CCMSI

Medical Only Claim Adjuster

Job Location(s) US-IL-Lisle
Job ID
2025-6137
Category
Claims

Overview

Medical Only Advocate


Location: Lisle, IL – Hybrid
Work Arrangement: 100% in-office for first 60 days of training; hybrid thereafter with in-office presence on the 2nd and 4th Thursday of each month
Schedule: Monday–Friday, 8:00 AM to 4:00 PM CST
Hourly Rate: $20.00/hour
Jurisdiction: Illinois (IL only)
License/Certification Required: None required
Client Type: Single dedicated Workers’ Compensation client (Illinois Public Risk Fund – IPRF)
Growth Potential: Yes – opportunity for advancement into intermediate-level claim positions

About the Illinois Public Risk Fund (IPRF)

CCMSI is proud to support the Illinois Public Risk Fund (IPRF), the largest Public Entity Workers’ Compensation pool in the State of Illinois. The IPRF team includes 25 dedicated CCMSI employees working in their own office space, providing focused claims administration and exceptional client service.

About CCMSI

Build Your Career with Purpose
At CCMSI, our Medical Only Advocates don’t just process paperwork—they play a vital role in helping injured workers recover and return to work. For this role, you’ll be part of the Illinois Public Risk Fund (IPRF) team. With a dedicated CCMSI claims staff , the IPRF team is known for its strong collaboration and high-quality service.

 

As a 100% employee-owned company and a Great Place to Work® Certified organization, we prioritize our people. We invest in structured career development, reward and recognize contributions, and provide the resources needed for employees to thrive. Our collaborative culture, meaningful growth opportunities, and strong employee satisfaction (consistently ranking in the 95th percentile) make CCMSI a place where you can build not just a job, but a career—while making a real impact for public entities across Illinois.

 

Why Join Us?

  • Culture: Our Core Values emphasize treating employees as valued partners—with integrity, passion, and enthusiasm.

  • Career Development: Internships, training programs, and advancement pathways to higher-level adjusting roles.

  • Benefits: 4 weeks paid time off in your first year, 10 paid holidays, Medical, Dental, Vision, Life, Disability, Critical Illness, 401(k), and ESOP.

  • Work Environment: A supportive, collaborative atmosphere where manageable caseloads ensure quality service and work-life balance.

Job Summary

The Medical Only Advocate is responsible for handling medical-only workers’ compensation claims from beginning to end for a single dedicated client account. This role also provides support to other claims staff and may serve as a training position for advancement into intermediate-level claim roles.

 

You’ll be accountable for the quality of claim services delivered—ensuring compliance with CCMSI’s Corporate Claim Standards and client-specific handling instructions.

Responsibilities

 

Key Responsibilities

  • Manage medical-only workers’ compensation claims from start to closure in compliance with Corporate Claim Standards, client-specific instructions, and state law.

  • Establish and monitor claim reserves within authority levels (or provide recommendations) under supervision.

  • Review and process related medical and miscellaneous invoices; negotiate disputed bills when needed.

  • Coordinate and monitor medical treatment in accordance with best practices, maintaining communication with providers.

  • Accurately document and summarize medical records, correspondence, and claim activities in the system, ensuring up-to-date diaries and communications.

  • Close claim files when appropriate and assist with re-filing or records retrieval as needed.

  • Provide technical and administrative support to claim staff and client service teams (with a dedicated focus on the IPRF account).

  • Participate in ongoing training and knowledge development opportunities to support growth and career advancement.

 

Qualifications

Qualifications

  • Associate’s degree or 2+ years of related business experience required.

  • Prior medical-only workers’ compensation claims experience preferred.

  • Knowledge of medical terminology preferred.

  • Strong written and verbal communication skills.

  • Organized, detail-oriented self-starter with the ability to prioritize work effectively.

  • Team-oriented, adaptable, and able to work with minimal supervision.

  • Proficient in Microsoft Office.

Performance Expectations

  • Audit and supervisor review of files.

  • Compliance with best practice standards, including timely claim setup, payments, documentation, and follow-up.

  • Responsiveness to internal teams, external vendors, and client needs.

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. 

 

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
  • Employee ownership mindset

 

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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