Workers Compensation Claims Specialist Commercial Trucking (Remote)
About the position
CCMSI is seeking an experienced Workers' Compensation Claim Specialist to join our team remotely. This role is dedicated to a single client account within the commercial trucking industry, managing a caseload of workers' compensation claims across Florida, Georgia, North Carolina, South Carolina, Virginia, and West Virginia. The role requires a strong investigative approach and effective communication with clients, insureds, and defense counsel. Occasional travel (1-2 times per year) may be required for client claim reviews or training sessions.
Responsibilities
• Investigate, evaluate, and adjust workers' compensation claims in accordance with corporate standards and applicable state laws.
• Collaborate with clients, injured workers, and vendors to manage claims efficiently and deliver high-quality service.
• Establish and recommend reserves within authority levels.
• Coordinate and manage defense counsel activity with a focus on cost-effective outcomes.
• Review and approve medical and legal bills in accordance with state guidelines and client expectations.
• Maintain thorough documentation, notes, and activity logs for each claim.
• Monitor diary tasks and ensure timely completion of key claim milestones.
• Participate in virtual or on-site claim reviews and trainings as needed.
Requirements
• 5+ years of experience adjusting workers' compensation claims.
• Strong investigative, analytical, and communication skills.
• Ability to manage a full caseload with a focus on timely, thorough documentation and proactive file handling.
• Experience working independently in a remote environment.
• Proficiency in Microsoft Office (Word, Excel, Outlook).
• Ability to effectively manage defense counsel and communicate legal strategy to clients.
Nice-to-haves
• Florida Workers' Compensation Adjuster's License is highly desired; licenses in other covered jurisdictions are a plus.
• Prior experience working with commercial trucking or transportation industry claims.
• Strong understanding of jurisdictional requirements in FL, GA, NC, SC, VA, and WV.
Benefits
• 4 weeks of PTO in your first year
• 10 paid holidays
• medical/dental/vision
• 401(k)
• ESOP
• and more
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