Workers' Compensation Claim Adjuster I (St. Louis Hybrid)

CCMSI; St. Louis (MO); Hybrid; USD 55,000 - 70,000; Full time

Benefits offered by this job

4 weeks PTO

10 paid holidays

Medical/Dental/Vision/Life/Disability

401(k) and ESOP

Hybrid work schedule

Job summary

CCMSI is seeking a Workers' Compensation Claims Representative I to join our St. Louis team. This role manages a full caseload across multiple accounts, primarily in Missouri, with potential Illinois work.

Onsite training is required for 30 days, then a hybrid schedule with two days in the office and three remote days. The ideal candidate has 1–4 years of WC claims experience, strong communication, and organizational skills, and a commitment to quality client service.

Qualifications

• 2+ years of Workers’ Compensation claims experience or related insurance industry experience.
• Working knowledge of workers' compensation claim handling practices and claim life cycle management.
• Ability to independently manage a full caseload of moderate-complexity claims.
• Strong verbal and written communication skills.
• Excellent organizational skills with the ability to prioritize multiple responsibilities.
• Proficiency with Microsoft Office applications including Outlook, Word, and Excel.
• Ability to work effectively in a collaborative, client-focused environment.
• Reliable and predictable attendance during established business hours.
• Experience handling Missouri workers' compensation claims.

Responsibilities

• Investigate and adjust workers compensation claims in accordance with established claims handling procedures using CCMSI guidelines and direct supervision.
• Review medical, legal and miscellaneous invoices to determine if reasonable and related to the ongoing workers compensation claims. Negotiate any disputed bills for resolution.
• Authorize and make payment of workers compensation claims utilizing a claim payment program in accordance with industry standards and within settlement authority.
• Negotiate settlements with claimants and attorneys in accordance with client’s 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, as required by excess insurers.
• Compliance with Service Commitments as established by team.
• Delivery of quality claim service to clients.

Skills

Claims handling

Caseload management

Communication skills

MS Office

Team collaboration

Attention to detail

Tools

Microsoft Office

Outlook

Word

Excel

Job description

Overview

Workers' Compensation Claims Adjuster I

Location: St. Louis, MO

Schedule: Full-Time | Monday-Friday | 8:00 AM-4:30 PM

Salary Range: $55,000-$70,000 annually, depending on experience

Build Your Career With Purpose at CCMSI

At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.

We don’t just process claims—we support people. As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work®, and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day.

Job Summary

CCMSI is seeking a Workers' Compensation Claims Representative I to join our St. Louis team. This is an excellent opportunity for an adjuster with 1-4 years of workers' compensation claims experience who is ready to manage a full caseload and continue developing their technical claim handling skills. This role handles workers' compensation claims across multiple accounts, primarily in Missouri and potentially Illinois, while delivering outstanding service to clients and injured workers.

Work Arrangement

This position is based in St. Louis, Missouri. Employees are expected to work onsite during the first 30 days of employment for training and onboarding. Following successful completion of training, employees may transition to a hybrid schedule consisting of two days in the office and three days working remotely each week.

Responsibilities

When we hire adjusters at CCMSI, we look for professionals who understand that every claim represents a real person’s livelihood, take ownership of outcomes, and see challenges as opportunities to solve problems.

• Investigate and adjust workers compensation claims in accordance with established claims handling procedures using CCMSI guidelines and direct supervision.
• Review medical, legal and miscellaneous invoices to determine if reasonable and related to the ongoing workers compensation claims. Negotiate any disputed bills for resolution.
• Authorize and make payment of workers compensation claims utilizing a claim payment program in accordance with industry standards and within settlement authority.
• Negotiate settlements with claimants and attorneys in accordance with client’s 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, as required by excess insurers.
• Compliance with Service Commitments as established by team.
• Delivery of quality claim service to clients.

Qualifications

What You’ll Bring

Required

• 2+ years of Workers’ Compensation claims experience or related insurance industry experience.
• Working knowledge of workers' compensation claim handling practices and claim life cycle management.
• Ability to independently manage a full caseload of moderate-complexity claims.
• Strong verbal and written communication skills.
• Excellent organizational skills with the ability to prioritize multiple responsibilities.
• Proficiency with Microsoft Office applications including Outlook, Word, and Excel.
• Ability to work effectively in a collaborative, client-focused environment.
• Reliable and predictable attendance during established business hours.
• Experience handling Missouri workers' compensation claims.

Nice to Have

• Associate’s degree or higher, or related insurance indusstry experience.
• Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required.
• Experience handling Illinois workers' compensation claims.
• Experience working within a TPA, carrier, or self-insured claims environment.

Why You’ll Love Working Here

• 4 weeks PTO + 10 paid holidays in your first year
• Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance
• Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP)
• Career growth: Internal training and advancement opportunities
• Culture: A supportive, team-based work environment

How We Measure Success

At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by:

• Quality claim handling – thorough investigations, strong documentation, well-supported decisions
• Compliance & audit performance – adherence to jurisdictional and client standards
• Timeliness & accuracy – purposeful file movement and dependable execution
• Client partnership – proactive communication and strong follow-through
• Professional judgment – owning outcomes and solving problems with integrity
• Cultural alignment – believing every claim represents a real person and acting accordingly

This is where we shine, and we hire adjusters who want to shine with us.

Compensation & Compliance

The posted salary reflects CCMSI’s good‑faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay.

Visa Sponsorship

CCMSI does not provide visa sponsorship for this position.

ADA Accommodations

CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. If you need assistance or accommodation, please contact our team.

Equal Opportunity Employer

CCMSI is an Affrimative Action / Equal Employment Opportunity employer. We comply with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks are conducted only after a conditional offer of employment.

Our Core Values

• Lead with transparency We build trust by being open and listening intently in every interaction.
• Perform with integrity We choose the right path, even when it is hard.
• Chase excellence We set the bar high and measure our success. What gets measured gets done.
• Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own.
• Win together Our greatest victories come when our clients succeed.

We don’t just work together—we grow together. If that sounds like your kind of workplace, we’d love to meet you. #CCMSICareers #EmployeeOwned #GreatPlaceToWorkCertified #ESOP #TPA #InsuranceCareers #ClaimsAdjuster #WorkersCompensation #ClaimsAdjuster #StLouisJobs #HybridJobs #IND123