CCMSI · 17 hours ago
Multi-Line Claim Representative I
United States
Full-time
Remote
Mid Level
$50K/yr - $60K/yr
3+ years expCCMSI is a leading Third Party Administrator (TPA) specializing in risk management solutions. They are seeking a Multi-Line Claims Representative I to investigate and adjust claims, focusing on professional growth and compliance with company standards.
Financial ServicesInsuranceRetail
No H1B
Responsibilities
Claims Investigation & Adjustment: Investigate, analyze, and resolve multi-line claims in line with CCMSI standards and guidelines
Coverage & Liability Assessment: Conduct detailed evaluations to determine liability, assess coverage, and manage bodily injury claims
Negotiation: Negotiate settlements directly with claimants, attorneys, and other involved parties within the scope of client authorization
Medical & Legal Review: Review medical records and legal invoices to ensure they align with claim requirements, resolving disputes as needed
Payments & Subrogation: Authorize claim payments, supervise subrogation opportunities, and maintain financial accuracy within system reserves
Client Relations: Deliver exceptional service by preparing thorough reports, maintaining accurate documentation, and adhering to service commitments
Compliance: Adhere to company policies, client requirements, and regulatory standards
Qualification
Required
Minimum of 3 years handling multi-line claims, including liability determination and bodily injury evaluation
Strong negotiation skills, understanding of medical terminology, and proven ability to analyze complex coverage issues
Associate degree preferred; equivalent work experience or Bachelor's degree in Risk Management or Insurance-related fields is a plus
Proficient in Microsoft Office and claims management systems
General liability claim experience is required; some first party property and auto liability claim handling experience is highly desired
Preferred
Illinois municipal claims experience
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.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
G
G. Bryan G. Bryan Thomas
President/CEO
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