Medical Only Claim Adjuster

Overview

Medical Only Advocate

Location: Lisle, IL – HybridWork Arrangement: 100% in-office for first 60 days of training; hybrid thereafter with in-office presence on the 2nd and 4th Thursday of each monthSchedule: Monday–Friday, 8:00 AM to 4:00 PM CSTHourly Rate: $20.00/hourJurisdiction: Illinois (IL only)License/Certification Required: None requiredClient Type: Single dedicated Workers’ Compensation client (Illinois Public Risk Fund – IPRF)Growth Potential: Yes – opportunity for advancement into intermediate-level claim positions

About the Illinois Public Risk Fund (IPRF)

CCMSI is proud to support the Illinois Public Risk Fund (IPRF), the largest Public Entity Workers’ Compensation pool in the State of Illinois. The IPRF team includes 25 dedicated CCMSI employees working in their own office space, providing focused claims administration and exceptional client service.

About CCMSI

Build Your Career with PurposeAt CCMSI, our Medical Only Advocates don’t just process paperwork—they play a vital role in helping injured workers recover and return to work. For this role, you’ll be part of the Illinois Public Risk Fund (IPRF) team. With a dedicated CCMSI claims staff , the IPRF team is known for its strong collaboration and high-quality service.

 

As a 100% employee-owned company and a Great Place to Work® Certified organization, we prioritize our people. We invest in structured career development, reward and recognize contributions, and provide the resources needed for employees to thrive. Our collaborative culture, meaningful growth opportunities, and strong employee satisfaction (consistently ranking in the 95th percentile) make CCMSI a place where you can build not just a job, but a career—while making a real impact for public entities across Illinois.

 

Why Join Us?

• Culture: Our Core Values emphasize treating employees as valued partners—with integrity, passion, and enthusiasm.

• Career Development: Internships, training programs, and advancement pathways to higher-level adjusting roles.

• Benefits: 4 weeks paid time off in your first year, 10 paid holidays, Medical, Dental, Vision, Life, Disability, Critical Illness, 401(k), and ESOP.

• Work Environment: A supportive, collaborative atmosphere where manageable caseloads ensure quality service and work-life balance.

Job Summary

The Medical Only Advocate is responsible for handling medical-only workers’ compensation claims from beginning to end for a single dedicated client account. This role also provides support to other claims staff and may serve as a training position for advancement into intermediate-level claim roles.

 

You’ll be accountable for the quality of claim services delivered—ensuring compliance with CCMSI’s Corporate Claim Standards and client-specific handling instructions.

Responsibilities

 

Key Responsibilities

• Manage medical-only workers’ compensation claims from start to closure in compliance with Corporate Claim Standards, client-specific instructions, and state law.

• Establish and monitor claim reserves within authority levels (or provide recommendations) under supervision.

• Review and process related medical and miscellaneous invoices; negotiate disputed bills when needed.

• Coordinate and monitor medical treatment in accordance with best practices, maintaining communication with providers.

• Accurately document and summarize medical records, correspondence, and claim activities in the system, ensuring up-to-date diaries and communications.

• Close claim files when appropriate and assist with re-filing or records retrieval as needed.

• Provide technical and administrative support to claim staff and client service teams (with a dedicated focus on the IPRF account).

• Participate in ongoing training and knowledge development opportunities to support growth and career advancement.

 

Qualifications

Qualifications

• Associate’s degree or 2+ years of related business experience required.

• Prior medical-only workers’ compensation claims experience preferred.

• Knowledge of medical terminology preferred.

• Strong written and verbal communication skills.

• Organized, detail-oriented self-starter with the ability to prioritize work effectively.

• Team-oriented, adaptable, and able to work with minimal supervision.

• Proficient i