Workers Compensation Medical Only Claim Representative

Medical Only Claim Representative

Location: Overland Park, KS (Hybrid)

Schedule: MondayFriday, 8:00 AM 4:30 PM

Salary Range: $20.00 $21.00 hourly, 37.5 hours per week

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.

Job Summary

The Medical Only Claim Representative is responsible for the handling of designated medical-only workers' compensation claims for multiple accounts across Kansas and Missouri. This role manages a high-volume, low-complexity caseload and plays a key role in supporting injured workers, medical providers, and internal claim teams by ensuring timely medical coordination, accurate documentation, and responsive communication.

The position involves frequent phone interaction, detailed data entry, and ongoing follow-up to support compliant and efficient claim outcomes in accordance with corporate claim standards and applicable laws. This role is well suited for organized, detail-oriented individuals who are comfortable multitasking in a fast-paced environment and may serve as a training position for future advancement into higher-level claim roles.

Responsibilities

When we hire claim reps at CCMSI, we look for detail-oriented professionals who understand that every task supports a real person's claim experience, value accuracy and responsiveness, and contribute to the team's success through organization, collaboration, and a strong commitment to service.

• Set up and manage medical-only claim files in accordance with corporate claim standards and applicable laws
• Establish reserves and provide reserve recommendations within established authority levels under direct supervision
• Review and approve medical and miscellaneous invoices for designated claims; negotiate disputed bills or invoices under direct supervision
• Request and monitor medical treatment in accordance with corporate claim handling standards
• Summarize correspondence and medical records in claim system notes and appropriately file documentation
• Close claim files when appropriate and retrieve closed files for re-filing as requested
• Provide administrative and claim processing support to claim staff and client service teams
• Communicate with providers, claimants, and internal partners as needed; frequent phone work is required
• Maintain accurate diaries, documentation, and compliance with special client handling instructions

Qualifications

Required:

• Associate Degree or two (2) years of related business experience
• Strong organizational skills with the ability to multitask in a high-volume environment
• Comfort working on the phone and communicating with external parties on occasion
• Ability to type and work efficiently on a computer
• Proficiency with Microsoft Office applications including Word, Excel, and Outlook
• Reliable, predictable attendance during assigned business hours

Nice to Have:

• Knowledge of medical terminology
• Prior experience in a claims, medical, or administrative support role
• Experience supporting multiple accounts or clients simultaneously
• Bilingual (Spanish) proficiencyhighly 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

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 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.