Multi-Line Claims Adjuster – Hybrid Role, Auto Experience Required

3 days ago

Nashville Tennessee, United States CCMSI Full time
Overview

At CCMSI, we strive to deliver exceptional service to our clients by fostering a culture of excellence, integrity, and passion. As a leading Third Party Administrator in self-insurance services, we are committed to developing our staff through structured career development programs, recognizing individual and team efforts, and maintaining a Great Place To Work certification.

Why Choose CCMSI?
  • Culture: Our Core Values are embedded into our culture, ensuring we treat our employees as valued partners with integrity, passion, and enthusiasm.
  • Career Development: CCMSI offers robust internships and internal training programs for advancement within our organization.
  • Benefits: Our benefits package includes 4 weeks paid time off in your first year, plus 10 paid holidays, medical, dental, vision, life insurance, critical illness, short and long-term disability, 401K, and ESOP.
  • Work Environment: We provide an environment where employees enjoy coming to work every day, are provided the resources needed to perform their job, and claims staff are assigned manageable caseloads.
Job Summary

We are seeking a Multi-Line Claim Consultant (3 days in the office per week) dedicated to working with a single client. This position requires prior experience in multi-line claim adjusting, specifically with auto claims. An adjuster's license is required, and experience handling claims across multiple jurisdictions is preferred.

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 with 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.
  • Effective and timely coordination of 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.
Qualifications
  • 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 required.
  • Flexibility, accuracy, initiative, and the ability to work with minimum supervision.
  • Discretion and confidentiality required.
  • Reliable, predictable attendance within client service hours for the performance of this position.
  • Responsive to internal and external client needs.
  • Ability to clearly communicate verbally and/or in writing both internally and externally.
Requirements
  • 5+ years multi-line claim experience is required.
  • Computer Skills: Proficient with Microsoft Office programs.
  • Certificates, Licenses, Registrations: Adjusters license is required.

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