CCMSI

Medical Only Workers’ Compensation Claim Rep – Hybrid | Phoenix, AZ

Job Location(s) US-AZ-Phoenix
Job ID
2025-6084
Category
Claims

Overview

Position Title: Medical Only Claim Representative
Location: Phoenix, AZ
Work Arrangement: Hybrid (in-office 1 day per week after training)
Schedule: Monday–Friday, 8:00 AM to 4:30 PM (37.5 hours/week)
Hourly Rate: $25.00–$30.00/hour
License/Certification Required: Arizona Adjuster’s License + ICA Adjuster Authorization
Client Type: Single dedicated municipal client
Jurisdiction: Arizona-only claims
Growth Potential: Yes – opportunity to advance into a Lost Time Adjuster role with training


Build Your Career with Purpose

At CCMSI, we don’t just process claims—we support recovery and deliver service with integrity. As a 100% employee-owned company, we’re proud to foster a culture where every team member has a voice. In this Phoenix-based hybrid role, you’ll help manage medical-only workers’ compensation claims for a long-standing municipal client, with clear pathways for future growth.

 

Job Summary

We are seeking a Medical Only Claim Representative to join our Arizona workers’ compensation team. This position focuses on the timely and accurate management of medical-only claims for a single, dedicated municipality client. You'll work a hybrid schedule, with one required in-office day per week following your initial training period.

 

Ideal candidates will be detail-oriented, service-driven, and familiar with Arizona WC laws. Prior municipal claim experience is a plus.

 

Responsibilities

  • Manage a caseload of Arizona medical-only workers’ compensation claims from start to closure

  • Determine eligibility and ensure timely delivery of appropriate benefits

  • Establish and maintain reserves within assigned authority limits

  • Review, approve, and dispute medical and miscellaneous invoices when necessary

  • File required state notices with the ICA and other governing bodies

  • Maintain detailed claim notes and documentation in compliance with best practices

  • Coordinate and monitor medical treatment and communications with providers

  • Support the broader claims team as needed and participate in client service activities

  • Meet documentation, diary, and communication timeliness standards

 

Qualifications

Required:

  • Active Arizona Workers’ Compensation Adjuster’s License

  • Current ICA Adjuster Authorization

  • 2+ years of claims, administrative, or business experience

  • Excellent written and verbal communication skills

  • Strong organizational skills and attention to detail

  • Proficient in Microsoft Office (Word, Excel, Outlook)

  • Reliable and consistent attendance within business hours

Nice to Have:

  • Prior experience working with municipality or public sector clients

  • Knowledge of medical terminology

  • Associate degree or relevant coursework

Performance Metrics

  • Compliance with CCMSI Corporate Claim Best Practices and client handling instructions

  • Timely and accurate payment, documentation, and file maintenance

  • Client satisfaction and collaboration

  • Readiness and performance for future advancement opportunities

What We Offer

  • Four weeks of paid time off in your first year, plus 10 paid holidays

  • Comprehensive benefits: Medical, Dental, Vision, Life Insurance, Critical Illness, Short & Long-Term Disability

  • Employer-funded ESOP and 401K plan with company match

  • Structured career development programs and internal promotion pathways

  • A supportive in-office environment that values teamwork and employee growth

What We Offer

  • Four weeks of paid time off in your first year, plus 10 paid holidays

  • Comprehensive benefits: Medical, Dental, Vision, Life Insurance, Critical Illness, Short & Long-Term Disability

  • Employer-funded ESOP and 401K plan with company match

  • Ongoing training, mentorship, and advancement opportunities

  • A collaborative, employee-owned culture that values input, performance, and growth

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.

 

CCMSI offers a comprehensive benefits package, which will be reviewed during the hiring process. Please contact our hiring team with any questions about compensation or benefits.

 

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 or accommodation, 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.

 

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