Michigan Workers’ Compensation Claim Adjuster – Flexible Hybrid Schedule

Overview: Position: Workers’ Compensation Claim Consultant Location: Okemos, MI - Hybrid (Fully remote for the right candidate). Schedule: Office Hours Monday - Friday, 8:00 AM to 4:30 PM flex time available with core hours 9:00 AM to 3:30 PM. Salary Range: $70,000 - $90,000 annually Jurisdiction: Michigan (Michigan Adjuster's License Required) Industry Focus: Education, Manufacturing, and Retail Experience: Prior TPA experience is helpful but not required Disclaimer: The posted salary range for this position reflects the anticipated base pay for this role. Actual pay is determined based on factors such as qualifications, skills, relevant experience, internal equity, and location. Additional compensation may include discretionary bonuses, benefits, or other forms of compensation, depending on the role. The salary range provided is in compliance with state and local requirements and is intended to offer transparency to applicants. We encourage open discussions with our hiring team regarding any questions you may have about compensation and benefits for this position. CCMSI is an Affirmative Action / Equal Employment Opportunity employer offering an excellent benefits package including Medical, Dental, Prescription Drug, Vision, Flexible Spending, Life, ESOP, and 401K. About CCMSI: At CCMSI, we seek the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we’re united by a common mission to deliver exceptional service to our clients. As an employee-owned company, we focus on developing our staff through structured career development programs and by rewarding individual and team efforts. Certified as a Great Place to Work, CCMSI’s employee satisfaction and retention rank in the 95th percentile, reflecting our commitment to an outstanding work environment. Why Join CCMSI? • Culture: Our Core Values shape how we treat employees as valued partners—with integrity, passion, and enthusiasm. • Career Development: CCMSI offers robust internships and internal training programs to support growth and advancement within the organization. • Comprehensive Benefits: Enjoy 4 weeks of paid time off in your first year, 10 paid holidays, and a benefits package that includes Medical, Dental, Vision, Life Insurance, Critical Illness, Short and Long Term Disability, 401K, and Employee Stock Ownership Program (ESOP). • Supportive Work Environment: We believe in creating a workplace where employees enjoy coming to work each day, are provided with the resources to succeed, and manage realistic caseloads. Position Summary: The Workers’ Compensation Claim Consultant is responsible for investigating, evaluating, and adjusting Michigan workers’ compensation claims while providing exceptional service to multiple accounts. This role offers opportunities for professional growth and may serve as a pathway to senior-level claim positions. Responsibilities: • Claim Investigation & Adjustment: Investigate, evaluate, and adjust workers’ compensation claims in accordance with Michigan laws and CCMSI claim handling standards. • Reserve Management: Establish reserves and provide recommendations within assigned authority levels. • Payment Authorization: Review and approve medical, legal, and related invoices. Authorize claim payments within established guidelines. • Settlement Negotiation: Negotiate settlements in compliance with corporate standards, client-specific instructions, and state laws. • Vendor Oversight: Coordinate with and oversee outside vendors, including legal counsel, surveillance providers, and case managers. • Subrogation Monitoring: Assess and monitor claims for potential subrogation and ensure timely resolution. • Diary Management & Reporting: Maintain claim files, update diaries, and prepare detailed reports on claim status, payments, and reserves. • Client Communication: Provide clear and timely communication to clients, claimants, and other stakeholders. • Professional Development: Conduct claim reviews, training sessions, and prepare newsletter articles as requested. • Compliance: Adhere to corporate standards, client handling instructions, and state laws. • Hearing Participation: Attend and participate in hearings, mediations, and legal conferences as appropriate. • Additional Duties: Handle complex claims with minimal supervision and perform other duties as assigned. Qualifications: • Experience: Minimum 5 years of workers’ compensation claim experience required. • Skills: • Strong analytical, negotiation, and organizational abilities. • Excellent oral and written communication skills. • Proficiency with Microsoft Office Suite. • Ability to prioritize, multitask, and maintain discretion and confidentiality. • Attributes: • Self-starter with initiative to achieve performance goals. • Detail-oriented and flexible in a fast-paced environment. • Commitment to responsive and high-quality client service. • Physical Demands: • Ability to sit or stand for extended periods. • Sufficient auditory and visual acuity for effective communication. Core Values & Principles: Employees are expected to uphold CCMSI’s Core Values and Principles, which include performing with integrity; passionately focus on client service; embracing a client-centered vision; maintaining contagious enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to make things better; and leading by example. Apply today to join a dynamic team focused on professional growth and delivering exceptional service! #CCMSICareers #CCMSIOkemos #WorkersCompensation #ClaimsConsultant #HybridWork #OkemosMI #CareerOpportunity #InsuranceJobs #MichiganJobs #TPAJobs #JoinCCMSI #NowHiring #EmployeeOwned #IND123 Remote About the Company: CCMSI Apply Job!