Workers' Compensation Claims Adjuster (TX License Required)
$65k - $80kCcmsi
Overview Workers' Compensation Claim Adjuster (TX jurisdiction) Location: Dallas, TX
Schedule: Hybrid - after initial training
Salary Range: $65,000 - $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 to manage a complex portfolio of claims with confidence, empathy, and sound professional judgment. With 5+ years of hands-on claims experience, you will lead thorough investigations, guide claim strategy, and ensure fair, timely resolutions. The Workers' Compensation Claim Consultant is responsible for the investigation, evaluation, and adjustment of assigned workers' compensation claims within the state of Texas, managing claims across a multiple account desk and ensuring compliance with Texas jurisdictional requirements. As a Claim Consultant, you will play a key role in delivering exceptional service to CCMSI clients, upholding our high standards of quality and responsiveness, and positioning yourself for advancement into more senior claim roles. 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 and adjust Texas workers' compensation claims in accordance with CCMSI claim handling standards and state regulatory guidelines
• Manage claims from intake through resolution, including compensability determination, benefit administration, and claim closure
• Maintain a multiple account desk, balancing varying client expectations and service commitments
• Evaluate medical treatment plans and coordinate with providers to ensure appropriate care and cost containment
• Establish and manage reserves in accordance with claim exposure and corporate guidelines
• Communicate regularly with injured employees, employers, attorneys, and medical providers
• Identify and pursue subrogation opportunities where applicable
• Prepare detailed reports on claim status, payments, and reserve activity
• Ensure timely statutory filings and compliance with Texas workers' compensation regulations
• Maintain accurate documentation, diary management, and adherence to service standards
• Deliver consistent, high-quality service to internal and external clients Qualifications Required Qualifications • Active Texas Workers' Compensation Adjuster License
• 5+ years of experience handling Texas workers' compensation claims end-to-end
• Strong knowledge of Texas jurisdictional requirements and regulatory compliance
• Excellent customer service, time management, and organizational skills
• Strong written and verbal communication skills
• Ability to prioritize and manage multiple claims across accounts
• Ability to work independently with minimal direct supervision
• Proficiency with Microsoft Office applications Nice to Have: • Bilingual (Spanish) proficiency is not required but highly desired
• Experience working in a Third Party Administrator (TPA) environment is helpful
• Experience managing multiple account desks Why You'll Love Working Here
At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by:
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:
Schedule: Hybrid - after initial training
Salary Range: $65,000 - $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 to manage a complex portfolio of claims with confidence, empathy, and sound professional judgment. With 5+ years of hands-on claims experience, you will lead thorough investigations, guide claim strategy, and ensure fair, timely resolutions. The Workers' Compensation Claim Consultant is responsible for the investigation, evaluation, and adjustment of assigned workers' compensation claims within the state of Texas, managing claims across a multiple account desk and ensuring compliance with Texas jurisdictional requirements. As a Claim Consultant, you will play a key role in delivering exceptional service to CCMSI clients, upholding our high standards of quality and responsiveness, and positioning yourself for advancement into more senior claim roles. 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 and adjust Texas workers' compensation claims in accordance with CCMSI claim handling standards and state regulatory guidelines
• Manage claims from intake through resolution, including compensability determination, benefit administration, and claim closure
• Maintain a multiple account desk, balancing varying client expectations and service commitments
• Evaluate medical treatment plans and coordinate with providers to ensure appropriate care and cost containment
• Establish and manage reserves in accordance with claim exposure and corporate guidelines
• Communicate regularly with injured employees, employers, attorneys, and medical providers
• Identify and pursue subrogation opportunities where applicable
• Prepare detailed reports on claim status, payments, and reserve activity
• Ensure timely statutory filings and compliance with Texas workers' compensation regulations
• Maintain accurate documentation, diary management, and adherence to service standards
• Deliver consistent, high-quality service to internal and external clients Qualifications Required Qualifications • Active Texas Workers' Compensation Adjuster License
• 5+ years of experience handling Texas workers' compensation claims end-to-end
• Strong knowledge of Texas jurisdictional requirements and regulatory compliance
• Excellent customer service, time management, and organizational skills
• Strong written and verbal communication skills
• Ability to prioritize and manage multiple claims across accounts
• Ability to work independently with minimal direct supervision
• Proficiency with Microsoft Office applications Nice to Have: • Bilingual (Spanish) proficiency is not required but highly desired
• Experience working in a Third Party Administrator (TPA) environment is helpful
• Experience managing multiple account desks 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
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
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.
Vacancy posted 2 days ago
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