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CCMSI

TPA for workers' comp and self-insurance

Multi-Line Claim Supervisor

Claims AdjudicationUpdated on Nov 5
Full-timeLisle, IL, USA$80k - $90kIn-person

About the Job

Requirements

  • 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.
  • Flexibility, accuracy, initiative, and the ability to work with minimum supervision.
  • Discretion and confidentiality.
  • Reliable, predictable attendance within client service hours.
  • Ability to respond to internal and external client needs.
  • Ability to communicate clearly verbally and/or in writing, internally and externally.
  • Eight or more years of multi-line claim experience.
  • Proficiency with Microsoft Office programs.
  • An adjuster’s license may be required based on jurisdiction.

Responsibilities

  • Review, assign, and supervise multi-line claim activity for designated claims to ensure compliance with Corporate Claim Standards, client-specific handling instructions, and applicable laws.
  • Investigate, evaluate, and adjust assigned multi-line claims according to established claim-handling standards and laws.
  • Establish or oversee reserves for designated multi-line claims within established reserve authority levels.
  • Oversee medical, legal, damage-estimate, and miscellaneous invoices to determine whether they are reasonable and related to designated 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 in accordance with Corporate Claim Standards, client-specific handling instructions, and state laws, when appropriate.
  • Assist designated claim staff with selecting, referring, and supervising designated claim files sent to outside vendors, including legal, surveillance, and case-management vendors.
  • Direct the handling of designated litigated and complex claims.
  • Provide education and training and assist in developing claim staff.
  • Review and maintain a personal diary in the claim system.
  • Supervise all multi-line claim activity for specified accounts.
  • Comply with Corporate Claim Handling Standards and special client handling instructions.

Desired Qualifications

  • Three or more years of supervisory experience.
  • A Bachelor’s Degree.
  • Bilingual Spanish proficiency for communicating with claimants, employers, or vendors.
  • An AIC, CPCU, or ARM designation.

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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