Workers' Compensation Claim Representative II

Overview

Workers' Compensation Claim Consultant

Location: W. Des Moines, IA Schedule: Monday–Friday, 8:00 AM – 4:30 PM

Hybrid (2 days onsite / 3 days remote after first 30 days)

Salary Range: $60,000 – $80,000

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 who is responsible for managing a full caseload of indemnity workers’ compensation claims across multiple accounts and industries, including healthcare, manufacturing, warehouse, agriculture, hospitality, restaurant, and transportation environments. This role handles primarily moderate-complexity claims with some litigation exposure across Iowa and Nebraska jurisdictions, providing high-quality claim outcomes through sound judgment, effective communication, and adherence to corporate and client standards.  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

When we hire Workers’ Compensation Adjusters at CCMSI, we look for detail‑driven problem‑solvers who balance empathy with sound judgment, navigate complex regulations with confidence, and deliver fair, timely outcomes that support injured workers and strengthen client trust.

• Investigate, evaluate, and adjust workers’ compensation claims in accordance with established claim handling standards, client-specific instructions, and state laws • Manage a caseload of approximately 125 claims across multiple accounts • Establish reserves and provide reserve recommendations within established authority levels • Review, approve, and oversee medical, legal, and miscellaneous invoices for accuracy and claim-related necessity • Negotiate disputed bills and invoices for appropriate resolution • Authorize and issue claim payments utilizing established claim payment programs and authority guidelines • Negotiate settlements in accordance with corporate standards, client instructions, and jurisdictional requirements • Assist in the selection, referral, and oversight of outside vendors including legal counsel, surveillance, and case management • Monitor and pursue subrogation opportunities through resolution • Maintain accurate claim documentation, diary management, reserves, and payments within the claim system • Prepare reports detailing claim status, reserves, and payments as requested • Compute disability rates in accordance with state laws • Coordinate effective and timely communication with clients, claimants, attorneys, and other involved parties • Attend and participate in hearings, mediations, and informal legal conferences as appropriate • Conduct client claim reviews or training sessions when requested • Ensure compliance with corporate claim handling standards and special client handling instructions

Qualifications

Required Qualifications

• Active Iowa workers’ compensation adjuster license • Minimum of 5 years of workers’ compensation indemnity claim handling experience • Experience handling claims with some litigation exposure • Ability to determine claim settlement values and negotiate claims for resolution • Strong written and verbal communication skills with the ability to build rapport with clients and claimants • Critical thinking and sound decision-making skills • Proficiency with Microsoft Outlook and Word • Strong organizational skills with the ability to manage competing priorities

Preferred Qualifications

• Experience handling both national and non-national accounts • Experience across multiple industries including healthcare, manufacturing, warehouse, agriculture, hospitality, restaurant, or transportation • Prior TPA experience helpful, but not required• Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required 

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.

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.

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