CCS Defense Based Act (DBA) Adjuster

Heartland Security Insurance Group; Dallas (TX); Presencial; USD 60.000 - 75.000; Jornada completa

Descripción de la vacante

Heartland Security Insurance Group (via Contract Claims Services, Inc.) seeks an Adjuster in Dallas to manage medical-only and lost-time workers’ compensation claims from initial report to resolution. You’ll evaluate liability, reserves, and settlements, coordinating with claimants, clients, attorneys, and third parties to ensure timely, fair outcomes.

Join a team committed to integrity and professional development, with training focused on enhancing claims-management skills and delivering

Responsabilidades

• Manage assigned caseload of workers’ compensation claims.
• Make decisions about compensability, set reserves and negotiate settlements.
• Assigns, when necessary, appropriate vocational rehabilitation for the purposes of a labor market survey.
• Coordinates, when necessary, light duty accommodation with AAFES’ Human Resources Center.
• Determines whether an injured worker is a Medicare beneficiary or possibly receiving SSDI benefits and assigns, when necessary, a Medicare Set-Aside to CCS Medicare Services.
• Interact with claimants, clients, attorneys, representatives of the U.S. Department of Labor, medical providers and other third-party representatives throughout the claims process.
• Assess worst probable exposure and apply appropriate reserving practices.
• Timely initial contacts and investigation of new claims.
• Prepares reports and other analytical data as requested by the management team.
• Independently identify and resolve most common claim file issues.
• Prepare for and/or represent the Employer at Informal Conferences.
• Adjust extent of disability claims to include Labor Market Surveys and Loss of Wage-Earning Capacity (LWEC) calculations.
• Accurately calculate present value of LWEC claims and prepare settlement memos/analysis.
• Negotiate settlements.

Descripción del empleo

Location: Dallas, TX

About Us

Contract Claims Services, Inc. (CCSI)provides professional claims handling and adjusting services for insurance carriers, self-insured groups, and managing general agencies across a variety of industries. Our team delivers efficient, fair, and timely claims resolutions that reflect our commitment to quality service and trusted partnerships.

As a subsidiary ofHeartland Security Insurance Group, CCSI combines the expertise and responsiveness of a specialized adjusting firm with the stability and resources of a larger organization. This allows us to deliver customized solutions while maintaining the personal attention our clients value most.

At CCSI, we pride ourselves on our integrity, professionalism, and dedication to doing what’s right—for our clients and the people they serve. Our culture is built on teamwork, accountability, and continuous improvement, ensuring every employee has the opportunity to grow and make an impact.

Join us and become part of a company where your expertise and commitment truly matter.

The Adjuster will manage an assigned caseload of medical only and lost time Workers’ Compensation claims from the first report of injury to resolution according to the applicable law. This includes making decisions about liability/compensability, evaluating losses, and negotiating settlements. The role interacts with claimants, clients, attorneys, and other third parties throughout the claims management process. The position offers training developed with an emphasis on enhancing skills needed to help provide exceptional service to our customers.

Essential Functions & Responsibilities

• Manage assigned caseload of workers’ compensation claims.
• Make decisions about compensability, set reserves and negotiate settlements.
• Assigns, when necessary, appropriate vocational rehabilitation for the purposes of a labor market survey.
• Coordinates, when necessary, light duty accommodation with AAFES’ Human Resources Center.
• Determines whether an injured worker is a Medicare beneficiary or possibly receiving SSDI benefits and assigns, when necessary, a Medicare Set-Aside to CCS Medicare Services.
• Interact with claimants, clients, attorneys, representatives of the U.S. Department of Labor, medical providers and other third-party representatives throughout the claims process.
• Assess worst probable exposure and apply appropriate reserving practices.
• Timely initial contacts and investigation of new claims.
• Prepares reports and other analytical data as requested by the management team.
• Independently identify and resolve most common claim file issues.
• Prepare for and/or represent the Employer at Informal Conferences.
• Adjust extent of disability claims to include Labor Market Surveys and Loss of Wage-Earning Capacity (LWEC) calculations.
• Accurately calculate present value of LWEC claims and prepare settlement memos/analysis.
• Negotiate settlements.