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Overview
Are you looking to launch a rewarding career in insurance claims? Join our LevelUP Career Pathways Program at CCMSI as a Workers' Compensation Claim Associate I (LevelUP).
This role is designed for individuals eager to progress through our structured training program towards becoming a skilled Claim Representative.
Why Choose Claims Adjusting?
What Do Claims Adjusters Do?
At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients.
As an Employee-Owned Company, we focus on developing our staff through structured career development programs, rewarding and recognizing individual and team efforts.
Certified as a Great Place To Work, our employee satisfaction and retention ranks in the 95th percentile.
Reasons you should consider a career with CCMSI :
Responsibilities
As a Claim Associate I LevelUP , you'll handle the initial phases of claims investigation and evaluation. Under close supervision, you'll focus on non-litigated indemnity cases and contested medical-only claims.
Your responsibilities include setting up claim files, coordinating medical treatments, and managing communications with clients and claimants.
Investigate, evaluate and adjust medical only claims, contested medical-only claims and handle a maximum of 30 indemnity claims under direct supervision.
Establish reserves and / or provide reserve recommendations within established authority levels under direct supervision.
Set up designated claim files and complete all set up instructions, as requested. Set up independent medical exams as deemed necessary under direct supervision.
Negotiate any disputed bills / invoices for resolution under direct supervision. As appropriate, make referrals to outside vendors on designated cases under direct supervision.
legal surveillance, case management, Effective and timely coordination of communication with clients, claimants and other appropriate parties throughout the claim adjustment process.
Authorize and make payments on claims utilizing a claim payment program in accordance with industry standards and within established authority levels under direct supervision.
Compute disability rates in accordance with state laws under direct supervision, when appropriate. Summarize all correspondence and medical records in claim log notes as well as file same in the appropriate claim.
Review and maintain personal diary on claim system. Provide technical and clerical claims support to designated clients, as requested.
Compliance with corporate claim standards and special client handling instructions as established. Will act as a back-up to designated adjusters when needed.
Performs other duties as assigned.
Qualifications
This position is designated for the LevelUP Career Pathway Program which is a career pathway position designed to provide training for consideration as a Claim Representative.
In order to be successful in this position, the candidate must possess the following skills and attributes :
Education and / or Experience
Associate’s degree or two year’s related business experience preferred.
Knowledge of medical terminology preferred.
Commitment and willingness to learn roles with increasing decision making authority and responsibilities.
Computer Skills
Proficient with Microsoft Office programs.
Certificates, Licenses, Registrations
Must pass Adjuster license exam as required for the respective jurisdiction(s) within the first 60 days of employment.
CORE VALUES & PRINCIPLES
and leading by example.
CCMSI is an Affirmative Action / Equal Employment Opportunity employer offering an excellent benefit package including Medical, Dental, Prescription Drug, Vision, Flexible Spending, Life, ESOP and 401K.
CCMSICareers #ClaimAssociate #WorkersCompensation #LevelUP #CareerPathways #ClaimRep
TrainingProgram #DanvilleIL #DanvilleJobs #ProfessionalDevelopment #CareerGrowth #InternalTraining
InsuranceCareers #JobOpportunity #SkillDevelopment #CorporateClaimStandards #EmployeeOwned #ESOP #GreatPlaceToWorkCertified #WorkLifeBalance #NowHiring #CareerNotAJob #IND123
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Last updated : 2024-05-07
Full Time
Insurance
$63k-77k (estimate)
05/09/2024
06/21/2024
ccmsi.com
IRVINE, CA
1,000 - 3,000
1978
WILLIAM HOUGLAND
$50M - $200M
Insurance
CCMSI is a leading third-party administrator for workers' compensation and property/casualty self-insurance programs. Since 1978, we've successfully administered and provided claim services to individual and group clients, nationwide. Our approach to claims management includes providing sound technical resources, strategic insight, efficient and accessible computer systems, cost containment practices, and the seamless administration of your losses. Our adjuster turnover rate is less than 3%. This is crucial in establishing continuity between your primary contacts and the adjustment staff. Comp...any Homepage: www.ccmsi.com View Job Postings: https://careers-ccmsi.icims.com
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The job skills required for Claim associate include Decision Making, Initiative, Microsoft Office, Written Communication, Commitment, Leadership, etc. Having related job skills and expertise will give you an advantage when applying to be a Claim associate. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Claim associate. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Claim associate positions, which can be used as a reference in future career path planning. As a Claim associate, it can be promoted into senior positions as a Claims Clerk III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Claim associate. You can explore the career advancement for a Claim associate below and select your interested title to get hiring information.