Workers’ Compensation Claim Specialist

Location: Scottsdale, AZ (Hybrid)
Schedule: Monday–Friday | 8:00 AM – 4:30 PM
Salary Range: $70,000 – $85,000 (depending on experience)
Account Assignment: Single dedicated client account

Build Your Career With Purpose at CCMSI

At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.

We don’t just process claims—we support people. As the largest privately-owned Third Party Administrator (TPA), 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 Specialist is responsible for the full investigation, evaluation, and adjustment of assigned Workers’ Compensation indemnity claims for a dedicated client account. The role requires independent claim handling, strong jurisdictional knowledge, and adherence to CCMSI corporate standards and client-specific handling instructions.

This position is a true Workers’ Compensation adjusting role. It is not an HR, consulting, or administrative position. The role requires full responsibility for the investigation, evaluation, negotiation, and resolution of Workers’ Compensation claims in accordance with state laws and client handling instructions.

When we hire adjusters at CCMSI, we look for professionals who understand that every claim represents a real person’s livelihood, take ownership of outcomes, and see challenges as opportunities to solve problems.

• Investigate, evaluate, and adjust assigned Workers’ Compensation claims in compliance with Nevada Workers’ Compensation laws

• Manage a full indemnity caseload for a single dedicated account

• Establish reserves and provide reserve recommendations within assigned authority

• Review, approve, and negotiate medical, legal, and related claim expenses

• Authorize and issue claim payments in accordance with established procedures and authority limits

• Negotiate settlements in alignment with corporate standards, client instructions, and state regulations

• Coordinate and oversee outside vendors including defense counsel, case management, and medical providers

• Maintain accurate documentation, activity notes, and diaries within the claim system

• Identify and monitor subrogation opportunities through resolution

• Calculate and apply disability rates and benefits in accordance with state law

• Communicate effectively with injured workers, employers, attorneys, and internal partners

• Ensure compliance with CCMSI claim handling standards and client-specific requirements

Licensing & Jurisdiction Requirements

• Active Nevada Workers’ Compensation Adjuster License – REQUIRED

• Arizona license accepted via NV ↔ AZ reciprocity, if applicable

• Claims handled are Nevada-based, with minimal Arizona exposure as needed

Required Qualifications

• Proven experience adjusting Workers’ Compensation indemnity claims

• Strong working knowledge of Nevada Workers’ Compensation statutes and regulations

• Ability to independently manage a full caseload for a dedicated account

• Excellent written and verbal communication skills

• Strong analytical, organizational, and negotiation abilities

• High level of professionalism, discretion, and confidentiality

• Reliable, predictable attendance during scheduled client service hours

• Proficiency with Microsoft Office and claim management systems

Note: We are open to candidates with fewer than 10 years of experience if they demonstrate strong jurisdictional knowledge, sound claim judgment, and consistent performance.

Preferred Qualifications

• Experience supporting a single-client or dedicated account model

• Prior experience with Nevada-only WC claim handling

• Professional designations such as AIC, ARM, or CPCU

• Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required.

Why You’ll Love Working Here

• 4 weeks PTO (Paid time off that accrues throughout the year in accordance with company policy) + 10 paid holidays in your first year
• Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance
• Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP)
• Career growth: Internal training and advancement opportunities
• Culture: A supportive, team-based work environment

How We Measure Success 

At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by: 

• Quality claim handling – thorough investigations, strong documentation, well-supported decisions
  • Compliance & audit performance – adherence to jurisdictional and client standards
  • Timeliness & accuracy – purposeful file movement and dependable execution
  • Client partnership – proactive communication and strong follow-through
  • Professional judgment – owning outcomes and solving problems with integrity
  • Cultural alignment – believing every claim represents a real person and acting accordingly 

This is where we shine, and we hire adjusters who want to shine with us.

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 comprehensive benefits including medical, dental, vision, life, and disability insurance. Paid time off accrues throughout the year in accordance with company policy, with paid holidays and eligibility for retirement programs in accordance with plan documents.

CCMSI posts internal career opportunities in compliance with applicable state and local promotion transparency laws.

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.

Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws.

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:

• Lead with transparency We build trust by being open and listening intently in every interaction.
• Perform with integrity We choose the right path, even when it is hard.
• Chase excellence We set the bar high and measure our success. What gets measured gets done.
• Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own.
• Win together Our greatest victories come when our clients succeed.

 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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