Pennsylvania Workers' Claims Supervisor; Remote

Workers' Compensation Claim Supervisor – Pennsylvania

Location:

Remote

Schedule:

Monday – Friday, 8:00 AM – 4:30 PM Salary Range: $85,000 – $95,000 annually

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.

This role supervises approximately seven Workers' Compensation adjusters handling Pennsylvania claims and is responsible for driving claim quality, technical excellence, employee development, and operational performance. The Supervisor serves as a trusted resource for adjusters, leadership, and business partners while ensuring compliance with Pennsylvania Workers' Compensation regulations and Corporate Claim Standards.

The position combines leadership responsibilities with technical oversight, requiring a strong understanding of compensability analysis, litigation management, reserving practices, return-to-work strategies, and claim resolution.

The successful candidate will coach and develop adjusters, conduct file reviews, support complex claim strategy discussions, and help create a high-performing team environment focused on quality, accountability, and service.

When we hire supervisors at CCMSI, we look for people-leaders who recognize that every claim impacts a real person's livelihood, hold themselves and their teams accountable for results, and approach challenges as opportunities to develop others and drive excellence.

• 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, 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 designated claim staff in the selection, referral and supervision of designated claim files sent to outside vendors. (i.e. legal, surveillance, case management, etc.)
• Direct handling of designated litigated and complex claims.
• Provide education, training and assist in the development of claim staff.
• Review and maintain personal diary on claim system.
• Supervision of all claim activity for specified accounts.
• Compliance with Corporate Claim Handling Standards and special client handling instructions as established.

• 10+ years of Workers' Compensation claims handling experience

• Strong working knowledge of Pennsylvania Workers' Compensation laws, regulations, and claim handling practices

• Prior supervisory, leadership, mentoring, or team lead experience

• Experience handling claims from investigation through resolution

• Strong understanding of:
• Compensability determinations
• Reserve management
• Medical management
• Litigation oversight
• Return-to-work strategies
• Settlement negotiations

• Ability to coach and develop claims professionals

• Strong organizational, problem-solving, and decision-making skills

• Excellent verbal and written communication abilities

• Ability to work independently in a remote environment

• Strong…