Overview
Workers' Compensation Claim Representative IILocation: Dallas, TXSchedule: Monday - Friday, 8:00 AM - 4:30 PMWork Arrangement: Hybrid (In-office every Tuesday after initial training period)Salary Range: $65,000 - $75,000 annually
Disclaimer: The posted salary range for this position reflects the anticipated base pay for this role. Actual pay is determined based on factors such as qualifications, skills, relevant experience, internal equity, and location. Additional compensation may include discretionary bonuses, benefits, or other forms of compensation, depending on the role. The salary range provided is in compliance with state and local requirements and is intended to offer transparency to applicants. We encourage open discussions with our hiring team regarding any questions you may have about compensation and benefits for this position.
CCMSI is an Affirmative Action / Equal Employment Opportunity employer offering an excellent benefits package including Medical, Dental, Prescription Drug, Vision, Flexible Spending, Life, ESOP, and 401K.
About CCMSI:
At CCMSI, we seek the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we’re united by a common mission to deliver exceptional service to our clients. As an employee-owned company, we focus on developing our staff through structured career development programs and by rewarding individual and team efforts. Certified as a Great Place to Work, CCMSI’s employee satisfaction and retention rank in the 95th percentile, reflecting our commitment to an outstanding work environment.
Why Join CCMSI?
- Culture: Our Core Values shape how we treat employees as valued partners—with integrity, passion, and enthusiasm.
- Career Development: CCMSI offers robust internships and internal training programs to support growth and advancement within the organization.
- Comprehensive Benefits: Enjoy 4 weeks of paid time off in your first year, 10 paid holidays, and a benefits package that includes Medical, Dental, Vision, Life Insurance, Critical Illness, Short and Long Term Disability, 401K, and Employee Stock Ownership Program (ESOP).
- Supportive Work Environment: We believe in creating a workplace where employees enjoy coming to work each day, are provided with the resources to succeed, and manage realistic caseloads.
Position Summary:
CCMSI is seeking a Workers' Compensation Claim Representative II to join our dedicated client desk team in Dallas, TX. This role involves managing workers' compensation claims under Texas jurisdiction while providing outstanding claim services to our clients. With opportunities for career advancement, this position is ideal for experienced claims professionals passionate about delivering quality results in a collaborative and client-focused environment.
Responsibilities
- Claims Management: Investigate and adjust workers' compensation claims in accordance with CCMSI guidelines and procedures.
- Invoice Review: Analyze medical, legal, and other invoices to ensure they are reasonable and related to ongoing claims; negotiate disputed bills as necessary.
- Claim Payments: Authorize and process claim payments in compliance with industry standards and within settlement authority.
- Settlements: Negotiate settlements with claimants and attorneys, adhering to client authorizations.
- Legal Coordination: Assist in the selection and supervision of defense attorneys for claim resolution.
- Subrogation: Assess and monitor subrogation claims for recovery opportunities.
- Reporting: Prepare detailed reports on claims, payments, reserves, and other key metrics.
- Client Service: Deliver high-quality claims service and maintain compliance with service commitments and corporate standards.
- Team Collaboration: Participate in team discussions, contribute to process improvements, and support other duties as assigned.
- Performs other duties as assigned.
Qualifications
- Education & Experience:
- A minimum of 5 years of workers' compensation claims handling experience is required.
- Proven expertise in claims management, client advocacy, and providing exceptional customer service.
- Texas workers' compensation adjusting experience required.
- Licensing:
- Must possess a valid Texas Adjuster’s License.
- Skills & Abilities:
- Strong oral and written communication skills.
- Ability to organize, prioritize, and manage multiple tasks efficiently.
- Self-starter with the ability to work independently and collaboratively in a dynamic environment.
- Discretion, confidentiality, and the ability to deliver client-focused results.
- Proficient with Microsoft Office programs.
- Preferred Skills:
- Experience with customer service and claim advocacy is a plus.
Working Conditions
- Ability to sit or stand for extended periods.
- Manual dexterity to perform job duties effectively.
- Visual and auditory acuity to interact professionally with clients and colleagues.
Core Values & Principles:
Employees are expected to uphold CCMSI’s Core Values and 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.
Join CCMSI and become part of a team where your expertise shapes the future of claims management! Apply now to take the next step in your career. #WorkersCompensation #ClaimsAdjuster #InsuranceCareers #TexasJobs #HybridWork #ClaimsManagement #CareerOpportunity #CustomerAdvocacy #JobOpening #CCMSICareers #CCMSIDallas #IND123
