Senior Workers' Compensation Claim Clerk

Overview

Position Title: Claim Clerk, SeniorLocation: In-OfficeHours: Monday - Friday, 8:00 AM to 4:30 PMSalary Range: $20.00 - $24.00/hr

 

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.  CCMSI conducts background checks in accordance with applicable federal, state, and local laws.

 

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 Senior, Claim Clerk  will assist with the entry and management of workers' compensation claims, ensuring all documentation is accurate and up-to-date. They will support adjusters by providing necessary information, tracking claim statuses, and communicating with claimants, medical providers, and employers. Additionally, they will handle administrative tasks such as filing, organizing documents, and generating reports using Microsoft Office tools. The role requires strong organizational skills, the ability to multitask, and flexibility in shifting between tasks while maintaining confidentiality and adhering to privacy regulations.

 

Responsibilities

• Organize and match incoming mail for assigned accounts.
• Manage follow-ups on bills, ensuring accuracy and timely completion.
• File and organize claim-related documents and mail.
• Set up claim files and ensure all setup instructions are followed accurately.
• Provide backup support to the receptionist as needed.
• Summarize medical records and correspondence in the claim log notes and file accordingly.
• Retrieve and maintain closed files and manage storage organization.
• Copy claim documents as needed to support ongoing claim processing.
• Return calls to providers or clients as directed by the claim staff.
• Provide administrative support to specific client-focused teams.
• Maintain compliance with established team service commitments.
• Perform additional clerical duties as assigned to support team functions.

Performance Measurement:Performance for this role is measured based on work quality, adherence to deadlines, accuracy in document handling, and audit results. Success also depends on clear and proactive communication with team members and clients, as well as the ability to effectively manage responsibilities under time constraints.

Qualifications

• High school diploma or equivalent.
• Previous experience in insurance or with a Third-Party Administrator (TPA) is highly desirable.
• Proficient in Microsoft Office Suite (Word, Excel, Outlook).
• Strong written and verbal commu