ZipRecruiter

Log In

2

Remote Workers Compensation Claim Representative Jobs in Tennessee

EnableComp

Superivsor, OSM

Franklin, TN · Remote

... Workers' Compensation, Motor Vehicle Accidents, and Out-of-State Medicaid claims as well as denials ... Analyze and evaluate claim payments using EnableComp's proprietary software, systems and tools. Use ...

next page

Showing results 1-20

All JobsWorkers Compensation Claim Representative JobsRemote Workers Compensation Claim Representative JobsRemote Workers Compensation Claim Representative Jobs in Tennessee

Remote Workers Compensation Claim Representative information

See Tennessee salary details

$10

$21

$38

How much do remote workers compensation claim representative jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for remote workers compensation claim representative in Tennessee is $21.90, according to ZipRecruiter salary data. Most workers in this role earn between $16.59 and $24.86 per hour, depending on experience, location, and employer.

What is a remote workers compensation claim representative?

A Remote Workers Compensation Claim Representative is a professional who evaluates and manages workers' compensation insurance claims from a remote location, often working from home. Their main responsibilities include investigating workplace injury or illness claims, communicating with employees, employers, and medical providers, and determining the validity of claims in accordance with state laws and company policies. They also help facilitate benefits payments and ensure the claims process runs smoothly for all parties involved. This role requires strong communication, analytical, and organizational skills, as well as knowledge of workers' compensation regulations.

What are the key skills and qualifications needed to thrive as a remote workers compensation claim representative?

To thrive as a Remote Workers Compensation Claim Representative, you need strong knowledge of workers compensation laws, claims processing, and experience in insurance or a related field, often supported by relevant certifications such as AIC or ARM. Familiarity with claims management software, virtual communication platforms, and document management systems is typically required. Outstanding attention to detail, empathy, and effective written and verbal communication help build rapport with claimants and coordinate with multiple stakeholders. These skills are vital for ensuring accurate claim adjudication, regulatory compliance, and maintaining trust in a remote work environment.

How does a remote workers compensation claim representative typically collaborate with medical professionals and employers during the claims process?

As a Remote Workers Compensation Claim Representative, you will regularly interact with both medical providers and employers to gather necessary information, clarify treatment details, and confirm work status for injured employees. Communication is often conducted via phone calls, emails, and secure digital platforms to ensure timely updates and coordinated care. Building strong professional relationships and maintaining clear, concise documentation are key to facilitating smooth claims processing and positive outcomes for all parties involved.

What are popular job titles related to Remote Workers Compensation Claim Representative jobs in Tennessee?

For Remote Workers Compensation Claim Representative jobs in Tennessee, the most frequently searched job titles are:

What job categories do people searching Remote Workers Compensation Claim Representative jobs in Tennessee look for?

The top searched job categories for Remote Workers Compensation Claim Representative jobs in Tennessee are:

What cities in Tennessee are hiring for Remote Workers Compensation Claim Representative jobs?

Cities in Tennessee with the most Remote Workers Compensation Claim Representative job openings:

Remote Workers Compensation Claim Representative jobs near you
Infographic showing various Remote Workers Compensation Claim Representative job openings in Tennessee as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $45,544 per year, or $21.9 per hour.

Workers' Compensation Claims Adjuster - TN, GA, NC & SC (Hybrid/Remote)

CCMSI

Nashville, TN • On-site, Remote

$60K - $85K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 16 days ago

CCMSI rating

7.9

Company rating: 7.9 out of 10

Based on 16 frontline employees who took The Breakroom Quiz

Job description

Overview
Workers' Compensation Claim Consultant
Location: Nashville, TN (Hybrid or Remote, depending on location)
Schedule: Monday-Friday, 8:00am -4:30pm
Salary Range: $60,000 - $85,000 annually
Work Arrangement Options:
  • Remote for qualified candidates
  • Hybrid schedule available with approximately 2 days per week in the Nashville office

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
The Workers' Compensation Claim Consultant is responsible for the investigation, evaluation, administration, and resolution of Workers' Compensation claims across multiple national account programs. This role manages claims from assignment through closure while ensuring compliance with applicable state regulations, client handling requirements, and CCMSI claim handling standards.
The successful candidate will handle a caseload of approximately 85-125 claims with moderate complexity, including litigated files, and will work primarily within the Tennessee, Georgia, North Carolina, and South Carolina jurisdictions.
This position is ideal for an experienced Workers' Compensation adjuster who can independently manage a full claim inventory, communicate effectively with injured workers and stakeholders, and consistently deliver quality claim outcomes.
Responsibilities
When we hire Workers' Compensation Adjusters at CCMSI, we look for detail-driven problem-solvers 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.
  • Prepare newsletter articles, as requested.
  • 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.

Qualifications
Required Qualifications
  • 5+ years of Workers' Compensation claims handling experience preferred
  • Active Georgia Workers' Compensation Adjuster License required (or ability to obtain if applicable)
  • Experience managing claims from investigation through resolution
  • Experience handling indemnity claims
  • Strong understanding of Workers' Compensation claim practices and regulations
  • Experience establishing reserves and evaluating claim exposure
  • Ability to independently manage a caseload of 85-125 claims
  • Experience handling litigated claims
  • Strong written and verbal communication skills
  • Effective negotiation and problem-solving abilities
  • Strong organizational, diary management, and time-management skills
  • Proficiency with Microsoft Office applications including Outlook, Word, and Excel
  • Reliable attendance during established business hours

Preferred Qualifications
  • Experience handling Tennessee, Georgia, North Carolina, and South Carolina Workers' Compensation claims
  • Prior TPA experience
  • Experience supporting national account clients
  • Multi-jurisdictional Workers' Compensation experience
  • Professional designations such as:
    • AIC
    • CPCU
    • ARM
    • WCP

  • 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 #WorkersCompensation #WorkersCompClaims #WorkersCompAdjuster #ClaimsExaminer #WorkersCompConsultant #NationalAccounts #GeorgiaWorkersComp #TennesseeWorkersComp #NorthCarolinaWorkersComp #SouthCarolinaWorkersComp #InsuranceCareers #RemoteJobs #HybridJobs #NashvilleJobs #HiringNow #LIHybrid #LIRemote #IND123

What CCMSI employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply