Pennsylvania Workers' Compensation Claims Supervisor (Remote)

Build Your Career With Purpose at CCMSI

Job Summary

• Review, assign and provide supervision of all claim activity for designated claims to ensure compliance with Corporate Claim Standards, client specific handling instructions and in accordance with applicable laws.
• Investigate, evaluate and adjust assigned claims in accordance with established claim handling standards and laws.
• Reserve establishment and/or oversight of reserves for designated claims within established reserve authority levels.
• Provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated claims. Negotiate any disputed bills or invoices for resolution.
• Authorize and make payments of claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within established payment authority.
• Negotiate settlements in accordance within Corporate Claim Standards, client specific handling instructions and state laws, when appropriate.
• Assist designated claim staff in the selection, referral and supervision of designated claim files sent to outside vendors. (i.e. legal, surveillance, case management, etc.)
• Direct handling of designated litigated and complex claims.
• Provide education, training and assist in the development of claim staff.
• Review and maintain personal diary on claim system.
• Supervision of all claim activity for specified accounts.
• Compliance with Corporate Claim Handling Standards and special client handling instructions as established.

Required

• 10 years of Workers' Compensation claims handling experience
• Strong working knowledge of Pennsylvania Workers' Compensation laws, regulations, and claim handling practices
• Prior supervisory, leadership, mentoring, or team lead experience
• Experience handling claims from investigation through resolution
• Strong understanding of:
  • Compensability determinations
  • Reserve management
  • Medical management
  • Litigation oversight
  • Return-to-work strategies
  • Settlement negotiations
• Ability to coach and develop claims professionals
• Strong organizational, problem-solving, and decision-making skills
• Excellent verbal and written communication abilities
• Ability to work independently in a remote environment
• Strong customer service and relationship management skills
• Proficiency with Microsoft Office applications
• Reliable attendance during established business hours

Nice to Have

• Prior supervisory or people-lead experience within Workers’ Compensation.
• Bachelor’s degree or equivalent combination of education and experience.
• AIC, CPCU, or ARM preferred
• Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required.

• 
  4 weeks PTO 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

• 
  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

Compensation & Compliance

• 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. This role may also qualify for bonuses or additional forms of pay.
• Visa Sponsorship: CCMSI is unable to provide visa sponsorship for this position.
• ADA Accommodations: Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
• Equal Opportunity Employer: CCMSI is proud to be an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

• 
  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.