Pennsylvania Workers' Compensation Claims Supervisor (Remote)

Build your career with purpose 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. 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.

About the role

This role supervises approximately seven Workers' Compensation adjusters handling Pennsylvania claims and is responsible for driving claim quality, technical excellence, employee development, and operational performance. The Supervisor serves as a trusted resource for adjusters, leadership, and business partners while ensuring compliance with Pennsylvania Workers' Compensation regulations and Corporate Claim Standards. The position combines leadership responsibilities with technical oversight, requiring a strong understanding of compensability analysis, litigation management, reserving practices, return-to-work strategies, and claim resolution.

Responsibilities

• Review, assign, and provide supervision of all claim activity for designated claims to ensure compliance with Corporate Claim Standards, client-specific handling instructions, and applicable laws.
• Investigate, evaluate, and adjust assigned claims in accordance with established claim handling standards and laws.
• Establish and/or oversee 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 disputed bills or invoices for resolution.
• Authorize and make payments of claims in accordance with claim procedures utilizing a claim payment program within industry standards and established payment authority.
• Negotiate settlements in accordance with Corporate Claim Standards, client-specific handling instructions, and state laws.
• Assist designated claim staff in the selection, referral, and supervision of designated claim files sent to outside vendors (e.g., legal, surveillance, case management).
• Direct handling of designated litigated and complex claims.
• Provide education, training, and assist in the development of claim staff.
• Maintain personal diary on claim system.
• Ensure compliance with Corporate Claim Handling Standards and special client handling instructions.

Requirements

• 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 certification preferred.
• Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors.

Benefits

• 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.

Pay

Salary Range: $85,000 – $95,000 annually. 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.

Schedule

Monday – Friday, 8:00 AM – 4:30 PM.

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.

Core Values

• 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.