Claims Support Specialist (Hybrid | Training Path)

CCMSI; Danville (AL); Hybrid; USD 30,000 - 40,000; Full time

Benefits offered by this job

4 weeks PTO

10 paid holidays

Comprehensive benefits

Job summary

CCMSI is seeking a Claim Assistant in Danville, IL. The role offers a full-time schedule with hybrid work after training, supporting indemnity adjusters under supervision.

You will handle claim setup, documentation, medical treatment coordination, and communications with clients and claimants, contributing to accurate file handling and timely processing. Ideal candidates bring strong communication, organizational skills, and the ability to work in a fast-paced environment while maintaining

Qualifications

• Excellent oral and written communication skills
• Self-starter with strong organizational abilities
• Ability to coordinate and prioritize required
• Operate general office equipment and perform clerical duties
• Flexibility, initiative, and the ability to work with a minimum of direct supervision
• 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

Responsibilities

• Set up designated claim files and complete all set up instructions, as requested
• Learn multi line or workers compensation coverages, check claim for correct coverage type, assign out files to adjusters when supervisor is out, if applicable
• 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
• Assist adjuster with recorded statements
• Negotiate any disputed bills/invoices for resolution under direct supervision
• As appropriate, make referrals to outside vendors on designated cases under direct supervision
• 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
• Summarize all correspondence and medical records in claim log notes as well as file same in the appropriate claim
• Compute disability rates in accordance with state laws under direct supervision, when appropriate
• Assist in running and updating reports as needed
• Return provider calls
• Review and maintain personal diary on claim system
• Provide technical and clerical claims support to designated clients and claim staff, as requested
• Working document and bill queues
• Process voids, refunds and recoveries
• Act as backup for adjuster when out of the office
• Client Satisfaction
• Compliance with corporate claim standards and special client handling instructions as established
• Handle claim overflow as needed

Job description

CCMSI is seeking a Claim Assistant in Danville, IL. The role offers a full-time schedule with hybrid work after training, supporting indemnity adjusters under supervision.

You will handle claim setup, documentation, medical treatment coordination, and communications with clients and claimants, contributing to accurate file handling and timely processing. Ideal candidates bring strong communication, organizational skills, and the ability to work in a fast-paced environment while maintaining