Claim Assistant

Claim Assistant

Location: Danville, IL Schedule: Full-time, MondayFriday 8:00 am-4:30 pm Hybrid after training ~60 days Range: $25.64/hr

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 claimswe 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.

Assist Indemnity Adjusters with technical and clerical support of designated claims under close supervision. This position may be used as a training position for consideration of promotion to the claims Level Up program. Is accountable for the quality of claim service as perceived by CCMSI clients and within Corporate Claim Standards.

Responsibilities

Set up designated claim files and complete all set up instructions, as requested.

Learn multi line or workers compensation coverages, check claim for correct coverage type, assign out files to adjusters when supervisor is out, if applicable.

Set up independent medical exams as deemed necessary under direct supervision.

Request and monitor medical treatment of designated claims in accordance with corporate claim standards.

Review and approve related medical, legal, damage estimates and miscellaneous invoices on designated claims.

Assist adjuster with recorded statements.

Negotiate any disputed bills/invoices for resolution under direct supervision.

As appropriate, make referrals to outside vendors on designated cases under direct supervision. (i.e. legal, surveillance, case management, etc.)

Effective and timely coordination of communication with clients, claimants and other appropriate parties throughout the claim adjustment process.

Authorize and make payments on claims utilizing a claim payment program in accordance with industry standards and within established authority levels under direct supervision.

Summarize all correspondence and medical records in claim log notes as well as file same in the appropriate claim.

Compute disability rates in accordance with state laws under direct supervision, when appropriate.

Assist in running and updating reports as needed.

Return provider calls.

Review and maintain personal diary on claim system.

Provide technical and clerical claims support to designated clients and claim staff, as requested.

Working document and bill queues.

Process voids, refunds and recoveries.

Act as backup for adjuster when out of the office.

Client Satisfaction.

Compliance with corporate claim standards and special client handling instructions as established.

Handle claim overflow as needed.

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.

Individual must be a self-starter with strong organizational abilities.

Ability to coordinate and prioritize required.

Ability to operate general office equipment and perform clerical duties.

Flexibility, initiative, and the ability to work with a minimum of direct supervision a must.

Discretion and confidentiality required.

Ability to work as a team member in a rapidly changing environment.

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 Knowledge of medical terminology preferred.

Computer Skills Proficient with Microsoft Office programs.

Certificates, Licenses, Registrations Must pass Texas Adjuster license as requested.

Nice to Have (Not Required) Experience in customer service, call center, administrative support, healthcare office work, legal support, or similar fast-paced environments Bilingual (Spanish) proficiency highly valued for communicating with injured employees, employers, or partners, but not required Experience managing multiple tasks while maintaining accuracy and attention to detail Familiarity with Medical Terminology is helpful but not required

How We Measure Success At CCMSI, great claims professionals stand out through ownership, accuracy, and impact. We measure success by:

Quality work thorough documentation, clear notes, and well-supported decisions

Timeliness & follow-through meeting deadlines and keeping work moving forward

Communication proactive updates and professional interactions with all parties

Sound judgment using facts, staying objective, and solving problems with integrity

Learning & growth applying training, improving consistently, and building independence

Cultural alignment believing every claim represents a real person and acting accordingly

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

Why You'll Love Working Here 4 weeks of PTO (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: structured training + clear advancement opportunities Culture: supportive, team-based environment with mentoring and development

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 rightfor our clients, our coworkers, and ourselves. We look for team members who:

Lead with transparency build trust by being open and listening intently

Perform with integrity choose the right path, even when it's hard

Chase excellence set the bar high and measure results

Own the outcome every employee is an owner and acts like it

Win together our greatest victories come when our clients succeed