Work Comp Insurance Adjuster

CCMSI

. Investigate and adjust workers’ compensation claims according to established procedures, CCMSI guidelines, and direct supervision .

Posted 11/2/2026full-timeRemote • Texas • United StatesMid-LevelSenior💰 $68,000 - $78,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managing Texas Workers’ Compensation claims, including negotiation, claims assessment, and compliance with industry standards. Proficient in delivering quality client service while maintaining confidentiality and managing multiple responsibilities effectively.

Highest-signal resume keywords

Texas Workers’ Compensation Claims ManagementTexas Adjusting LicenseNegotiation SkillsMicrosoft Office ProficiencyBilingual Spanish Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims InvestigationClaims Payment AuthorizationSubrogation Claims AssessmentReport PreparationCompensability Decision Making

Soft Skills

Excellent Communication SkillsStrong Organizational SkillsFlexibility and AdaptabilityTeam CollaborationDiscretion and Confidentiality

Tools & Technologies

Claim Payment ProgramMicrosoft WordMicrosoft ExcelMicrosoft Outlook

Certifications & Qualifications

Texas Adjusting License

Industry Keywords

Workers’ CompensationClaims ManagementLegal Invoices ReviewSettlement NegotiationClient Service Commitments

About the role

Key responsibilities & impact

Investigate and adjust workers’ compensation claims according to established procedures, CCMSI guidelines, and direct supervision
Review medical, legal, and miscellaneous invoices to determine whether they are reasonable and related to ongoing workers’ compensation claims
Negotiate disputed bills for resolution
Authorize and make workers’ compensation claim payments using a claim payment program, industry standards, and settlement authority
Negotiate settlements with claimants and attorneys according to client authorization
Assist in selecting and supervising defense attorneys
Assess and monitor subrogation claims for resolution
Prepare reports detailing claims, payments, and reserves
Prepare reports and monitor files for excess insurers
Comply with team service commitments
Deliver quality claim service to clients
Manage a portfolio of moderately complex Texas workers’ compensation claims across multiple accounts and industries
Make compensability decisions and drive timely, effective claim resolutions

Requirements

What you’ll need

5+ years of Texas Workers’ Compensation claims management experience or equivalent combination of experience and education
Texas Adjusting License is required
Excellent oral and written communication skills
Strong organizational skills and ability to work with minimal supervision
Ability to coordinate, prioritize, and manage multiple responsibilities
Flexibility, initiative, and adaptability in a fast-paced, rapidly changing environment
Strong discretion and ability to maintain confidentiality
Ability to work effectively as part of a team
Reliable, predictable attendance within client service hours
Responsiveness to internal and external client needs
Proficiency with Microsoft Office programs, including Word, Excel, and Outlook
Associate degree preferred but not required
Bilingual Spanish proficiency highly valued but not required
Must be able to work 8:00 am–4:30 pm CST
Visa sponsorship is not provided

Benefits

Comp & perks

4 weeks paid time off accruing throughout the year in accordance with company policy
10 paid holidays in the first year
Medical insurance
Dental insurance
Vision insurance
Life insurance
Disability insurance
401(k)
Employee Stock Ownership Plan (ESOP)
Internal training and advancement opportunities
Supportive, team-based work environment
Potential eligibility for bonuses or additional forms of pay
Reasonable accommodations throughout the application and hiring process