Job Description

Overview

Senior Multi-Line Claim Adjuster (Litigation Focus) – Remote

Are you an experienced Multi-Line Claim Adjuster with a passion for managing complex, litigated claims across diverse industries? CCMSI is seeking a Senior Multi-Line Claim Adjuster to join our team, working remotely, Monday through Friday, 8:00 am to 4:30 pm. In this role, you will be responsible for investigating and adjusting claims for multiple clients, focusing primarily on complex litigation cases. This is an exciting opportunity for a seasoned professional looking to make an impact across a variety of industries.

Key Responsibilities:

• Handle the investigation, evaluation, and adjustment of complex general liability, auto, and property claims, with a strong focus on litigated cases.
• Manage claims across multiple clients and industries, ensuring compliance with CCMSI's claim standards and client expectations.
• Coordinate with legal teams, attend mediations, and participate in litigation strategy discussions.
• Provide mentorship and guidance to junior adjusters and participate in training programs.
• Maintain a high level of accuracy, attention to detail, and timeliness in claim handling.

Qualifications:

• Minimum of 10+ years of experience in multi-line claim adjusting, with a strong focus on litigation.
• Demonstrated success in managing complex, litigated claims from start to resolution.
• Experience working with multiple clients and industries is preferred.
• Excellent communication and negotiation skills, with the ability to collaborate with legal teams and clients.
• Adjuster license required; additional licenses across multiple jurisdictions are a plus.

Why Join CCMSI? At CCMSI, we’re committed to attracting the best and brightest talent to our employee-owned company. As a leading Third Party Administrator in self-insurance services, we deliver exceptional service to our clients while fostering a supportive, collaborative environment for our team members. We offer structured career development programs, competitive benefits, and recognition for both individual and team efforts. Our commitment to employee satisfaction and retention is reflected in our certification as a Great Place to Work, ranking in the 95th percentile.

Reasons to consider a career at CCMSI:

• Culture : Our Core Values of integrity, passion, and enthusiasm are at the heart of everything we do.
• Career Development : We offer robust training programs and clear paths for career growth.
• Benefits : Enjoy 4 weeks of paid time off in your first year, 10 paid holidays, and comprehensive benefits including Medical, Dental, Vision, Life Insurance, 401K, ESOP, and more.
• Work Environment : We believe in providing a positive, supportive work environment with manageable caseloads and the resources needed to succeed.

Take the next step in your career with CCMSI, where your expertise and dedication are recognized and rewarded. Apply today!

Responsibilities

• Investigate, evaluate and adjust multi-line 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 multi-line claims. Negotiate any disputed bills or invoices for resolution.
• Authorize and make payments of multi-line 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 multi-line claim files sent to outside vendors. (i.e. legal, surveillance, case management, etc.)
• Review and maintain personal diary on claim system.
• Assess and monitor subrogation claims for resolution.
• Compute disability rates in accordance with state laws.
• Effective and timely coordination of communication with clients, claimants and other appropriate parties throughout the multi-line claim adjustment process.
• Provide notices of qualifying claims to excess/reinsurance carriers.
• Compliance with Corporate Claim Handling Standards and special client handling instructions as established. 

Qualifications

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.
• Ability to clearly communicate verbally and/or in writing both internally and externally.

Education and/or Experience

10+ years multi-line claim experience is required.

Computer Skills

Proficient with Microsoft Office programs.

Certificates, Licenses, Registrations

Home State Adjusters License is required.

AIC, ARM or CPCU Designation preferred.

CORE VALUES & PRINCIPLES

Responsible for upholding the CCMSI Core Values & Principles which include: performing with integrity; passionately focus on client service; embracing a client-centered vision; maintaining contagious enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to make things better; and leading by example.

CCMSI is an Affirmative Action / Equal Employment Opportunity employer offering an excellent benefit package including Medical, Dental, Prescription Drug, Vision, Flexible Spending, Life, ESOP and 401K.

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