Workers' Compensation Claim Representative I

Location: St. Louis, MO (Hybrid)
Work Hours: Monday-Friday, 8:00 AM to 4:30 PM (1-hour unpaid lunch)
Salary Range: $45,000 - $55,000

Please note: This position offers a hybrid work arrangement with the potential for local travel to conduct claim reviews. As a Workers’ Compensation Claim Representative I, you’ll have the opportunity to work across multiple accounts in Missouri's governmental and school industries while building your expertise in workers' compensation claims handling.

At CCMSI, we pride ourselves on being an Employee-Owned Third Party Administrator. Certified as a Great Place to Work, we foster a collaborative, supportive, and dynamic work environment where your contributions matter. This role is an excellent introduction to the world of claims adjusting, with opportunities for professional growth within a nationwide organization.

Why You’ll Love Working Here

Culture: Join a team that values integrity, passion, and enthusiasm, while encouraging collaboration and innovation.
Support & Training: We provide hands-on training, manageable caseloads, and continuous feedback to ensure your success.
Career Development: This position serves as a springboard for future growth within CCMSI, including advancement to senior-level claims roles.
Comprehensive Benefits: Enjoy 4 weeks of PTO in your first year, 10 paid holidays, and a robust benefits package, including Medical, Dental, Vision, Life Insurance, Short & Long-Term Disability, 401K, and ESOP.

Responsibilities

As a Workers' Compensation Claim Representative I, you’ll play a vital role in investigating and adjusting Missouri workers' compensation claims. Your primary responsibilities will include:

• Claims Investigation: Analyze and adjust assigned workers' compensation claims according to CCMSI’s guidelines and procedures.
• Multi-Account Management: Handle claims for governmental and school industry clients in Missouri.
• Payment Processing: Authorize and process claim payments in line with established protocols and industry standards.
• Negotiation & Settlement: Work with claimants and attorneys to negotiate settlements within client-approved authority levels.
• Collaboration: Assist in selecting and supervising defense attorneys and monitor subrogation claims.
• Compliance: Meet service commitments and ensure all claims adhere to CCMSI’s corporate standards and client expectations.
• Local Travel: Conduct claim reviews as needed at client locations in the St. Louis area.

What You Bring to the Table

Must-Have Skills:

• A minimum of 2+ years of Missouri workers' compensation claim handling experience.
• Exceptional organizational skills, with the ability to prioritize and pivot between tasks efficiently.
• Proficiency in Microsoft Office programs, especially Excel and Outlook.
• Excellent written and verbal communication skills.
• Ability to work effectively both independently and as part of a team.

Nice-to-Have Skills:

• Familiarity with Missouri jurisdictional laws specific to governmental and school industries.

How Your Success Will Be Measured

• Audit Performance: Regular quality reviews of your work by supervisors and auditors.
• Client Satisfaction: Adherence to service commitments and responsiveness to client needs.
• Productivity: Efficient and accurate handling of claims within assigned caseloads.

Ready to Advance Your Career?

This role is perfect for individuals with a background in Missouri workers' compensation claims looking to develop professionally in a hybrid work environment. If you’re ready to make an impact while contributing to a supportive, employee-focused company, apply today!

CCMSI is an Affirmative Action / Equal Employment Opportunity employer offering an excellent benefits package, including Medical, Dental, Prescription Drug, Vision, Flexible Spending, Life, ESOP, and 401K. Background checks are conducted in accordance with applicable federal, state, and local laws.

Disclaimer: The posted salary range reflects the anticipated base pay for this role. Actual pay will depend on qualifications, experience, location, and internal equity. Additional compensation may include bonuses, benefits, or other forms of pay.

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