Hybrid NM Workers' Comp Claims Rep I

Cannon Cochran Management Services, Inc.; Albuquerque (NM); Híbrido; USD 55 000 - 65 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

4 weeks PTO + 10 paid holidays in your

Comprehensive benefits

401(k) and ESOP

Career growth

Culture

Resumo da oferta

CCMSI in Albuquerque, NM is seeking a Workers' Compensation Claim Representative I to manage the full claim life cycle from report to closure. The role requires 3+ years of WC claims experience, NM adjuster licensing, and strong organizational and communication skills.

The position offers a hybrid schedule after initial training and a salary range of $55,000–$65,000 depending on experience. Responsibilities include investigating and adjusting claims, reviewing invoices, negotiating settlements,

Qualificações

• 3+ years of Workers' Compensation claims experience.
• Strong organizational skills and ability to prioritize multiple tasks.
• Effective verbal and written communication with internal teams, clients and partners.
• Ability to work in a fast-paced, changing environment with confidentiality.
• Proficiency with Microsoft Office applications (Word, Excel, Outlook).
• Active New Mexico Adjusters License.

Responsabilidades

• Investigate and adjust workers compensation claims per CCMSI guidelines and supervision.
• Review medical, legal and invoices to determine reasonableness and relation to claims; negotiate disputes.
• Authorize and pay claims using the company payment program within authority.
• Negotiate settlements with claimants and attorneys per client authorization.
• Assist in selection and supervision of defense attorneys.
• Assess and monitor subrogation claims for resolution.
• Prepare reports detailing claims, payments and reserves.
• Provide reports and monitor files for excess insurers as required.
• Ensure compliance with service commitments and deliver quality claim service.

Conhecimentos

WC claims experience

Prioritization

Verbal & written communication

Fast-paced environment

Microsoft Office

NM Adjuster License

Formação académica

Associate's degree or higher

Spanish bilingual (nice to have)

Descrição da oferta de emprego

CCMSI in Albuquerque, NM is seeking a Workers' Compensation Claim Representative I to manage the full claim life cycle from report to closure. The role requires 3+ years of WC claims experience, NM adjuster licensing, and strong organizational and communication skills.

The position offers a hybrid schedule after initial training and a salary range of $55,000–$65,000 depending on experience. Responsibilities include investigating and adjusting claims, reviewing invoices, negotiating settlements,