Workers’ Compensation Claims Adjuster (KY Dedicated Account)

Overview

Workers' Compensation Claim Consultant

 

Location: Louisville, KY (Hybrid or Remote Depending on Location)

Schedule: Full TimeSalary Range: $70,000 - $75,000

 

 

Build Your Career With Purpose at CCMSI

At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.

 

We don’t just process claims—we support people. As the largest privately owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work®, and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day.

Job Summary

 

The Workers’ Compensation Claim Consultant is responsible for the investigation and adjustment of assigned workers’ compensation claims for a dedicated Kentucky account. This role manages claims from assignment through resolution (cradle to grave), including those with litigation exposure, while ensuring compliance with CCMSI claim handling standards, client-specific instructions, and Kentucky jurisdictional requirements.

 

This position is designed for experienced adjusters with 5+ years of workers’ compensation claim handling experience who are confident managing complex files, applying sound professional judgment, and delivering consistent, high-quality outcomes. The Claim Consultant plays a critical role in achieving strong client satisfaction through responsiveness, accuracy, and strategic claim management.

 

This is a full life-cycle WC adjuster role within a TPA environment, and only candidates with proven workers’ compensation claims experience will be considered.

 

 

Responsibilities

When we hire Workers’ Compensation Adjusters at CCMSI, we look for detail‑driven problem‑solvers who balance empathy with sound judgment, navigate complex regulations with confidence, and deliver fair, timely outcomes that support injured workers and strengthen client trust.

• 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. (i.e. legal, surveillance, case management, etc.)
• Assess and monitor subrogation claims for resolution.
• Review and maintain personal diary on claim system.
• Client satisfaction.
• 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.
• Provide notices of qualifying claims to excess/reinsurance carriers.
• Handle more complex and involved claims than lower level claim positions with minimum supervision.
• Conduct claim reviews and/or training sessions for designated clients, as requested.
• Attend and participate at hearings, mediations, and informal legal conferences, as appropriate.
• Compliance with Corporate Claim Handling Standards and special client handling instructions as established.

 

Qualifications

 

Required Qualifications

 

 

• Minimum of 3 years of workers’ compensation claim handling experience

• Experience managing claims in Kentucky workers’ compensation jurisdiction

• Exposure to litigated workers’ compensation claims

• Strong analytical, decision-making, and negotiation capabilities

• Excellent verbal and written communication skills

• Ability to work independently with strong organizational and time management skills

<