Workers' Compensation Claim Representative II

Workers' Compensation Claim Representative II Location : Phoenix, AZ Schedule : 8:00am - 4:30pm (PST) – Hybrid schedule after initial training period. Salary Range : $55,000 – $75,000. Overview We are seeking an experienced Workers’ Compensation Claim Representative II to manage a caseload of active indemnity claims with strong technical expertise and sound judgment. This role requires 5–10 years of experience and an active ICA Adjuster Authorization. You will be dedicated to a single municipal account, handling investigations, compensability decisions, and claim resolution while delivering excellent client service. Responsibilities Investigate and adjust workers compensation claims in accordance with established claims handling procedures using CCMSI guidelines and direct supervision. Review medical, legal, and miscellaneous invoices to determine if reasonable and related to the ongoing workers compensation claims; negotiate any disputed bills for resolution. Authorize and make payment of workers compensation claims utilizing a claim payment program in accordance with industry standards and within settlement authority. Negotiate settlements with claimants and attorneys in accordance with client’s authorization. Assist in selection and supervision of defense attorneys. Assess and monitor subrogation claims for resolution. Prepare reports detailing claims, payments, and reserves. Provide reports and monitor files, as required by excess insurers. Compliance with Service Commitments as established by team. Delivery of quality claim service to clients. Required Qualifications Excellent oral and written communication skills. Self‑starter with strong organizational skills and ability to work with minimal supervision. Proven ability to coordinate, prioritize, and manage multiple responsibilities. Flexibility, initiative, and adaptability in a fast‑paced, rapidly changing environment. Strong discretion and ability to maintain confidentiality. Ability to work effectively as part of a team. Reliable, predictable attendance within client service hours. Responsiveness to internal and external client needs. Proficiency with Microsoft Office programs (Word, Excel, Outlook, etc.). 5–10 years of Workers’ Compensation claims management experience or equivalent combination of experience and education. AZ Adjuster’s license and ICA Adjuster Authorization required (or able to obtain). Preferred Qualifications Associate degree is preferred but not required. Bilingual (Spanish) proficiency – highly valued but not required. Benefits 4 weeks paid time off (accrues throughout the year) + 10 paid holidays in first year. Comprehensive benefits: Medical, Dental, Vision, Life, Disability Insurance. Retirement plans: 401(k) and Employee Stock Ownership Plan. Career growth: Internal training and advancement opportunities. Legal Statements Equal Opportunity Employer : CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations. ADA Accommodations : CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. Visa Sponsorship : CCMSI does not provide visa sponsorship for this position. Background Checks : Background checks, if required, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws. #J-18808-Ljbffr CCMSI