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Claim Consultant Jobs (NOW HIRING)

CCMSI

Workers' Compensation Claim Adjuster

Wall, NJ

$70K - $90K/yr

Workers' Compensation Claim Consultant (NJ, PA, MD, and DE) Location: Wall Township, NJ (Hybrid preferred, remote eligible) Schedule: 8:00 am-4:30 pm ET Salary Range: $70,000-$90,000 Build Your ...

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As of Aug 23, 2026, the average hourly pay for claim consultant in the United States is $49.12, according to ZipRecruiter salary data. Most workers in this role earn between $32.69 and $67.31 per hour, depending on experience, location, and employer.

What is a claim consultant?

Claim Consultants are professionals who assist individuals or organizations in managing, preparing, and negotiating insurance or construction claims. They analyze claim details, help gather necessary documentation, and provide expert advice to ensure claims are presented accurately and fairly. Their expertise can help clients maximize claim settlements, resolve disputes, and navigate complex insurance policies or contract terms. Claim Consultants often work with insurers, legal teams, and clients to achieve the best possible outcome.

What are the key skills and qualifications needed to thrive as a claim consultant, and why are they important?

To thrive as a Claim Consultant, you need expertise in insurance policies, claims management, and risk assessment, typically backed by a degree in business, finance, or a related field. Familiarity with claims management software, industry databases, and relevant certifications such as AIC (Associate in Claims) are common requirements. Strong analytical thinking, negotiation skills, and exceptional attention to detail help you resolve claims efficiently and build client trust. These skills ensure accurate claim evaluations, minimize losses, and support fair outcomes for both the company and its clients.

How does a claim consultant typically collaborate with clients and other professionals during complex insurance claims?

Claim Consultants frequently work closely with clients, insurance adjusters, legal teams, and sometimes third-party experts to ensure claims are accurately documented and presented. They act as an intermediary, guiding clients through policy interpretation, claim preparation, and negotiation processes. Effective communication and teamwork are essential, as Claim Consultants often organize meetings, clarify technical details, and coordinate with various stakeholders to resolve disputes and achieve favorable outcomes for their clients.

What does a claim consultant do?

A claim consultant evaluates insurance claims to determine their validity and the appropriate payout. They review documentation, assess damages, and may negotiate settlements, often using industry-specific software and requiring knowledge of insurance policies and regulations.
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Infographic showing various Claim Consultant job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 89% Full Time, 6% Part Time, and 4% Contract. Highlights an 71% Physical, 3% Hybrid, and 26% Remote job distribution, with an average salary of $102,175 per year, or $49.1 per hour.

Workers' Compensation Claim Adjuster

CCMSI

Wall, NJ

$70K - $90K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 16 days ago

Job description

Position Title: Workers' Compensation Claim Consultant (NJ, PA, MD, and DE)
Location: Wall Township, NJ (Hybrid preferred, remote eligible)
Schedule: 8:00 am-4:30 pm ET
Salary Range: $70,000-$90,000

Build Your Career With Purpose at CCMSI

At 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
We are seeking an experienced and highly skilled Workers’ Compensation Claim Consultant to manage a complex portfolio of claims with confidence, empathy, and sound professional judgment. With 5+ years of handson claims experience, you will lead thorough investigations, guide claim strategy, and ensure fair, timely resolutions. This role also offers a strong development pathway for advancement into more senior claim positions. As a Claim Consultant, you will play a key role in delivering exceptional service to CCMSI clients and upholding our high standards of quality and responsiveness.
 
This is a full lifecycle WC adjuster position within a TPA environment, and only candidates with proven Workers’ Compensation claims experience will be considered.

When we hire Workers’ Compensation Adjusters at CCMSI, we look for detaildriven problemsolvers who balance empathy with sound judgment, navigate complex regulations with confidence, and deliver fair, timely outcomes that support injured workers and strengthen client trust.

  • 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.
  • Review and maintain personal diary on claim system.
  • Client satisfaction.
  • Prepare reports detailing claim status, payments and reserves, as requested.
  • Compute disability rates in accordance with state laws.
  • Effective and timely coordination of communication with clients, claimants and appropriate parties throughout the claim adjustment process.
  • Provide notices of qualifying claims to excess/reinsurance carriers.
  • Handle more complex and involved claims than lower level claim positions with minimum supervision.
  • Conduct claim reviews and/or training sessions for designated clients, as requested.
  • Attend and participate at hearings, mediations, and informal legal conferences, as appropriate.
  • Compliance with Corporate Claim Handling Standards and special client handling instructions as established.

Required Qualifications
  • Five or more years of Workers’ Compensation claims experience.
  • Proficiency with Microsoft Office products, including Word, Excel, and Outlook.
  • Adjuster’s license may be required based on jurisdiction.
  • States handled: NJ, PA, MD, and DE (DE preferred)
Preferred Qualifications
  • Bachelor’s degree is preferred but not required.
  • Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required.

Why You’ll Love Working Here

  • 4 weeks (Paid time off that accrues throughout the year in accordance with company policy) + 10 paid holidays in your first year
  • Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance
  • Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP)
  • Career growth: Internal training and advancement opportunities
  • Culture: A supportive, team-based work environment

 

How We Measure Success 

 At CCMSI, 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

This is where we shine, and we hire adjusters who want to shine with us.

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, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay.

CCMSI 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: CCMSI does not provide visa sponsorship for this position.
ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process.
Equal Opportunity Employer: CCMSI 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.

Our Core Values

At CCMSI, we believe in doing what’s right—for our clients, our coworkers, and ourselves. We look for team members who:

  • Lead with transparency We build trust by being open and listening intently in every interaction.
  • Perform with integrity We choose the right path, even when it is hard.
  • Chase excellence We set the bar high and measure our success. What gets measured gets done.
  • Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own.
  • Win together Our greatest victories come when our clients succeed. 

We don’t just work together—we grow together. If that sounds like your kind of workplace, we’d love to meet you.

#CCMSICareers #EmployeeOwned #GreatPlaceToWorkCertified #ESOP #TPA #InsuranceCareers #ClaimsCareers #IND123 #LI-Hybrid

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