Senior WC Claim Consultant (NC/SC) – Hybrid

CCMSI; Charlotte (NC); Hybrid; USD 75,000 - 85,000; Full time

Benefits offered by this job

4 weeks paid time off

Medical, dental, vision insurance

401(k) and ESOP

Job summary

CCMSI in Charlotte, NC seeks a Workers’ Compensation Claim Consultant to manage a complex portfolio of claims with confidence and empathy. The role requires 5+ years of hands-on WC claims experience and offers a development path into senior positions, with a hybrid schedule and a competitive salary range. You will guide claim strategy, ensure timely resolutions, and deliver exceptional client service across the lifecycle of claims.

Qualifications

• Five or more years of Workers’ Compensation claims experience.
• Proficiency with Microsoft Office products (Word, Excel, Outlook).
• Adjuster’s license may be required based on jurisdiction: NC & SC.

Responsibilities

• Investigate, evaluate and adjust claims in accordance with established claim handling standards and laws.
• Establish reserves and/or provide reserve recommendations within established reserve authority levels.
• Review, approve or oversee medical, legal, damage estimates and invoices; negotiate disputed bills for resolution.
• Authorize and make payments of claims in accordance with procedures and authority.
• Negotiate settlements in compliance with standards and client instructions.
• Coordinate with outside vendors and supervise designated claim files when needed.
• Monitor subrogation claims and maintain diaries in the claim system.
• Prepare reports detailing claim status, payments and reserves as requested.

Skills

WC claims experience

Microsoft Office

Adjuster license (NC/SC)

Education

Bachelor's degree

Job description

CCMSI in Charlotte, NC seeks a Workers’ Compensation Claim Consultant to manage a complex portfolio of claims with confidence and empathy. The role requires 5+ years of hands-on WC claims experience and offers a development path into senior positions, with a hybrid schedule and a competitive salary range. You will guide claim strategy, ensure timely resolutions, and deliver exceptional client service across the lifecycle of claims.