Workers' Compensation Claim Consultant
CCMSI · Scottsdale, AZ · Yesterday
Hybrid$65k–$75k/yrFull-time
About the role
We are seeking an experienced and highly skilled Workers’ Compensation Claim Consultant with experience in multiple states, 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. Supporting a single dedicated client account, you will serve as a trusted claims partner, developing deep expertise in the client's operations and delivering a personalized, high-touch claims experience. This role also offers a strong development pathway for advancement into more senior claim positions.
Responsibilities
- Investigate, evaluate, and manage workers’ compensation claims in compliance with state regulations and company standards.
- Establish reserves, authorize payments, and negotiate settlements within authority levels.
- Coordinate with attorneys, medical providers, case managers, and other vendors to drive claim resolution.
- Monitor claim progress, maintain accurate documentation, and provide timely claim status reports.
- Identify and pursue subrogation opportunities when appropriate.
- Communicate effectively with clients, claimants, and other stakeholders throughout the claim lifecycle.
- Handle complex claims with minimal supervision while maintaining compliance with client-specific handling instructions and corporate standards.
- Participate in claim reviews, hearings, mediations, training sessions, and client meetings as needed.
Qualifications
- Five or more years of Workers’ Compensation claims experience.
- Experience in multiple states is a bonus!
- Proficiency with Microsoft Office products, including Word, Excel, and Outlook.
- Arizona adjuster’s or home license is required.
Preferred Qualifications
- Bachelor’s degree is preferred but not required.
- Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required.
- Previous experience handling waste management accounts is preferred.
Benefits
- 4 weeks paid time off in your first year (accrues throughout the year in accordance with company policy)
- 10 paid holidays in your first year
- 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