WC Claim Consultant (IL) - Hybrid, Impact & Growth

CCMSI; Chicago (IL); Hybrid; USD 70,000 - 75,000; Full time

Benefits offered by this job

PTO + holidays

Medical/Dental/Vision

401(k) + ESOP

Career growth

Team environment

Job summary

CCMSI in Chicago, IL is seeking an experienced Workers’ Compensation Claim Consultant to manage a complex portfolio with confidence and professional judgment. With 5+ years of hands-on WC claims experience, you will lead investigations, set strategy, and guide timely resolutions in a full life-cycle adjuster role within a TPA environment.

The role offers a clear development path toward senior positions, a hybrid work arrangement (onsite with remote options), and comprehensive benefits including

Qualifications

• Five or more years of Workers’ Compensation claims experience.
• Proficiency with Microsoft Office (Word, Excel, Outlook).
• Experience adjusting IL workers' compensation claims.
• TX adjuster license highly preferred.
• Bachelor’s degree preferred; bilingual Spanish valued.

Responsibilities

• Investigate, evaluate and adjust WC claims per standards and laws.
• Establish reserves or provide reserve recommendations.
• Review and approve medical, legal, and invoices; negotiate disputed bills.
• Authorize and pay claims per procedures and authority.
• Negotiate settlements within standards and laws.
• Supervise outside vendors as needed.
• Monitor subrogation claims through resolution.
• Communicate with clients and claimants throughout the process.
• Prepare reports on claim status, payments and reserves.
• Coordinate disability rate calculations per state law.
• Attend hearings and mediations when appropriate.

Skills

WC claims experience

MS Office

Education

Bachelor's degree preferred

Tools

TX adjuster license

IL claims adjusting

Job description

CCMSI in Chicago, IL is seeking an experienced Workers’ Compensation Claim Consultant to manage a complex portfolio with confidence and professional judgment. With 5+ years of hands-on WC claims experience, you will lead investigations, set strategy, and guide timely resolutions in a full life-cycle adjuster role within a TPA environment.

The role offers a clear development path toward senior positions, a hybrid work arrangement (onsite with remote options), and comprehensive benefits including