Workers’ Compensation Claims Adjuster II

CCMSI

. Investigate and adjust workers’ compensation claims according to company standards and established claim handling procedures .

Posted 9/28/2026full-timeWest Des Moines • Iowa • United StatesMid-LevelSenior💰 $60,000 - $80,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in managing workers' compensation claims, including investigation, evaluation, negotiation, and compliance with regulatory requirements. Proven ability to deliver professional service while coordinating with various stakeholders to ensure effective claim resolution.

Highest-signal resume keywords

Workers’ Compensation Claims ManagementClaim Evaluation and DocumentationNegotiation SkillsRegulatory ComplianceCritical Thinking

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claim ProcessingClaim ReportingReserve RecommendationsMedical Documentation EvaluationLegal Documentation Evaluation

Soft Skills

Sound JudgmentIndependent ManagementProfessional Service Delivery

Industry Keywords

Iowa Workers’ CompensationNebraska Workers’ CompensationClaim Handling ProceduresClaim SettlementsDefense Counsel Coordination

About the role

Key responsibilities & impact

Investigate and adjust workers’ compensation claims according to company standards and established claim handling procedures
Evaluate medical, legal, and related claim documentation to support timely and accurate claim decisions
Authorize and process claim payments within applicable authority and regulatory requirements
Negotiate settlements with claimants, attorneys, and other stakeholders
Coordinate with defense counsel and external service providers to support effective claim resolution
Prepare claim reports, reserve recommendations, and documentation to maintain claim accuracy and compliance
Manage claim activities across multiple accounts and industries while meeting service commitments
Deliver responsive, professional service to clients, injured workers, and business partners

Requirements

What you’ll need

Experience in workers’ compensation claims
Sound judgment
Strong critical thinking skills
Ability to independently manage a moderate-complexity claim inventory
Ability to investigate, evaluate, negotiate, and manage workers’ compensation claims in Iowa and Nebraska
Ability to comply with company standards, established claim handling procedures, authority requirements, and regulatory requirements
Ability to evaluate medical, legal, and related claim documentation
Ability to coordinate with defense counsel and external service providers
Ability to prepare claim reports, reserve recommendations, and compliance documentation
Full-time availability
Ability to work the stated hybrid schedule, 8:00 AM–4:30 PM

Benefits

Comp & perks

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