Remote Medical-Only Claims Adjuster (NY/FL)

Cannon Cochran Management Services, Inc.; Florida; Hybrid; USD 32,000 - 34,000; Full time

Benefits offered by this job

4 weeks PTO

10 paid holidays

Medical, Dental, Vision, Life, and Dis

401(k) & ESOP

Career growth opportunities

Hybrid work

Job summary

CCMSI in Maitland, FL is seeking a Medical Only Claim Representative (Workers' Comp) to handle medical‑only claims and assist claim staff. The role supports training for promotion to an intermediate level, with remote reporting eligibility and standard hours.

Responsibilities include setting up files, reserving funds, reviewing invoices, monitoring treatments, and maintaining precise claim notes. Required: associate degree or 2 years related experience; NY/FL medical-only claims exposure is

Qualifications

• Associate degree or two years of related business experience.
• Customer-service mindset with phone communication.
• Strong organizational and multitasking abilities.
• Ability to manage detailed documentation on a computer.
• Proficient in Word, Excel, and Outlook.
• Experience adjusting NY and FL medical-only claims.

Responsibilities

• Set up and manage medical‑only claim files in accordance with corporate claim standards and applicable laws.
• Establish reserves and provide reserve recommendations within authorized levels under direct supervision.
• Review and approve medical and miscellaneous invoices on designated claims; negotiate disputed bills or invoices under supervision.
• Request and monitor medical treatment in accordance with corporate claim handling standards.
• Summarize correspondence and medical records in claim system notes and file documentation appropriately.
• Close claim files when appropriate and retrieve closed files for re‑filing as requested
• Provide ongoing support to claim staff on client service teams
• Communicate with medical providers, injured workers, and internal partners; frequent phone work is required
• Ensure compliance with corporate claim handling standards and special client handling instructions

Skills

Customer service

Phone communication

Organization

Multitasking

Computer literacy

Microsoft Office

Attendance

NY/FL medical-claims experience

Education

Associate degree or two years related business experience

Tools

Microsoft Office Suite

Job description

CCMSI in Maitland, FL is seeking a Medical Only Claim Representative (Workers' Comp) to handle medical‑only claims and assist claim staff. The role supports training for promotion to an intermediate level, with remote reporting eligibility and standard hours.

Responsibilities include setting up files, reserving funds, reviewing invoices, monitoring treatments, and maintaining precise claim notes. Required: associate degree or 2 years related experience; NY/FL medical-only claims exposure is