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CCMSI

TPA for workers' comp and self-insurance

Multi Line Claim Consultant

Claims AdjudicationConfirmed live in the last 24 hours
Full-timeChicago, IL, USA$75k - $85k

About the Job

Requirements

  • 10+ years of multi-line claim experience is required.
  • An active adjuster’s license is required.
  • Experience with auto, general liability, property damage, bodily injury, and litigated claims is required or expected for the position.
  • Excellent oral and written communication skills are required.
  • The candidate must demonstrate initiative to set and achieve performance goals.
  • The candidate must have analytic and negotiation skills.
  • The candidate must be able to cope with job pressures in a constantly changing environment.
  • Knowledge of all lower-level claim position responsibilities is required.
  • The candidate must be detail-oriented, self-starting, and strongly organized.
  • The candidate must be able to coordinate and prioritize work.
  • The candidate must demonstrate flexibility, accuracy, initiative, and the ability to work with minimum supervision.
  • Discretion and confidentiality are required.
  • Reliable, predictable attendance within client service hours is required.
  • The candidate must respond to internal and external client needs.

Responsibilities

  • Investigate, evaluate, and adjust multi-line claims in accordance with established claim-handling standards and laws.
  • Establish reserves or provide reserve recommendations within established reserve authority levels.
  • Review, approve, or oversee medical, legal, damage-estimate, and miscellaneous invoices to determine whether they are reasonable and related to assigned multi-line claims; negotiate disputed bills or invoices for resolution.
  • Authorize and make multi-line claim payments using a claim payment program, in accordance with claim procedures, industry standards, and established payment authority.
  • Negotiate settlements, when appropriate, in accordance with corporate claim standards, client-specific handling instructions, and state laws.
  • Assist in selecting, referring, and supervising designated multi-line claim files sent to outside vendors, including legal, surveillance, and case-management vendors.
  • Review and maintain a personal diary in the claim system.
  • Assess and monitor subrogation claims for resolution.
  • Compute disability rates in accordance with state laws.
  • Coordinate timely and effective communications with clients, claimants, and other appropriate parties throughout the multi-line claim adjustment process.
  • Provide notices of qualifying claims to excess and reinsurance carriers.
  • Comply with corporate claim-handling standards and special client-handling instructions.

Desired Qualifications

  • A Bachelor's degree is preferred.
  • Bilingual Spanish proficiency is highly valued for communicating with claimants, employers, or vendors, but is not required.
  • Experience handling litigated claims is highly preferred.

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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