Workers’ Compensation Claim Rep II

Location: Jackson, Mississippi (Hybrid)
Schedule: Monday–Friday, 7:30 AM–4:00 PM or 8:00 AM–4:30 PM
Compensation: $50,000–$65,000 annually

Build Your Career With Purpose at CCMSI

At CCMSI, we don’t just process claims—we support people. As one of the largest employee-owned Third Party Administrators in the country, 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

The Workers’ Compensation Claim Representative II is responsible for the investigation and adjustment of lost-time workers’ compensation claims for multiple accounts across the Alabama and Mississippi jurisdictions.

This position serves as a key contributor to client satisfaction and compliance, ensuring claims are handled promptly, accurately, and in alignment with CCMSI’s claim-handling standards. The role may also serve as an advanced training opportunity for future senior-level claim positions.

Hybrid work is available following initial onboarding, with minimal travel for client claim reviews as needed.

• Investigate, evaluate, and adjust assigned workers’ compensation claims in accordance with jurisdictional laws and company best practices.

• Establish, review, and maintain appropriate reserves within established authority levels.

• Review, approve, or negotiate medical, legal, and miscellaneous invoices to ensure accuracy and cost-effectiveness.

• Authorize and issue claim payments per corporate and client procedures.

• Negotiate claim settlements within corporate standards, client handling instructions, and applicable state laws.

• Coordinate and supervise outside vendor activities (e.g., legal, case management, surveillance).

• Evaluate subrogation opportunities and oversee recovery efforts.

• Prepare detailed status reports on claim activity, payments, and reserves as requested.

• Communicate effectively with clients, claimants, and other involved parties throughout the claims process.

• Attend hearings, mediations, and conferences as required.

• Maintain diary notes, documentation, and reports in accordance with compliance and audit standards.

Required:

• Three or more years of workers’ compensation lost-time adjusting experience.

• Valid Alabama and Mississippi Adjuster Licenses (or ability to obtain within 60 days of hire).

• Proficiency in Microsoft Office (Word, Excel, Outlook).

Preferred:

• Bachelor’s degree in a related field.

• Experience managing multiple accounts or clients within a TPA or carrier setting.

How We Measure Success

Performance for this role is measured through:

• Adherence to claim-handling best practices and audit standards.

• Timeliness and accuracy of claim activity.

• Compliance with jurisdictional regulations and client expectations.

• Quality of communication and collaboration with clients and internal partners.

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 

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.

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