Medical Only Clerk Team Supervisor- IPRF

Responsible for the investigation, adjustment and supervision of assigned medical only claims.  This position may be used as an advanced training position for consideration for promotion to a management position. Accountable for the quality of claim services as perceived by CCMSI clients and within our Corporate Claim Standards.

Provides daily support to Medical Only Advocates and Administrative Support staff.

• →Review, assign and provide supervision of all claim activity for designated claims to ensure compliance with Corporate Claim Standards, client specific handling instructions and in accordance with applicable laws.
• →Investigate, evaluate and adjust assigned claims in accordance with established claim handling standards and laws.
• →Reserve establishment and/or oversight of reserves for designated claims within established reserve authority levels.
• →Provide oversight of medical, 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.
• →Supervision of all claim activity for specified accounts.
• →Compliance with Corporate Claim Handling Standards and special client handling instructions as established.
• →Sort daily mail; remove priority mail and checks for immediate action. Process incoming checks. Work with Treasury funding and Treasury check printing.
• →Performance appraisals and objective/goal setting and attainment of claim and support staff.
• →Conduct monthly check audit.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Excellent oral and written communication skills. Initiative to set and achieve performance goals.  Good analytic and negotiation skills.  Ability to cope with job pressures in a constantly changing environment.  Knowledge of all lower level claim position responsibilities. Must be detail oriented and a self-starter with strong organizational abilities. 

Ability to coordinate and prioritize required.  Flexibility, accuracy, initiative and the ability to work with minimum supervision.  Discretion and confidentiality required.

Reliable, predictable attendance within client service hours for the performance of this position.

Responsive to internal and external client needs.

• 5+ years claim experience is required.
• Bachelor’s Degree is preferred.
• Three years supervisory experience preferred.

Nice to Have:

• Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required.

• Proficient with Microsoft Office programs

• AIC Preferred

• 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

 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 

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. 

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