CCMSI · 11 hours ago
Multi-Line Claim Specialist- Commercial Auto
CCMSI is a leading Third Party Administrator in self-insurance services, seeking a Multi-Line Claim Specialist for their Commercial Auto division. The role involves investigating and adjusting general liability claims while ensuring compliance with corporate standards and client expectations.
Financial ServicesInsuranceRetail
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
Qualification
Required
NY License required
10+ years multi-line claim experience is required
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
Proficient with Microsoft Office programs
Adjusters license may be required based upon jurisdiction
Preferred
Bachelor's Degree
AIC, ARM or CPCU Designation
Benefits
4 weeks paid time off in your first year
10 paid holidays
Medical
Dental
Vision
Life Insurance
Critical Illness
Short and Long Term Disability
401K
ESOP
Company
CCMSI
CCMSI is a third-party administrator for workers' compensation and property/casualty self-insurance programs.
Funding
Current Stage
Late StageLeadership Team
G
G. Bryan G. Bryan Thomas
President/CEO
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