Core Values At CCMSI, our Core Values guide how we work: integrity, client service, employee ownership, continuous improvement, collaboration, and enthusiasm for what we do. #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #CCMSICareers #CCMSIWesternLiability #EmployeeOwned #ESOP #MultiLineClaims #GreatPlaceToWorkCertified #RemoteWork #CargoClaims #APDClaims #InsuranceJobs #ClaimsAdjuster #LiabilityAdjuste #LI-Hybrid

Ready to Be the Expert in Heavy Equipment Claims? Work Remotely from Anywhere in the U.S.! We're looking for a Heavy Equipment Claims Appraiser with the skills and experience to assess damage, value losses, and settle claims with precision. What's in it for you? Show Your Expertise: Minimum 5 years of experience in insurance claims. Key Responsibilities: * Estimate repair and salvage values * Prepare detailed reports and follow client instructions * Support calls and local outreach Act with Integrity: Deliver accurate, fair, and timely appraisals. Remote flexibility-but candidates should reside in Dallas, Philadelphia, Chicago, Los Angeles, Newtown Square, or Texas for optimal coverage. If you're ready to bring your expertise to a leading organization and make an impact, apply today and start your journey!

Primary Details Time Type: Full time Worker Type: Employee The Opportunity: The purpose of this role is to lead and define IT Service Management (ITSM) processes aligned with the overall IT strategy, driving adoption and compliance while prioritizing enhancements. Ensuring business outcomes through process efficiencies and improvements, managing customer experience, IT Service Desk, incident and request management, and core IT processes are key responsibilities. Additionally, direct supervision of teams leading business critical applications, vendor management, and budget control to ensure operational efficiency and effectiveness of computer operations. * Location: Ramsey, Minnesota, Fargo, North Dakota or Sun Prairie, Wisconsin * Work Arrangement: This role requires 3 days/week in the office * The starting salary range for this role is between $120,000-$180,000 Your New Role: * Collaborate with VP, Infrastructure Manager, IT Operations Manager, IT Customer Support Manager with overall strategies, maximizing productivity and performance, while defining and implementing plans, controls, and management information to ensure effective process adherence and continuous improvement. * Maintain awareness of technical changes, legislative updates, and industry best practices. * Develop and refine IT Service Management (ITSM) processes to meet customer needs and market changes. * Lead embedding of ITSM processes within divisions and ensure effectiveness through MI. * Build positive relationships with stakeholders to ensure processes deliver business outcomes. * Promote a service-oriented culture within teams and third-party suppliers. * Manage IT infrastructure expenses, optimizing costs and adhering to budget constraints. * Provide leadership, mentoring, and coaching on service management and cost optimization. * Support IT teams in cost control, reporting, and procurement policies. * Balance operational delivery and risk commitments by identifying emerging, underlying, and accumulating risks across processes and controls. Understand their impact on service recipients and stakeholders, clearly communicate the risk landscape to leaders, and assist in prioritizing resources in response and formalizing, where required, in conjunction with the first line risk team. Work Experience: Necessary Work Experience includes: * Significant relevant experience. Preferred Work Experience includes: * Experience in computer operations. Qualifications: Necessary Qualifications include: * Tertiary Degree or equivalent combination of education and work experience. * ITIL V3 foundation certificate must be held, and Expert (or equivalent) within the key processes. * Ideally Expert (or equivalent) or Practitioner within one or more processes. QBE, a global insurance leader, is the proud parent company of NAU Country Insurance Company. NAU Country writes in 48 states and has nine locations nationwide. Together, we combine the history, expertise, innovation, and a shared commitment to excellence to provide unparalleled insurance solutions to our customers and communities worldwide. Compensation Package: The salary range for this role is provided above. This is the national range for location(s) listed. The salary offer will be decided based on the role's complexity, its location, and the candidate's professional background, including their education and experience. Beyond the base salary, regular full-time and part-time employees will also be eligible for QBE's annual discretionary bonus plan based on business and individual performance. We encourage all candidates to apply, even if their salary expectations fall outside of this range, as we are committed to finding the right fit for our team. QBE Benefits: We offer a range of benefits to help provide holistic support for your work life, whatever your circumstances. As a QBE employee you will have access to: * Hybrid Working - a mix of working from home and in the office * 22 weeks of paid leave for family growth, with 12 weeks available to all parents on a gender-equal basis * Competitive 401(k) program with company match up to 8% * Well-being program including holistic wellbeing coaching, gym membership, confidential counselling, financial and legal advice * Tuition Reimbursement for professional certifications, and continuing education * Employee Network and Community - QBE actively supports six Employee Networks, and many ways to give back to your community To learn more, click here: Benefits | QBE US. Why QBE? What if you could have a positive impact - at work and in the world? At QBE, we're enabling a more resilient future - for our customers, communities, environment, and for our people. We're building momentum to achieve something significant and know our people are at the center of our success. Our industry offers interesting and varied careers where you can help people to protect what matters most. As part of the QBE team, you'll get to spend every day working with people who are passionate, talented and kind. And our international scale means we're big enough for your ambitions, yet small enough for you to make a real impact. Join us now, so you can be part of our success - and we can be part of yours! *************************************************** Commitment to Diversity QBE is committed to providing reasonable accommodation to, among others, individuals with disabilities and disabled veterans. If you need an accommodation because of a disability to search and apply for a career opportunity with QBE, please inform our Talent Acquisition team to let us know the nature of your accommodation request and your contact information. Equal Employment Opportunity: QBE provides equal employment opportunities to applicants and employees without regard to race; color; gender; gender identity; sexual orientation; religious practices and observances; national origin; pregnancy, childbirth, or related medical conditions; protected veteran status; or disability or any other legally protected status. Supplementary information Skills: Communication, Critical Thinking, Customer Service, Incident Response, Information Technology (IT) Services, Information Technology Applications, Intentional collaboration, IT Business Solutions, IT Infrastructure Operations, IT Operations Management (ITOM), Managing performance, Operational Efficiency, Problem Solving, Risk Management, Stakeholder Management How to Apply: To submit your application, click "Apply" and follow the step by step process. Equal Employment Opportunity: QBE is an equal opportunity employer and is required to comply with equal employment opportunity legislation in each jurisdiction it operates.

Overview Workers' Compensation Claim Consultant or Specialist Schedule: Monday-Friday, 8:00 AM-4:30 PM (hours flexible, 37.5 hours/week) Salary Range: $65,000-$90,000 annually (commensurate with experience and title) Build Your Career With Purpose at CCMSI At Cannon Cochran Management Services, Inc. (CCMSI), we're more than a claims administrator-we're a team of employee-owners dedicated to delivering what matters most to our clients. Certified as a Great Place to Work , CCMSI offers a supportive environment with manageable caseloads, career growth opportunities, and long-term stability. Our employee-owned model means your success is our success. Job Summary 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. Responsibilities What You'll Do 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. Qualifications What You'll Bring Required: 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 Have: Municipality account experience. Medical background (terminology, billing/coding, or coverage understanding). AIC designation and/or Bachelor's degree. How We Measure Success Effective benefit and medical management. Timely diary and document/bill queue handling. Client satisfaction and responsiveness. Consistent demonstration of integrity and service-minded work. What We Offer 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 Compensation & Compliance The posted wage reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual pay will be based on experience, qualifications, and internal equity. This role may also be eligible for additional compensation or bonuses. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. If you need assistance, please contact our team. Equal Opportunity Employer: CCMSI is an Affirmative Action / Equal Employment Opportunity employer. We comply with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks are conducted only after a conditional offer of employment. Our Core Values At CCMSI, we believe in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who: Act with integrity Deliver service with passion and accountability Embrace collaboration and change Seek better ways to serve Build up others through respect, trust, and communication Lead by example-no matter their title We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you. Ready to build your career with purpose? Apply today! #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #WorkersCompensation #InsuranceJobs #ClaimsAdjuster #HybridJobs #PhoenixJobs #MunicipalityClaims #NowHiring #AdjusterLife #IND123 #LI-Hybrid

Multi-Line Claim Specialist (Hybrid) - Scottsdale, AZ Salary Range: $70,000-$80,000 annually (DOE) Schedule: Monday-Friday, 8:00 AM-4:30 PM MST Work Model: Hybrid (1 mandatory weekly office day + additional in-office time for team meetings, trainings, and claim reviews as needed) Reports To: Claim Supervisor Account: Single dedicated account Build Your Career With Purpose at CCMSI At CCMSI, we don't just adjust claims-we support people. As one of the largest employee-owned Third Party Administrators in the country and a certified Great Place to Work , we offer manageable caseloads, a collaborative culture, and the stability of employee ownership. Here, you'll have the autonomy to do meaningful work-and the support to grow your career. Job Summary We are seeking an experienced Multi-Line Claim Specialist, to join our Scottsdale liability team. This hybrid role is ideal for a high-performing claim professional skilled in managing bodily injury (BI) and property damage (PD) claims, including mid-level injuries, represented and unrepresented claimants, and files that may be in suit. You will independently handle a caseload files for a single dedicated Waste Management industry account, delivering high-quality service, thorough investigations, and timely resolutions. This position offers growth potential and may serve as an advanced training pathway toward senior-level claim roles. Responsibilities Investigate, evaluate, and adjust multi-line claims in accordance with CCMSI standards, jurisdictional laws, and client requirements. Handle bodily injury and property damage claims involving mid-level injuries, represented and unrepresented claimants, and files in suit. Establish reserves and make recommendations within assigned authority levels. Review and approve medical, legal, and vendor invoices for relatedness and reasonableness; negotiate disputed charges. Authorize payments and negotiate settlements in alignment with client expectations, state regulations, and corporate standards. Coordinate and oversee external vendors such as defense counsel, surveillance, and case management when required. Maintain claim documentation, diary entries, and communication logs in the claim system. Assess and monitor subrogation opportunities. Prepare status reports, reserve updates, and client-facing documentation as requested. Attend mediations, hearings, and informal conferences as appropriate. Participate in claim reviews and training sessions with internal stakeholders and the client. Uphold CCMSI's Core Values through client service excellence and collaborative team engagement Qualifications Qualifications - Required 5+ years of multi-line liability claim experience (PD/BI). Experience handling represented and unrepresented claimants and files with mid-level injuries. Ability to manage 125 active files with accuracy, organization, and timely follow-up. At least one valid home state adjuster license (additional licenses a plus). Strong written and verbal communication skills. Solid analytical, investigative, and negotiation abilities. Proficiency with Microsoft Office and ability to learn claim system platforms. Reliable and consistent attendance during client service hours. Nice to Have Prior experience with Waste Management or transportation-related accounts. Strong technical BI evaluation skills. Comfort participating in client presentations or claim reviews. Training & Support Training Duration: As long as needed-tailored to your experience level. You will join a large, supportive claim organization of 80+ team members, with ~40 dedicated to liability. You'll have access to peer support, leadership guidance, technical resources, and client interaction opportunities that strengthen your long-term growth path. How We Measure Success Audit results Claim review performance File quality and timeliness Client satisfaction Annual performance evaluation Compensation & Compliance Compensation: $70,000-$80,000 annually, based on experience. Visa Sponsorship: CCMSI is unable to provide visa sponsorship for this position. ADA Accommodations: Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. Equal Opportunity Employer: CCMSI is proud to be an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Our Core Values At CCMSI, our Core Values guide how we work: integrity, client service, employee ownership, continuous improvement, collaboration, and enthusiasm for what we do. #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #CCMSICareers #CCMSIWesternLiability #EmployeeOwned #ESOP #MultiLineClaims #GreatPlaceToWorkCertified #RemoteWork #CargoClaims #APDClaims #InsuranceJobs #ClaimsAdjuster #LiabilityAdjuste #LI-Hybrid We can recommend jobs specifically for you! Click here to get started.

Primary Details Time Type: Full time Worker Type: Employee The Opportunity: The purpose of this role is to lead and define IT Service Management (ITSM) processes aligned with the overall IT strategy, driving adoption and compliance while prioritizing enhancements. Ensuring business outcomes through process efficiencies and improvements, managing customer experience, IT Service Desk, incident and request management, and core IT processes are key responsibilities. Additionally, direct supervision of teams leading business critical applications, vendor management, and budget control to ensure operational efficiency and effectiveness of computer operations. * Location: Ramsey, Minnesota, Fargo, North Dakota or Sun Prairie, Wisconsin * Work Arrangement: This role requires 3 days/week in the office * The starting salary range for this role is between $120,000-$180,000 Your New Role: * Collaborate with VP, Infrastructure Manager, IT Operations Manager, IT Customer Support Manager with overall strategies, maximizing productivity and performance, while defining and implementing plans, controls, and management information to ensure effective process adherence and continuous improvement. * Maintain awareness of technical changes, legislative updates, and industry best practices. * Develop and refine IT Service Management (ITSM) processes to meet customer needs and market changes. * Lead embedding of ITSM processes within divisions and ensure effectiveness through MI. * Build positive relationships with stakeholders to ensure processes deliver business outcomes. * Promote a service-oriented culture within teams and third-party suppliers. * Manage IT infrastructure expenses, optimizing costs and adhering to budget constraints. * Provide leadership, mentoring, and coaching on service management and cost optimization. * Support IT teams in cost control, reporting, and procurement policies. * Balance operational delivery and risk commitments by identifying emerging, underlying, and accumulating risks across processes and controls. Understand their impact on service recipients and stakeholders, clearly communicate the risk landscape to leaders, and assist in prioritizing resources in response and formalizing, where required, in conjunction with the first line risk team. Work Experience: Necessary Work Experience includes: * Significant relevant experience. Preferred Work Experience includes: * Experience in computer operations. Qualifications: Necessary Qualifications include: * Tertiary Degree or equivalent combination of education and work experience. * ITIL V3 foundation certificate must be held, and Expert (or equivalent) within the key processes. * Ideally Expert (or equivalent) or Practitioner within one or more processes. QBE, a global insurance leader, is the proud parent company of NAU Country Insurance Company. NAU Country writes in 48 states and has nine locations nationwide. Together, we combine the history, expertise, innovation, and a shared commitment to excellence to provide unparalleled insurance solutions to our customers and communities worldwide. Compensation Package: The salary range for this role is provided above. This is the national range for location(s) listed. The salary offer will be decided based on the role's complexity, its location, and the candidate's professional background, including their education and experience. Beyond the base salary, regular full-time and part-time employees will also be eligible for QBE's annual discretionary bonus plan based on business and individual performance. We encourage all candidates to apply, even if their salary expectations fall outside of this range, as we are committed to finding the right fit for our team. QBE Benefits: We offer a range of benefits to help provide holistic support for your work life, whatever your circumstances. As a QBE employee you will have access to: * Hybrid Working - a mix of working from home and in the office * 22 weeks of paid leave for family growth, with 12 weeks available to all parents on a gender-equal basis * Competitive 401(k) program with company match up to 8% * Well-being program including holistic wellbeing coaching, gym membership, confidential counselling, financial and legal advice * Tuition Reimbursement for professional certifications, and continuing education * Employee Network and Community - QBE actively supports six Employee Networks, and many ways to give back to your community To learn more, click here: Benefits | QBE US. Why QBE? What if you could have a positive impact - at work and in the world? At QBE, we're enabling a more resilient future - for our customers, communities, environment, and for our people. We're building momentum to achieve something significant and know our people are at the center of our success. Our industry offers interesting and varied careers where you can help people to protect what matters most. As part of the QBE team, you'll get to spend every day working with people who are passionate, talented and kind. And our international scale means we're big enough for your ambitions, yet small enough for you to make a real impact. Join us now, so you can be part of our success - and we can be part of yours! *************************************************** Commitment to Diversity QBE is committed to providing reasonable accommodation to, among others, individuals with disabilities and disabled veterans. If you need an accommodation because of a disability to search and apply for a career opportunity with QBE, please inform our Talent Acquisition team to let us know the nature of your accommodation request and your contact information. Equal Employment Opportunity: QBE provides equal employment opportunities to applicants and employees without regard to race; color; gender; gender identity; sexual orientation; religious practices and observances; national origin; pregnancy, childbirth, or related medical conditions; protected veteran status; or disability or any other legally protected status. Supplementary information Skills: Communication, Critical Thinking, Customer Service, Incident Response, Information Technology (IT) Services, Information Technology Applications, Intentional collaboration, IT Business Solutions, IT Infrastructure Operations, IT Operations Management (ITOM), Managing performance, Operational Efficiency, Problem Solving, Risk Management, Stakeholder Management How to Apply: To submit your application, click "Apply" and follow the step by step process. Equal Employment Opportunity: QBE is an equal opportunity employer and is required to comply with equal employment opportunity legislation in each jurisdiction it operates.

Overview Multi-Line Claim Representative II (LA, TX, MS, AL, FL, GA) Schedule: Monday - Friday, 8:00 AM to 4:30 PM Salary Range: $50,000 - $65,000 annually Travel: Minimal, except for one week of in-office training for remote hires Overview Build your career with purpose at CCMSI, one of the largest independent Third Party Administrators in the nation-and a 100% employee-owned company. We're known for our outstanding culture, long-term stability, and client partnerships built on trust and service excellence. We're seeking an experienced Multi-Line Liability Claim Representative II to join our Metairie, LA team. This is a Property Damage / Auto Liability adjusting position supporting multiple accounts in the commercial trucking industry. The ideal candidate brings proven expertise in litigated auto, general liability, and premises liability claims-and a passion for delivering exceptional client and claimant experiences. Job Summary As a Claim Representative II, you'll handle complex property damage and auto liability claims across multiple jurisdictions (LA, TX, MS, AL, FL, GA). You'll investigate, evaluate, and resolve claims within your authority while maintaining compliance with client service standards and CCMSI claim best practices. This role requires an employee-ownership mindset-someone who takes pride in the quality of their work, communicates clearly and compassionately, and thrives in a collaborative, team-based environment. Responsibilities Investigate, evaluate, and adjust assigned liability claims in accordance with jurisdictional laws and CCMSI procedures Handle auto property damage and commercial trucking liability claims, including subrogation and negotiation with claimants, attorneys, and carriers Establish reserves, authorize payments, and negotiate settlements within authority Manage litigation and coordinate with defense counsel Prepare detailed reports on claims, reserves, and settlements Ensure compliance with all client and regulatory requirements Contribute to a positive, solutions-oriented team culture that values service, integrity, and ownership Qualifications Required Active home-state adjuster's license with reciprocity in listed jurisdictions (LA, TX, MS, AL, FL, GA) 5+ years of experience adjusting auto property damage and liability claims for commercial clients Proven ability to handle litigated claims and negotiate settlements Strong communication, organization, and documentation skills Proficiency with Microsoft Office (Word, Excel, Outlook) Preferred Prior experience handling commercial trucking or multi-jurisdictional liability claims Background with a TPA or insurance carrier environment How We Measure Success Quality of claim handling and documentation Timely resolution and compliance with client service commitments Audit scores and supervisor review Collaborative contribution to team and client satisfaction Important - Please Read Before Applying This is not an HR, benefits, safety, or employer-side risk management position. We are seeking an insurance claims professional with direct experience investigating, reserving, litigating, and settling auto, general liability, or premises liability claims. Candidates without this background will not be considered. What We Offer 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 advancement opportunities • A supportive, team-based work environment Compensation & Compliance The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations. Our Core Values At CCMSI, we believe in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who: • Act with integrity • Deliver service with passion and accountability • Embrace collaboration and change • Seek better ways to serve • Build up others through respect, trust, and communication • Lead by example-no matter their title We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you. #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #ClaimsJobs #LiabilityAdjuster #InsuranceCareers #AutoClaims #TruckingClaims #LI-Hybrid #LI-Remote We can recommend jobs specifically for you! Click here to get started.

Overview Workers' Compensation Claim Consultant (CA Jurisdiction Only) - Remote Salary: $77,000-$87,000 annually Schedule: Monday-Friday, 8:00 AM-4:30 PM PST Experience Required: 5+ Years (Litigated & Some Complex Claims) 🚨 Please Note This is not an HR, risk management, or consulting position. This is an experienced California Workers' Compensation adjusting role requiring hands-on claim investigation, evaluation, negotiation, and settlement. 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. Applicants without hands-on adjusting experience will not be considered. 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. Job Summary We're seeking an experienced Workers' Compensation Claim Consultant to handle California jurisdiction claims for a multi-account desk supporting clients in the trucking & warehouse, valet/shuttle services, and staffing agency industries. This fully remote position requires strong litigated claim handling experience, the ability to independently manage complex files, and a commitment to CCMSI's best practice standards. You'll join a collaborative team of four other consultants, working together to deliver high-quality, timely, and accurate claim service to our clients. Responsibilities 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. Conduct timely 3-point contact per CCMSI best practices. Investigate, evaluate, and adjust California workers' compensation claims with independence and sound judgment. Establish, maintain, and justify detailed reserve levels. Administer indemnity and award payments in accordance with CA jurisdictional requirements. Negotiate settlements consistent with corporate standards, client instructions, and state law. Maintain a current and thorough diary, ensuring all deadlines and statutory requirements are met. Pursue subrogation recovery as applicable. Prepare claim status reports, reserve analyses, and updates for client meetings. Conduct claim reviews with clients and participate in discussions as needed. Communicate effectively with injured workers, employers, providers, and attorneys throughout the claim lifecycle. Ensure all documentation meets CCMSI best practice requirements. Qualifications Qualifications - Required 5+ years of California WC adjusting experience, including litigated files and some complex exposure. Adjuster designation required. Strong working knowledge of California WC laws, timelines, benefits, and litigation processes. Proficiency with Microsoft Office (Word, Excel, Outlook). Excellent written and verbal communication skills, critical thinking, and decision-making ability. Nice to Have SIP certification preferred. Strong documentation habits per CCMSI best practices. Experience presenting or conducting client reviews. Bilingual (Spanish) proficiency - highly valued for communicating with claimants, employers, or vendors, but not required. Work Environment & Travel Remote role reporting to the Irvine, CA branch. Occasional travel to the office may be required for rare mandatory in-office meetings. Why You'll Love Working Here 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 How We Measure Success 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 This is where we shine, and we hire adjusters who want to shine with us. Compensation & Compliance The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations. Our Core Values 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. We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you. #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #WorkersCompJobs #CaliforniaAdjuster #RemoteJobs #ClaimsConsultant #InsuranceCareers #AdjusterLife #NowHiring #LI-Remote