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CCMSI

TPA for workers' comp and self-insurance

Claim Representative - General Liability

Claims AdjudicationConfirmed live in the last 24 hours
Full-timeRemote in USARemote

About the Job

Requirements

  • A current adjuster license in the home state, or the ability to obtain one within the first 90 days of hire.
  • At least 5 years of General Liability claim handling experience.
  • Experience handling commercial liability claims involving products liability, restaurants, food service operations, retail businesses, hospitality risks, or similar exposures.
  • Strong knowledge of liability investigation, coverage analysis, claim evaluation, and damage assessment.
  • Strong negotiation, organizational, and decision-making skills.
  • Strong verbal and written communication abilities.
  • Ability to manage a diverse caseload while meeting client service expectations.
  • Proficiency with Microsoft Office applications and claim management systems.

Responsibilities

  • Independently manage a caseload of General Liability claims from assignment through closure.
  • Investigate coverage, liability, causation, and damages to determine claim exposure and resolution strategy.
  • Handle claims involving products liability, restaurants, food service operations, food preparation issues, foodborne illness allegations, contamination claims, and retail premises liability.
  • Evaluate liability and damages and establish appropriate reserves throughout the life of each claim.
  • Conduct recorded statements and witness interviews, and review documentation to support claim investigation and resolution.
  • Analyze medical records, contracts, incident reports, and other claim-related documentation.
  • Collaborate with insureds, clients, brokers, vendors, and claim management to ensure timely claim handling and resolution.
  • Negotiate settlements within authority and prepare recommendations for higher-exposure claims.
  • Manage litigated files, including coordinating with defense counsel, reviewing litigation strategy, attending mediations, and evaluating settlement opportunities.
  • Prepare clear, concise claim summaries and client reports.
  • Maintain compliance with client service standards, regulatory requirements, and internal claim handling guidelines.
  • Maintain accurate diaries, documentation, and claim file management standards.
  • Participate in claim reviews and provide technical recommendations on complex claims.

Desired Qualifications

  • Experience handling litigated claims and working closely with defense counsel.
  • Demonstrated experience partnering with defense counsel and monitoring litigation strategy.
  • Background in a third-party administrator, carrier, self-insured, captive, or national accounts environment.
  • Industry designations such as AIC, CPCU, ARM, SCLA, or similar credentials.
  • An active home state or DHS license.

About the Company

CCMSI

TPA for workers' comp and self-insurance

CCMSI provides third-party administration services for workers' compensation and property/casualty self-insurance programs. It manages claims and offers risk management and cost-containment strategies for self-insured entities, including group self-insurance associations. The product works by acting as an administrator for a client’s self-insurance program: handling claims, administering payments, and implementing risk controls and cost-saving measures on a fee basis. CCMSI differentiates itself by focusing on the self-insurance niche and serving organizations that bear their own insurance risks, rather than selling traditional insurance policies. The company’s goal is to help clients reduce claim costs and manage their self-insurance programs more effectively.

Company size
1,001-5,000
Company stage
Not listed
Total funding
Not listed
Headquarters
Danville, IL
Founded
1978

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