Highly Skilled Multi-Line Claim Adjuster I

2 days ago


Scottsdale, Arizona, United States CCMSI Full time

Explore the opportunity to excel in your career as a Multi-Line Liability Claim Representative I at CCMSI. With a strong focus on delivering exceptional claim services, this role offers a dynamic work environment and opportunities for professional growth.

Job Summary:

  • Investigate and adjust multi-line liability claims with precision and attention to detail.
  • Maintain high-quality claim services that meet client expectations.
  • Collaborate effectively with team members to achieve common goals.

Key Responsibilities:

  • Conduct thorough investigations of multi-line liability claims, ensuring compliance with established procedures.
  • Review medical, legal, and miscellaneous invoices to determine their reasonableness and relevance to ongoing claims.
  • Negotiate disputed bills with medical providers and other stakeholders.
  • Autorize and make payments for multi-line liability claims using industry-standard claim payment programs within authorized settlement limits.
  • Engage in settlement negotiations with claimants and attorneys, acting in accordance with client authorization.
  • Assist in selecting and supervising defense attorneys.
  • Monitor subrogation claims for resolution and initiate necessary actions.
  • Prepare detailed reports outlining claims, payments, and reserves.
  • Promptly provide required information and updates to excess insurers.
  • Evaluate performance against Service Commitments set by the team.
  • Foster a culture of quality claim service delivery to clients.
  • Perform additional duties as assigned.

Required Skills and Qualifications:

  • Demonstrate excellent oral and written communication skills.
  • Exhibit self-motivation, organizational abilities, and flexibility in prioritizing tasks.
  • Show initiative and ability to work with minimal direct supervision.
  • Demonstrate discretion and confidentiality when handling sensitive information.
  • Display teamwork and adaptability in a rapidly changing environment.
  • Meet attendance requirements and be responsive to internal and external client needs.
  • Clearly communicate verbally and/or in writing both internally and externally.

Estimated Salary Range: $70,000 - $90,000 per annum, based on location and experience.

Benefits:

  • An excellent benefit package including Medical, Dental, Prescription Drug, Vision, Flexible Spending, Life, ESOP, and 401K.

CORE VALUES & PRINCIPLES:

  • Adhere to CCMSI's Core Values & Principles, which emphasize integrity, client-centric vision, enthusiasm, seeking excellence, embracing change, and maintaining constructive relationships.

CCMSI is an Affirmative Action / Equal Employment Opportunity employer.



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