Texas Workers' Compensation Claim Consultant

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

We are seeking an experienced and highly skilled Workers’ Compensation Claim Consultant to manage a complex portfolio of claims with confidence, empathy, and sound professional judgment. With 5+ years of hands-on claims experience, you will lead thorough investigations, guide claim strategy, and ensure fair, timely resolutions. The role is responsible for the investigation, evaluation, and adjustment of assigned workers’ compensation claims within the state of Texas, managing claims across multiple accounts and ensuring compliance with Texas jurisdictional requirements. This is a full life-cycle WC adjuster position within a TPA environment.

Responsibilities

• Investigate and adjust Texas workers’ compensation claims in accordance with CCMSI claim handling standards and state regulatory guidelines
• Manage claims from intake through resolution, including compensability determination, benefit administration, and claim closure
• Maintain a multiple account desk, balancing varying client expectations and service commitments
• Evaluate medical treatment plans and coordinate with providers to ensure appropriate care and cost containment
• Establish and manage reserves in accordance with claim exposure and corporate guidelines
• Communicate regularly with injured employees, employers, attorneys, and medical providers
• Identify and pursue subrogation opportunities where applicable
• Prepare detailed reports on claim status, payments, and reserve activity
• Ensure timely statutory filings and compliance with Texas workers’ compensation regulations
• Maintain accurate documentation, diary management, and adherence to service standards
• Deliver consistent, high-quality service to internal and external clients

Requirements

• Active Texas Workers’ Compensation Adjuster License
• 5+ years of experience handling Texas workers’ compensation claims end-to-end
• Strong knowledge of Texas jurisdictional requirements and regulatory compliance
• Excellent customer service, time management, and organizational skills
• Strong written and verbal communication skills
• Ability to prioritize and manage multiple claims across accounts
• Ability to work independently with minimal direct supervision
• Proficiency with Microsoft Office applications

Nice to have

• Bilingual (Spanish) proficiency
• Experience working in a Third Party Administrator (TPA) environment
• Experience managing multiple account desks

Benefits

• 4 weeks of paid time off (accrued throughout the year) + 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)
• Internal training and advancement opportunities
• Supportive, team-based work environment

Pay

Salary range: $75,000 – $85,000. 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

Hybrid – after initial training

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

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.