Full-Time

Multi-Line Claim Consultant

Deadline 5/1/27
CCMSI

CCMSI

1,001-5,000 employees

TPA for workers' comp and self-insurance

Compensation Overview

$65k - $77.5k/yr

+ Bonus

No H1B Sponsorship

Downers Grove, IL, USA

Hybrid

Hybrid role; on-site in Lisle, IL after training.

Category
Finance & Banking (1)
Requirements
  • 5+ years multi-line claim experience is required.
  • Bachelor’s Degree is preferred.
  • Proficient with Microsoft Office programs.
  • TX Adjusters license may be required.
  • Excellent oral and written communication skills.
  • Discretion and confidentiality required.
  • Reliable, predictable attendance within client service hours.
  • Ability to cope with job pressures in a constantly changing environment.
Responsibilities
  • Investigate, evaluate and adjust multi-line claims in accordance with established claim handling standards and laws.
  • Establish reserves and/or provide reserve recommendations within established reserve authority levels.
  • Review, approve or provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated claims.
  • Negotiate any disputed bills or invoices for resolution.
  • Authorize and make payments of multi-line claims in accordance with CCMSI claim procedures utilizing a claim payment program in accordance with Industry standards and within established payment authority.
  • Negotiate settlements in accordance within Corporate Claim Standards, client specific handling instructions and state laws, when appropriate.
  • Assist in the selection, referral and supervision of designated multi-line claim files sent to outside vendors.
  • Assess and monitor subrogation claims for resolution.
  • Review and maintain personal diary on claim system.
  • Prepare reports detailing claim status, payments and reserves, as requested.
  • Compute disability rates in accordance with state laws.
  • Coordinate effective and timely communication with clients, claimants and appropriate parties throughout the claim adjustment process.
  • Prepare newsletter articles as requested.
  • Provide notices of qualifying claims to excess/reinsurance carriers.
  • Handle more complex and involved multi-line claims than lower level claim positions with minimum supervision.
  • Conduct claim reviews and/or training sessions for designated clients, as requested.
  • Attend and participate at hearings, mediations, and informal legal conferences, as appropriate.
  • Compliance with Corporate Claim Handling Standards and special client handling instructions as established.
Desired Qualifications
  • Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required.

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

N/A

Total Funding

N/A

Headquarters

Danville, Illinois

Founded

1978

Simplify Jobs

Simplify's Take

What believers are saying

  • Self-insurance market growing as companies seek cost control alternatives.
  • AI capabilities enable competitive pricing and faster claims resolution.
  • Deep claims expertise and regional presence create switching costs.

What critics are saying

  • Larger TPAs like Sedgwick undercut pricing through superior scale.
  • State mandates for AI triage tools by 2027 require heavy investment.
  • Insurtech disruptors integrate blockchain, threatening legacy iCE system obsolescence.

What makes CCMSI unique

  • Largest independent TPA in US with 1,400+ employees across 41 offices.
  • AI-powered claims triage saved clients $300 million in workers' compensation costs.
  • 100% employee-owned firm prioritizes client-focused decisions over shareholder returns.

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Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

Health Savings Account/Flexible Spending Account

Unlimited Paid Time Off

Paid Holidays

401(k) Company Match

Company Equity