CCMSI · 1 week ago
Multi-Line Claim Representative I
CCMSI is a leading Third Party Administrator in self-insurance services, seeking a Multi-Line Claim Representative I. This role involves investigating and adjusting assigned multi-line liability claims while ensuring quality service to clients and compliance with corporate standards.
Financial ServicesInsuranceRetail
Responsibilities
Investigate and adjust multi-line liability claims in accordance with established claims handling procedures using CCMSI guidelines and direct supervision
Review medical, legal and miscellaneous invoices to determine if reasonable and related to the ongoing liability claims. Negotiate any disputed bills for resolution
Authorize and make payment of multi-line liability claims utilizing a claim payment program in accordance with industry standards and within settlement authority
Negotiate settlements with claimants and attorneys in accordance with client's authorization
Prepare reports detailing claims, payments and reserves
Provide reports and monitor files, as required by excess insurers
Compliance with Service Commitments as established by team
Delivery of quality claim service to clients
Qualification
Required
Excellent oral and written communication skills
Individual must be a self-starter with strong organizational abilities
Ability to coordinate and prioritize required
Flexibility, initiative, and the ability to work with a minimum of direct supervision a must
Discretion and confidentiality required
Ability to work as a team member in a rapidly changing environment
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
3+ years liability claim experience or insurance related experience is required or equivalent education, i.e
Bachelor's degree in Risk Management or Insurance related program
Valid drivers license is required
Proficient with Microsoft Office programs
Adjusters license may be required based upon jurisdiction
Preferred
Associates degree is preferred
Tort Immunity experience preferred, but not required
Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required
Benefits
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
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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