Overview
Launch Your Career in Insurance Claims with CCMSI in Dallas, TX!
Are you ready to start a fulfilling career in insurance claims? Join CCMSI’s LevelUP Career Pathways Program as a Workers' Compensation Claim Associate I (LevelUP) in our Dallas, TX office. This role is designed for individuals eager to progress through our structured training program, with the goal of becoming a skilled Claims Representative.
Why Choose Claims Adjusting?
- Make a Positive Impact: Help individuals and families overcome setbacks by supporting their recovery and rehabilitation through your work.
- Career Growth Opportunities: From entry-level positions to leadership roles, there are endless possibilities for advancement.
- Flexible Hybrid Work Environment: After completing 3 to 6 months of in-office training in Dallas, TX, you’ll transition to a hybrid schedule, working 2 days per week in the office, as long as performance requirements are being met.
- Competitive Pay and Benefits: Enjoy excellent compensation, comprehensive benefits, and work-life balance.
What Do Claims Adjusters Do?
- Problem Solving: Help people return to work after accidents and recover from natural disasters.
- Investigation: Interview witnesses, assess damages, and negotiate settlements.
- Communication: Interact with clients, injured workers, and attorneys in a collaborative team environment.
Nice to Have Skills or Experience:
- Microsoft Office
- Customer Service
- Time Management
At CCMSI, we seek the brightest talent to join our team of professionals. As a leading Third-Party Administrator in self-insurance services, we are united by our commitment to delivering exceptional service to clients. As an employee-owned company, we focus on developing our staff through structured career development programs, recognizing and rewarding both individual and team contributions. Certified as a Great Place To Work, we rank in the 95th percentile for employee satisfaction and retention.
Reasons to Consider a Career with CCMSI:
- Culture: Our Core Values guide how we treat our employees as valued partners, with integrity, passion, and enthusiasm.
- Career Development: CCMSI offers robust internships and internal training programs to help employees advance within the organization.
- Benefits: Our benefits package includes 4 weeks of paid time off in your first year, plus 10 paid holidays, and a full suite of medical, dental, vision, life insurance, critical illness, short and long-term disability, 401K, and ESOP.
- Work Environment: We strive to provide an enjoyable work environment, with the resources needed for success and manageable caseloads for our claims staff.
Ready to make a difference? Apply today to start your LevelUP journey 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.
- Request and monitor medical treatment of designated claims in accordance with corporate claim standards.
- Review and approve related medical, legal, damage estimates and miscellaneous invoices on designated claims. Negotiate any disputed bills/invoices for resolution under direct supervision.
- As appropriate, make referrals to outside vendors on designated cases under direct supervision. (i.e., legal surveillance, case management, etc.)
- 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:
- An interest in building a career in insurance claims.
- Excellent oral and written communication skills.
- Excellent organization and time management abilities.
- Individual must be a self-starter.
- Critical thinking skills and the ability to work independently.
- Ability to coordinate and prioritize required with exceptional time management.
- Ability to operate general office equipment and perform clerical duties.
- Flexibility, initiative, and the ability to work with a minimum of direct supervision a must.
- Discretion and confidentiality required.
- Ability to work as a team member in a rapidly changing environment.
- Reliable, predictable attendance within client service hours for the performance of this position.
- Responsive to internal and external client needs.
- Ability to clearly communicate verbally and/or in writing both internally and externally.
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
Responsible for upholding the CCMSI Core Values & Principles which include: performing with integrity; passionately focus on client service; embracing a client-centered vision; maintaining contagious enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to make things better; 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.
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