Workers' Claim Adjuster; NJ

Workers' Compensation Claim Adjuster (NJ)

2 weeks ago | Be among the first 25 applicants

Position Title: Workers’ Compensation Claim Adjuster (NJ focus)

Location: Hybrid (Reporting to Linwood, NJ)

Schedule: Monday – Friday | 8:00 AM – 4:30 PM EST

Salary Range: $65,000 – $70,000

CCMSI is a leading Third Party Administrator in self‑insurance services, employee‑owned, and certified as a Great Place To Work. The company offers structured career development and robust benefits.

• Culture:
  Our Core Values are embedded into our culture of treating employees as valued partners with integrity, passion and enthusiasm.
• Career development: CCMSI offers robust internships and internal training programs for advancement within our organization.
• Benefits: 4 weeks paid time off in your first year, 10 paid holidays, Medical, Dental, Vision, Life Insurance, Critical Illness, Short and Long Term Disability, 401K, and ESOP.
• Work Environment:
  Employers provide a manageable caseload and resources to perform the job.

• Investigate, evaluate and adjust claims in accordance with established claim handling standards and laws.
• Establish reserves or provide reserve recommendations within established reserve authority levels.
• Review, approve or provide oversight of medical, legal, damage estimates and miscellaneous invoices, negotiate disputed bills.
• Authorize and process claims payments in accordance with claim procedures and payment authority.
• Negotiate settlements within Corporate Claim Standards, client specific handling instructions, and state laws.
• Assist in the selection, referral and supervision of claim files sent to outside vendors.
• Assess and monitor subrogation claims for resolution.
• Maintain personal diary on claim system.
• Client satisfaction.
• Prepare reports on claim status, payments, reserves.
• Compute disability rates per state laws.
• Coordinate communication with clients, claimants, and appropriate parties.
• Prepare newsletter articles as requested.
• Provide notices of qualifying claims to excess/reinsurance carriers.
• Handle more complex claims with minimum supervision.
• Conduct claim reviews and training sessions for clients.
• Attend and participate at hearings, mediations, informal legal conferences.
• Comply with Corporate Claim Handling Standards and client instructions.
• Perform other duties as assigned.

• Five or more years of claims experience (required).
• Bachelor’s degree preferred.
• Proficient with Microsoft Office products.
• Adjuster’s license may be required based on jurisdiction.

• Ability to stoop, bend, reach, grab with arms and hands, manual dexterity.
• Ability to sit or stand up to 7.5 or more hours at a time.
• Requires sufficient auditory and visual acuity to interact with others.

Responsible for upholding CCMSI core values: integrity, client service focus, client‑centered vision, enthusiasm, innovation, change as opportunity, excellence, trust, constructive relationships, initiative, and leadership.

The salary reflects CCMSI’s good‑faith estimate. Compensation will consider qualifications, experience, location, and equity. The role may qualify for bonuses.

CCMSI does not provide visa sponsorship for this position.

CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. If you need assistance or accommodation, please contact our team.

CCMSI is an affirmative action / equal employment opportunity employer. We comply with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks are conducted only after a conditional offer of employment.