Position: Workers' Compensation Claim Representative I

Location: Okemos, MI
Work Schedule: Monday-Friday, 8:00 AM – 4:30 PM (Hybrid after initial training – up to 6 months in-office)
Salary: $61,000 - $68,000 annually
Account: Dedicated Workers’ Compensation Claim Desk – Michigan Jurisdiction

License Requirement:
A Michigan Workers' Compensation Adjuster License is preferred, but not required.

Note: Hybrid schedules may adjust based on performance and attendance.

The posted salary reflects CCMSI’s good-faith estimate of the base pay range for this role, in accordance with applicable pay transparency laws. Actual compensation will depend on qualifications, experience, and internal equity. Additional compensation may include bonuses, benefits, or other forms of pay. A full summary of benefits—including Medical, Dental, Vision, Life Insurance, ESOP, and 401K—is available upon request. Please discuss any compensation and benefits questions with our hiring team.

CCMSI is an Affirmative Action / Equal Employment Opportunity employer. Background checks are conducted in compliance with applicable laws.

The Workers' Compensation Claim Representative I at CCMSI is responsible for investigating, evaluating, and managing workers' compensation claims from start to close for a dedicated Michigan jurisdiction account. This role involves ensuring timely and accurate claim handling, including the evaluation of medical bills, wage statements, and the administration of benefits in compliance with state regulations. The position requires strong organizational skills, attention to detail, and the ability to manage multiple files in a deadline-driven environment. While a Michigan Workers' Compensation Adjuster License is preferred, it is not required. The position offers hybrid work after an initial in-office training period.

• Investigate and evaluate workers' compensation claims for compensability, coverage, and appropriate benefit administration.

• Establish and maintain reserves based on case facts and jurisdictional guidelines.

• Communicate effectively with claimants, clients, medical providers, and legal counsel.

• Review and process medical bills, wage statements, and other claim-related documents.

• Issue timely and accurate payment of benefits in accordance with state regulations and company policies.

• Document all file activity clearly and thoroughly in the claim management system.

• Coordinate return-to-work efforts and monitor medical progress and treatment plans.

Nice to Have Skills or Experience:

• Strong organizational skills, capable of managing multiple files in a deadline-driven environment.

• Excellent written and verbal communication skills.

• Analytical thinking with sound judgment in evaluating claims and making decisions.

• Proficiency in Microsoft Office (Word, Excel, Outlook) and claims management systems.

• Ability to work independently and collaboratively within a team setting.

• High attention to detail and accuracy in documentation and benefit calculation.

• Medical Terminology: Familiarity with medical terminology for accurate claims processing and communication with medical providers.

How Performance Is Measured:

• Claim File Quality: Accuracy, timeliness, and completeness of documentation and file handling in accordance with company and client standards.

• Timely Claim Resolution: Efficient claim management, including timely investigation, benefit delivery, and claim closure.

• Compliance: Adherence to jurisdictional regulations, internal policies, and client-specific requirements.

• Customer Service: Professional communication with claimants, clients, providers, and internal team members.

• Productivity: Volume of claims managed, tasks completed within established deadlines, and ability to stay current with workload.

• Team Collaboration: Support team objectives, participate in meetings/trainings, and contribute to a positive work environment.

Education & Experience:

• 3 or more years of workers' compensation claims experience, or equivalent industry experience, is preferred.

• An Associate’s degree is preferred but not required. 

Computer Skills:

• Proficient in Microsoft Office programs (Word, Excel, Outlook, etc.).

Why You Should Consider a Career with CCMSI:

At CCMSI, we are a team united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we prioritize professional growth through structured career development programs, and reward and recognize individual and team contributions. We are proud to be certified as a Great Place to Work, with employee satisfaction and retention consistently ranking in the 95th percentile.

Culture: Our Core Values of integrity, passion, and enthusiasm are embedded in our everyday work culture.
Career Development: CCMSI offers a variety of internal training programs for career advancement within the company.
Benefits: CCMSI offers 4 weeks paid time off in your first year, plus 10 paid holidays, in addition to comprehensive benefits including Medical, Dental, Vision, Life Insurance, Critical Illness, Short and Long Term Disability, 401(k), and ESOP.
Work Environment: We foster a supportive work environment where employees have access to the resources needed to succeed. Our claims staff are assigned manageable caseloads to ensure a healthy work-life balance.

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