Workers' Compensation Claim Consultant

CCMSI; Scottsdale (AZ); Hybrid; USD 65,000 - 75,000; Full time

Benefits offered by this job

4 weeks paid time off + 10 holidays

Comprehensive medical, dental, vision,

401(k) and ESOP

Career growth and internal training

Job summary

CCMSI in Scottsdale, AZ is seeking an experienced Workers’ Compensation Claim Consultant to manage a complex portfolio of claims. You will lead investigations, guide strategy, and deliver fair, timely resolutions for a single dedicated client account.

With 5+ years of hands-on WC claims experience and multi-state exposure, you will collaborate with attorneys, medical providers, and case managers to drive outcomes while aligning with CCMSI’s high standards of service and responsiveness.

Qualifications

• Five or more years of Workers’ Compensation claims experience.
• Experience in multiple states is a bonus.
• Proficiency with Microsoft Office products (Word, Excel, Outlook).
• Arizona adjuster license is required.
• Bachelor’s degree preferred but not required.
• Bilingual Spanish proficiency is highly valued.

Responsibilities

• Investigate, evaluate, and manage workers’ compensation claims in compliance with state regulations and company standards.
• Establish reserves, authorize payments, and negotiate settlements within authority levels.
• Coordinate with attorneys, medical providers, case managers, and vendors to drive claim resolution.
• Monitor claim progress, maintain accurate documentation, and provide timely status reports.
• Identify and pursue subrogation opportunities when appropriate.
• Communicate effectively with clients, claimants, and stakeholders throughout the lifecycle.
• Handle complex claims with minimal supervision while adhering to client handling instructions.
• Participate in claim reviews, hearings, mediations, training sessions, and client meetings.

Skills

5+ years WC claims experience

Bilingual Spanish

MS Office proficiency

Multiple state experience

Waste management accounts experience

Education

Arizona adjuster license

Bachelor’s degree (preferred)

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Job description

Overview

Workers' Compensation Claim Consultant

Location: Scottsdale, AZ (Hybrid schedule after initial training)

Schedule: 8:00am - 4:30pm (MDT) - (Flexibility for an earlier start time)

Salary Range: $65,000 - $75,000

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

We are seeking an experienced and highly skilled Workers’ Compensation Claim Consultant with experience in multiple states, to manage a complex portfolio of claims with confidence, empathy, and sound professional judgment. With 5+ years of hands‑on claims experience, you will lead thorough investigations, guide claim strategy, and ensure fair, timely resolutions.

Supporting a single dedicated client account, you will serve as a trusted claims partner, developing deep expertise in the client's operations and delivering a personalized, high-touch claims experience. This role also offers a strong development pathway for advancement into more senior claim positions. As a Claim Consultant, you will play a key role in delivering exceptional service to CCMSI clients and upholding our high standards of quality and responsiveness.

This is a full life‑cycle WC adjuster position within a TPA environment, and only candidates with proven Workers’ Compensation claims experience will be considered.

Responsibilities

• Investigate, evaluate, and manage workers’ compensation claims in compliance with state regulations and company standards.
• Establish reserves, authorize payments, and negotiate settlements within authority levels.
• Coordinate with attorneys, medical providers, case managers, and other vendors to drive claim resolution.
• Monitor claim progress, maintain accurate documentation, and provide timely claim status reports.
• Identify and pursue subrogation opportunities when appropriate.
• Communicate effectively with clients, claimants, and other stakeholders throughout the claim lifecycle.
• Handle complex claims with minimal supervision while maintaining compliance with client‑specific handling instructions and corporate standards.
• Participate in claim reviews, hearings, mediations, training sessions, and client meetings as needed.

Qualifications

Required Qualifications

• Five or more years of Workers’ Compensation claims experience.
• Experience in multiple states is a bonus!
• Proficiency with Microsoft Office products, including Word, Excel, and Outlook.
• Arizona adjuster’s or home license is required.

Preferred Qualifications

• Bachelor’s degree is preferred but not required.
• Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required.
• Previous experience handling waste management accounts ina preferred.

Why You’ll Love Working Here

• 4 weeks (Paid time off that accrues throughout the year in accordance with company policy) + 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

• 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.

CCMSI offers comprehensive benefits including medical, dental, vision, life, and disability insurance. Paid time off accrues throughout the year in accordance with company policy, with paid holidays and eligibility for retirement programs in accordance with plan documents.

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.

Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations.

Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws.

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.

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