Top 82 Risk adjustment Jobs in Orange City, Fl

Workers' Compensation Claims Adjuster (NC/SC)
CCMSI —Maitland, FL
- $70,000 - $90,000 a year
- Hybrid work
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
- Disability insurance
Workers' Compensation Claims Adjuster (FL)
CCMSI —Maitland, FL
- $70,000 - $90,000 a year
- Hybrid work
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
- Disability insurance
4d
IPA Consultative Coder - Southeast Florida (Daytona)
Centerwell —DeLand, FL
- $59,300 - $80,900 a year
- Full-time
- Hybrid work
- Research
- Mid-level
- Clinic
- Paid parental leave
- Paid holidays
Provider Performance & Coding Consultant
HealthArch —Maitland, FL
- Full-time
- Hybrid work
- Public speaking
- Mid-level
- Organizational skills
Quick Apply
IPA Consultative Coder - North Florida (Orlando)
Centerwell —Orange City, FL
- $59,300 - $80,900 a year
- Full-time
- Hybrid work
- Research
- Mid-level
- Clinic
- Paid parental leave
- Paid holidays
Area Manager, Early Career (2027) – Florida/Alabama
Amazon.com Services LLC —Deltona, FL
- $65,200 - $75,000 a year
- Weekends as needed
- Customer service
- Mid-level
- Ability to climb stairs
- AD&D insurance
- Health insurance
10d
Nurse Practitioner
Upperline Health Inc —Orange City, FL
- Full-time
- Nursing
- Management
- RN License
- Mileage reimbursement
- Health insurance
Quick Apply
Parts Specialist (SFB)
Flexjet —Sanford, FL
- Weekends as needed
- 18 years or older
- Ability to walk for extended periods
- Ability to lift 50 pounds
Quick Apply
Community Manager
Asset Living —Deltona, FL
- $80,000 - $85,000 a year
- Overtime
- Mid-level
- Ability to climb stairs
- High school diploma or GED
- Paid holidays
- Disability insurance
Quick Apply
Integration Manager – M&A (Florida)
Insurance Office of America, Inc. —Deltona, FL
- $100,000 - $130,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- 8 years
- Paid holidays
- Health insurance
Quick Apply
4d
Project Financial Analyst
CPH —Sanford, FL
- $75,000 - $85,000 a year
- Full-time
- ERP systems
- Mid-level
- Office
- Paid holidays
- Disability insurance
Quick Apply
Immigration Specialist IV
Avant Staffing Associates LLC —Maitland, FL
- Full-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Office
Quick Apply
CHILD PROTECTIVE INVESTIGATOR SUPV-SES - 60002415
The State of Florida —DeLand, FL
- $57,200 a year
- Day shift
- Background check
- Military
- Computer literacy
- Opportunities for advancement
Claim Consultant Cyber & Technology
The Hartford —Lake Mary, FL
- $122,400 - $183,600 a year
- Full-time
- Hybrid work
- Mid-level
- Office
- Bachelor's degree
Electrical Design Engineer II
Actalent —Lake Mary, FL
- $80,000 - $95,000 a year
- Full-time
- Hybrid work
- Mid-level
- Office
- Travel
- Health savings account
- Paid holidays
Quick Apply
10d
Regional Q&B Spec
Amazon.com Services LLC —Deltona, FL
- $119,600 - $161,700 a year
- Weekends as needed
- PMP
- Travel
- Senior level
- Paid parental leave
- AD&D insurance
Refrigeration Technician
Peterson Farms Inc —DeLand, FL
- Full-time
- Mechanic experience
- Computer literacy
- Mid-level
Quick Apply
RN AHMG High Risk Pregnancy at Lake Mary
AdventHealth Medical Group Central Florida —Lake Mary, FL
- $31.53 - $52.24 an hour
- Full-time
- Background check
- CPR Certification
- Nursing
- Paid parental leave
- Disability insurance
4d
Major Case General Liability Claims Consultant
The Hartford —Lake Mary, FL
- $84,800 - $127,200 a year
- Full-time
- Remote
- Customer service
- Analysis skills
- Bachelor's degree
Project Accountant
CPH —Sanford, FL
- $75,000 - $85,000 a year
- Full-time
- ERP systems
- Office
- Finance
- Paid holidays
- Disability insurance
Quick Apply

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risk adjustment jobs near orange city, fl

Workers' Compensation Claims Adjuster (NC/SC)

CCMSI -
Maitland, FL

Apply Now

Job Details

$70,000 - $90,000 a year

Benefits

Paid holidays
Disability insurance
Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
Employee stock ownership plan
Opportunities for advancement
Life insurance

Qualifications

Microsoft Excel
Microsoft Outlook
Workers' compensation insurance knowledge
Newsletters (communication methods)

Full Job Description

Overview

Position Title: Workers' Compensation Claim Consultant SC & NC
Location: Maitland, FL (Hybrid preferred, remote considered)
Schedule: 8:00 am-5:00 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 hands‑on 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 life‑cycle WC adjuster position within a TPA environment, and only candidates with proven Workers’ Compensation claims experience will be considered.

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

Five or more years of Workers’ Compensation claims experience.
Proficiency with Microsoft Office products, including Word, Excel, and Outlook.
Adjuster’s license and experience required (one or more): NC & SC

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 #Maitland #Florida #LI-Hybrid #IND123

Apply Now

Refine Your Search

risk adjustment jobs in orange city, fl

Workers' Compensation Claims Adjuster (NC/SC)

Workers' Compensation Claims Adjuster (FL)

IPA Consultative Coder - Southeast Florida (Daytona)

Provider Performance & Coding Consultant

IPA Consultative Coder - North Florida (Orlando)

Area Manager, Early Career (2027) – Florida/Alabama

Nurse Practitioner

Parts Specialist (SFB)

Community Manager

Integration Manager – M&A (Florida)

Project Financial Analyst

Immigration Specialist IV

CHILD PROTECTIVE INVESTIGATOR SUPV-SES - 60002415

Claim Consultant Cyber & Technology

Electrical Design Engineer II

Regional Q&B Spec

Refrigeration Technician

RN AHMG High Risk Pregnancy at Lake Mary

Major Case General Liability Claims Consultant

Project Accountant

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Overview

Build Your Career With Purpose at CCMSI

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Preferred Qualifications

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