Workers' Compensation Claims Adjuster

CCMSI

Workers' Compensation Claim Consultant investigating, evaluating, and adjusting claims in Jackson, MS for various client accounts. Balancing empathy and sound judgment in resolving workers' compensation claims efficiently.

Posted 7/29/2026full-timeJackson • Alabama, Mississippi • 🇺🇸 United StatesMid-LevelSenior💰 $67,000 - $75,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Workers’ Compensation claims management, including investigation, evaluation, and negotiation of claims while adhering to industry standards and state laws. Proficient in utilizing claim payment programs and Microsoft Office tools to effectively communicate and manage claim processes.

Highest-signal resume keywords

Workers’ Compensation Claims ExperienceActive MS Adjusters LicenseNegotiation SkillsMicrosoft Office ProficiencyBilingual (Spanish) Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims InvestigationClaims EvaluationClaims NegotiationReserve RecommendationsSubrogation Claims AssessmentDisability Rate ComputationClaim Payment AuthorizationReport Preparation

Soft Skills

Effective CommunicationClient CoordinationTraining Facilitation

Tools & Technologies

Claim Payment ProgramClaim System

Certifications & Qualifications

Active AL Adjusters LicenseAdjuster’s License

Industry Keywords

Corporate Claim StandardsTPA ExperienceState LawsClaim Handling Standards

About the role

Key responsibilities & impact

Investigate, evaluate and adjust claims in accordance with established claim handling standards and laws.
Establish reserves and/or provide reserve recommendations within established reserve authority levels.
Review, approve or provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated claims.
Negotiate any disputed bills or invoices for resolution.
Authorize and make payments of claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within established payment authority.
Negotiate settlements in accordance within Corporate Claim Standards, client specific handling instructions and state laws, when appropriate.
Assist in the selection, referral and supervision of designated claim files sent to outside vendors.
Assess and monitor subrogation claims for resolution.
Review and maintain personal diary on claim system.
Prepare reports detailing claim status, payments and reserves, as requested.
Compute disability rates in accordance with state laws.
Effective and timely coordination of communication with clients, claimants and appropriate parties throughout the claim adjustment process.
Conduct claim reviews and/or training sessions for designated clients, as requested.

Requirements

What you’ll need

Five or more years of Workers’ Compensation claims experience
Active MS and/or AL adjusters license
Proficiency with Microsoft Office products, including Word, Excel, and Outlook
Adjuster’s license may be required based on jurisdiction
Prior TPA experience is helpful
Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required

Benefits

Comp & perks

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)
Internal training and advancement opportunities
A supportive, team-based work environment