- Culture: Our Core Values are embedded into our culture of how we treat our employees as a valued partner-with integrity, passion and enthusiasm.
- Career development: CCMSI offers robust internships and internal training programs for advancement within our organization.
- Benefits: Not only do our benefits include 4 weeks paid time off in your first year, plus 10 paid holidays, but they also include Medical, Dental, Vision, Life Insurance, Critical Illness, Short and Long Term Disability, 401K, and ESOP.
- Work Environment: We believe in providing an environment where employees enjoy coming to work every day, are provided the resources needed to perform their job and claims staff are assigned manageable caseloads.
- 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.
- Compute disability rates in accordance with state laws.
- Effective and timely coordination of communication with clients, claimants and other appropriate parties throughout the claim adjustment process.
- Provide notices of qualifying claims to excess/reinsurance carriers.
- Handle more complex and involved claims than intermediate/lower level claims positions with minimum supervision, as requested.
- Attend and participate at hearings, mediations, and informal legal conferences, as appropriate.
- Supervision of all claim activity for specified accounts.
- Compliance with Corporate Claim Handling Standards and special client handling instructions as established.
- Performs other duties as assigned.
- Excellent oral and written communication skills.
- Initiative to set and achieve performance goals.
- Good analytic and negotiation skills. Ability to cope with job pressures in a constantly changing environment.
- Knowledge of all lower level claim position responsibilities.
- Must be detail oriented and a self-starter with strong organizational abilities.
- Ability to coordinate and prioritize required.
- Flexibility, accuracy, initiative and the ability to work with minimum supervision.
- Discretion and confidentiality required.
- Reliable, predictable attendance within client service hours for the performance of this position.
- Responsive to internal and external client needs.
- Ability to clearly communicate verbally and/or in writing both internally and externally.
-
Senior Hearing Aid Specialist
3 weeks ago
Costco ALTAMONTE SPRINGS, United StatesOversees employees and directs operations of Hearing Center. Participates in Licensed Hearing Aid Dispenser duties. Provides a high level of member service. Hearing Aid, Specialist, Hearing, Senior, Retail, Healthcare ...
-
Senior Tax Specialist
2 weeks ago
Ozinga Eola, United StatesOverviewJoin the Ozinga Team: At Ozinga, we're driven by the dedication of our team. As a Senior Tax Specialist, you'll play a pivotal role on our corporate tax team, using your expertise to make a positive impact. We're a family-owned company with a 95-year legacy in the constru ...
-
CCMSI Maitland, United StatesOverview: · At · CCMSI , · we · look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned ...
-
Senior Specialist, Inside Sales
3 days ago
Synchrony Altamonte Springs, United StatesJob Description: · **Role Summary/Purpose:** · The Inside Sales Representative analyzes individual Store performance and consults with the Store Manager/Credit Champion to maximize Credit Program usage and growth. This role reports to the Client Initiatives Group and partners wit ...
-
Senior Specialist, Inside Sales
3 days ago
Synchrony Financial Altamonte Springs, United StatesJob Description: · Role Summary/Purpose: · The Inside Sales Representative analyzes individual Store performance and consults with the Store Manager/Credit Champion to maximize Credit Program usage and growth. This role reports to the Client Initiatives Group and partners with Fi ...
-
Senior Field Service Specialist
2 weeks ago
Honeywell Altamonte Springs, United StatesThe main function of Sr Field Install Technician is to commission Honeywell control systems HVAC, fire and security control systems. These control systems are engineered by Honeywell in-house engineers, installed by Electrical Sub Contractors and then commissioned by Honeywell Fi ...
-
Security Specialist- Senior
2 weeks ago
ECS Orlando, United StatesECS is seeking a Security Specialist- Senior to work in our Orlando, FL office . · Job Description: · The Contractor shall process all overseas travel clearances for PEO STRI's employees and Contractors through Aircraft and Personnel Automated Clearance system (APACS) per m ...
-
Senior IT Systems Specialist
4 weeks ago
Just Write Orlando, United StatesJob Description · Job Description · Senior IT Systems Specialist · Summary: · The Senior IT Systems Specialist plays a key role in managing and maintaining OIA's IT systems, ensuring their stability, security, and performance. This position requires a high level of expertise i ...
-
Senior Payroll Specialist
3 days ago
Rose International Orlando, United States PermanentDate Posted: 05/09/2024 · Hiring Organization: Rose International · Position Number: 463761 · Job Title: Senior Payroll Specialist · Job Location: Orlando, FL, USA, 32826 · Work Model: Onsite · Employment Type: Temp to Hire · Estimated Duration (In months): 13 · Min Hourl ...
-
Senior IT Systems Specialist
2 weeks ago
Just Write Inc Orlando, United StatesJob Description · Job DescriptionSenior IT Systems Specialist · Summary: The Senior IT Systems Specialist plays a key role in managing and maintaining OIA's IT systems, ensuring their stability, security, and performance. This position requires a high level of expertise in system ...
-
Senior Specialist, Systems Engineering
1 week ago
L3Harris Technologies Orlando, United States Temps pleinJob Description: · L3Harris is seeking a Sr Systems Engineering Specialist in our Orlando, FL location.The selected individual will support our System Requirements and Integration (R&I) engineering team. This person will be responsible for performing systems engineering tasks th ...
-
Senior Oncology Specialist
1 week ago
BioSpace Orlando, United StatesJob Details · Territory Covers: Orlando, Melbourne, Winter Park, · HOW MIGHT YOU DEFY IMAGINATION? · Youve earned your degree. How will you use that achievement to reach your goals? Do more with the knowledge youve worked hard to acquire and the passion you already have. At Amgen ...
-
Senior Oncology Specialist
1 week ago
Amgen Inc. Orlando, United StatesJOB ID: R LOCATION: US - Florida - Orlando WORK LOCATION TYPE: Field Worker DATE POSTED: Mar. 11, 2024 CATEGORY: Sales SALARY RANGE: 152,785.00 USD - 177,591.00 USD · Territory Covers: Orlando, Melbourne, Winter Park, · HOW MIGHT YOU DEFY IMAGINATION? · You've earned your degree. ...
-
Senior Oncology Specialist
2 weeks ago
Amgen Orlando, United StatesTerritory Covers: Orlando, Melbourne, Winter Park, · **HOW MIGHT YOU DEFY IMAGINATION?** · You've earned your degree. How will you use that achievement to reach your goals? Do more with the knowledge you've worked hard to acquire and the passion you already have. At Amgen, our sh ...
-
Senior Content Specialist
4 weeks ago
Russell Tobin Orlando, United States· What are we looking for in our Senior Content Specialist? · The Information Technology team at Russell Tobin & Associates is assisting a Partner Enablement Organization and has an opening for a Senior Content Specialist. · Location: Remote in United States · Pay Rate Range: $3 ...
-
senior hr specialist
3 weeks ago
Randstad Altamonte Springs, United StatesJob Description · Job DescriptionHIRINg IMMEDIATELY – HYBRID SR. HR SPECIALIST · Our client, a nationally recognized and award-winning healthcare organization that provides the highest standard of care, leader in innovation, recognized for its exceptional quality and patient sat ...
-
Senior Content Specialist
2 days ago
Russell Tobin Orlando, United States· What are we looking for in our Senior Content Specialist? · The Information Technology team at Russell Tobin & Associates is assisting a Partner Enablement Organization and has an opening for a Senior Content Specialist. · Location: Remote in United States · Pay Rate Range: ...
-
Senior Content Specialist
1 hour ago
Russell Tobin Orlando, United StatesWhat are we looking for in our Senior Content Specialist?The Information Technology team at Russell Tobin & Associates is assisting a Partner Enablement Organization and has an opening for a Senior Content Specialist.Location: Remote in United StatesPay Rate Range: $30 - $35/hour ...
-
Senior Payroll Specialist
1 week ago
JobRialto Orlando, United States· Client is seeking a Senior Payroll Specialist to perform all necessary activities to process various payrolls, while working with the field offices to audit and input employment changes including benefits, taxation, and time files. The ideal candidate will have experience proc ...
-
Senior Compliance Specialist
1 day ago
Integra Beauty Inc Orlando, United StatesWho We Are:Our team of innovators and visionaries is passionate about pushing the envelope and taking bold risks that inspire people to realize their beautiful potential. With our HQ in Dania Beach and our offices in California and Ohio, were constantly raising the bar and evolvi ...
Workers' Compensation Claim Specialist, Senior - Maitland, United States - Cannon Cochran Management Services, Inc. (CCMSI)
Description
At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs, rewarding and recognizing individual and team efforts. Certified as a Great Place To Work, our employee satisfaction and retention ranks in the 95th percentile.
Reasons you should consider a career with CCMSI:
We are seeking a Workers' Compensation Senior Claim Specialist for a hybrid position, which involves working remotely with one day in our Maitland, FL office every other Wednesday. This role is dedicated to a single client account and requires a Florida Adjusters license. Ideal candidates will have experience in handling moderate to severe injury claims with litigation expertise, and familiarity with Florida heart and lung claims is highly desirable.
As the Workers' Compensation Senior Claim Specialist, you will be responsible for investigating and adjusting assigned claims. This position also serves as an advanced training opportunity, with potential for consideration for promotion to a supervisory or management role. The incumbent will be accountable for maintaining the quality of claim services as perceived by CCMSI clients and in accordance with our corporate claim standards.
ResponsibilitiesTo perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience
15+ years claim experience is required.
Computer Skills
Proficient using Microsoft Office programs such as Word, Excel, Outlook, etc.
Certificates, Licenses, Registrations
FL Adjusters license is required.
AIC Designation preferred.
CORE VALUES & PRINCIPLES
Responsible for upholding the CCMSI Core Values & Principles which include: performing with integrity; passionately focus on client service; embracing a client-centered vision; maintaining contagious enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to make things better; and leading by example.
CCMSI is an Affirmative Action / Equal Employment Opportunity employer offering an excellent benefit package including Medical, Dental, Prescription Drug, Vision, Flexible Spending, Life, ESOP and 401K.
#CCMSICareers #CCMSI #EmployeeOwned #ESOP #GreatPlaceToWorkCertified #WorkLifeBalance
#WorkersCompensation #ClaimSpecialist #InsuranceClaims #LitigationExperience #AdjustersLicense
#FloridaJobs #HybridWork #MaitlandFL #HeartAndLungClaims #ClientDedicated #CareerOpportunity
#InsuranceIndustry #RemoteWork #CareerDevelopment #ManagementOpportunity #ClaimsManagement #ProfessionalDevelopment #IND123
