Overview
Claim Representative, Medical Only - Pennsylvania Workers' CompensationLocation: Remote
Schedule: Monday-Friday, 8:00am - 4:30pm EST
Salary Range: $45,000 - $55,000 annually, paid hourly (37.5 hours per week)
Build Your Career With Purpose at CCMSIAt
CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.We don’t just process claims—we support people. As the largest privately-owned Third Party Administrator (TPA),
CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work®, and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day.
Job Summary The Medical Only Claim Representative is responsible for the handling and administration of Pennsylvania Workers' Compensation medical-only claims within a dedicated carrier program. This role manages a high-volume inventory of claims while ensuring timely, accurate, and compliant claim handling.
Working closely with claim staff and internal business partners, the Medical Only Claim Representative supports the claim process from initial assignment through closure by coordinating medical treatment, reviewing documentation, managing claim activity, and maintaining accurate claim records.
This position is ideal for individuals who have workers' compensation experience, strong organizational skills, and an interest in growing their claims career. It offers valuable exposure to claim handling while developing the technical knowledge needed for advancement into more complex adjusting roles.
Responsibilities
When we hire claim reps at
CCMSI, we look for detail oriented professionals who understand that every task supports a real person’s claim experience, value accuracy and responsiveness, and contribute to the team’s success through organization, collaboration, and a strong commitment to service.
- Manage Pennsylvania Workers' Compensation medical-only claims from assignment through closure
- Review claim information and supporting documentation to ensure accurate claim setup and handling
• Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required.
• 4 weeks (Paid time off that accrues throughout the year in accordance with company policy) + 10 paid holidays in your first year •
Medical, Dental, Vision, Life, and Disability Insurance •
401(k) and Employee Stock Ownership Plan (ESOP) •
Internal training and advancement opportunities •
A supportive, team-based work environment
At
, great adjusters stand out through ownership, accuracy, and impact. We measure success by: • Quality claim handling – thorough investigations, strong documentation, well-supported decisions • Compliance & audit performance – adherence to jurisdictional and client standards • Timeliness & accuracy – purposeful file movement and dependable execution • Client partnership – proactive communication and strong follow-through • Professional judgment – owning outcomes and solving problems with integrity • Cultural alignment – believing every claim represents a real person and acting accordingly
The posted salary reflects
’s good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay.
offers comprehensive benefits including medical, dental, vision, life, and disability insurance. Paid time off accrues throughout the year in accordance with company policy, with paid holidays and eligibility for retirement programs in accordance with plan documents.Visa Sponsorship:
does not provide visa sponsorship for this position.ADA Accommodations:
is committed to providing reasonable accommodations throughout the application and hiring process.Equal Opportunity Employer:
complies with all applicable employment laws, including pay transparency and fair chance hiring regulations.Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws.
At
, we believe in doing what’s right—for our clients, our coworkers, and ourselves. We look for team members who:
#
Careers #EmployeeOwned #GreatPlaceToWorkCertified #ESOP #TPA #WorkersCompensation #WorkersCompClaims #MedicalOnlyClaims #WorkersCompAdjuster #ClaimRepresentative #PennsylvaniaWorkersComp #PAWorkersComp #CarrierClaims #ClaimsCareers #InsuranceCareers #RemoteJobs #HiringNow #LIRemote #IND123