Workers Compensation Claim Adjuster

Workers' Compensation Claim Adjuster Lisle, IL Job Details $60,000

• $80,000 a year 6 days ago Benefits Paid holidays Visa sponsorship Disability insurance Health insurance Dental insurance 401(k) Paid time off Vision insurance Employee stock ownership plan Opportunities for advancement Qualifications Computer operation Spanish Claim investigation 5 years Writing skills Regulatory compliance in claims processing Subrogation Mid-level CPCU Task prioritization Workers' compensation claims Organizational skills Insurance investigations Settlement negotiation Damages evaluation Associate in Risk Management Productivity software Communication skills

Full Job Description Overview Position Title:

Workers' Compensation Claim Advocate (Adjuster)

Location:

Lisle, IL (Hybrid reporting 2 days/month after training)

Schedule:

8:00 am-4:00 pm

CT Salary Range:

$60,000

• 80,000 CCMSI is seeking the best and brightest talent to join the Illinois Public Risk Fund who is the largest Public Entity Workers' Compensation pool in the State of Illinois.

Illinois Public Risk Fund has a dedicated CCMSI claims team with a staff of 24 and their own dedicated office space. 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. The Workers' Compensation Claim Advocate position is responsible for the investigation and adjustment of assigned workers' compensation claims. This position may be used as an advanced training position for promotion consideration for supervisory/management positions. The position is also accountable for the quality of workers' compensation claim services as perceived by CCMSI clients and within our corporate claim standards. Responsibilities Investigate, evaluate and adjust workers' compensation 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 provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated workers' compensation claims. Negotiate any disputed bills or invoices for resolution. Authorize and make payments of workers' compensation claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within established payment authority. Negotiate settlements in accordance within Corporate Claim Standards, client specific handling instructions and state laws, when appropriate. Assist in the selection, referral and supervision of designated workers' compensation claim files sent to outside vendors. (i.e. legal, surveillance, case management, etc.) Review and maintain personal diary on claim system. Assess and monitor subrogation claims for resolution. Compute disability rates in accordance with state laws. Effective and timely coordination of communication with clients, claimants and other appropriate parties throughout the workers' compensation claim adjustment process. Provide notices of qualifying claims to excess/reinsurance carriers. Compliance with Corporate Claim Handling Standards and special client handling instructions as established. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Excellent oral and written communication skills. Initiative to set and achieve performance goals. Good analytic and negotiation skills. Knowledge of all lower level claim position responsibilities. Must be detail oriented and a self-starter with strong organizational abilities. Ability to coordinate and prioritize required. Flexibility, accuracy, initiative and the ability to work with minimum supervision. Discretion and confidentiality required. Reliable, predictable attendance within client service hours for the performance of this position. Responsive to internal and external client needs. Ability to clearly communicate verbally and/or in writing both internally and externally. Education and/or Experience 5+ years workers' compensation claim experience is required. Nice to

Have:

Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required. Computer Skills Proficient with Microsoft Office programs. Certificates, Licenses, Registrations IL or TX Adjuster's license is preferred. AIC, ARM or CPCU Designation 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 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. 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. CCMSI posts internal career opportunities in compliance with applicable state and local promotion transparency laws.

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 At CCMSI, we believe in doing what's right—for our clients, our coworkers, and ourselves. We look for team members who: 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 #IllinoisPublicRiskFund #WorkersCompensation #ClaimsCareers #ILJobs #WorkLifeBalance #EmployeeOwned #ESOP #GreatPlaceToWorkCertified #ClaimsCareers #AdjusterJobs #CareerGrowth #InsuranceIndustry #CCMSIJobs #JoinOurTeam #IND123 #LI-Hybrid