Medical Only Workers’ Compensation Claim Rep – Hybrid | Phoenix, AZ

Overview

Position Title: Medical Only Claim RepresentativeLocation: Phoenix, AZWork Arrangement: Hybrid (in-office 1 day per week after training)Schedule: Monday–Friday, 8:00 AM to 4:30 PM (37.5 hours/week)Hourly Rate: $25.00–$30.00/hourLicense/Certification Required: Arizona Adjuster’s License + ICA Adjuster AuthorizationClient Type: Single dedicated municipal clientJurisdiction: Arizona-only claimsGrowth Potential: Yes – opportunity to advance into a Lost Time Adjuster role with training

Build Your Career with Purpose

At CCMSI, we don’t just process claims—we support recovery and deliver service with integrity. As a 100% employee-owned company, we’re proud to foster a culture where every team member has a voice. In this Phoenix-based hybrid role, you’ll help manage medical-only workers’ compensation claims for a long-standing municipal client, with clear pathways for future growth.

 

Job Summary

We are seeking a Medical Only Claim Representative to join our Arizona workers’ compensation team. This position focuses on the timely and accurate management of medical-only claims for a single, dedicated municipality client. You'll work a hybrid schedule, with one required in-office day per week following your initial training period.

 

Ideal candidates will be detail-oriented, service-driven, and familiar with Arizona WC laws. Prior municipal claim experience is a plus.

 

Responsibilities

• Manage a caseload of Arizona medical-only workers’ compensation claims from start to closure

• Determine eligibility and ensure timely delivery of appropriate benefits

• Establish and maintain reserves within assigned authority limits

• Review, approve, and dispute medical and miscellaneous invoices when necessary

• File required state notices with the ICA and other governing bodies

• Maintain detailed claim notes and documentation in compliance with best practices

• Coordinate and monitor medical treatment and communications with providers

• Support the broader claims team as needed and participate in client service activities

• Meet documentation, diary, and communication timeliness standards

 

Qualifications

Required:

• Active Arizona Workers’ Compensation Adjuster’s License

• Current ICA Adjuster Authorization

• 2+ years of claims, administrative, or business experience

• Excellent written and verbal communication skills

• Strong organizational skills and attention to detail

• Proficient in Microsoft Office (Word, Excel, Outlook)

• Reliable and consistent attendance within business hours

Nice to Have:

• Prior experience working with municipality or public sector clients

• Knowledge of medical terminology

• Associate degree or relevant coursework

Performance Metrics

• Compliance with CCMSI Corporate Claim Best Practices and client handling instructions

• Timely and accurate payment, documentation, and file maintenance

• Client satisfaction and collaboration

• Readiness and performance for future advancement opportunities

What We Offer

• Four weeks of paid time off in your first year, plus 10 paid holidays

• Comprehensive benefits: Medical, Dental, Vision, Life Insurance, Critical Illness, Short & Long-Term Disability

• Employer-funded ESOP and 401K plan with company match

• Structured career development programs and internal promotion pathways

• A supportive in-office environment that values teamwork and employee growth

What We Offer

• Four weeks of paid time off in your first year, plus 10 paid holidays

• Comprehensive benefits: Medical, Dental, Vision, Life Insurance, Critical Illness, Short & Long-Term Disability

• Employer-funded ESOP and 401K plan with company match

• Ongoing training, mentorship, and advancement opportunities

• A collaborative, employee-owned culture that values input, performance, and growth

Compensation & Compliance

The posted salary reflects CCMSI’s good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience,