EXPERIENCED CLAIMS ADJUSTER (AUTO & LIABILITY) - REMOTE- LOUISIANA CLAIMS
About the position
As a Multi-Line Claim Consultant at CCMSI, you will manage a diverse portfolio of claims across various industries, including Auto and General Liability claims for trucking companies and municipalities in Louisiana. This hybrid role allows for flexibility in working from home and the office, focusing on delivering high-quality claims management while ensuring client satisfaction and compliance with audit standards.
Responsibilities
Ā Investigate, evaluate and adjust multi-line claims in accordance with established claim handling standards and laws.
,
Ā Establish reserves and/or provide reserve recommendations within established reserve authority levels.
,
Ā Review, approve or provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated claims.
,
Ā Negotiate any disputed bills or invoices for resolution.
,
Ā 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.
,
Ā Negotiate settlements in accordance with Corporate Claim Standards, client specific handling instructions and state laws, when appropriate.
,
Ā Assist in the selection, referral and supervision of designated multi-line claim files sent to outside vendors (i.e. legal, surveillance, case management, etc.).
,
Ā Assess and monitor subrogation claims for resolution.
,
Ā Review and maintain personal diary on claim system.
,
Ā Prepare reports detailing claim status, payments and reserves, as requested.
,
Ā Compute disability rates in accordance with state laws.
,
Ā Effective and timely coordination of communication with clients, claimants and appropriate parties throughout the claim adjustment process.
,
Ā Prepare newsletter articles as requested.
,
Ā Provide notices of qualifying claims to excess/reinsurance carriers.
,
Ā Handle more complex and involved multi-line claims than lower level claim positions with minimum supervision.
,
Ā Conduct claim reviews and/or training sessions for designated clients, as requested.
,
Ā Attend and participate at hearings, mediations, and informal legal conferences, as appropriate.
,
Ā Compliance with Corporate Claim Handling Standards and special client handling instructions as established.
Requirements
Ā 5+ years of multi-line claim experience is required.
,
Ā Previous experience with litigated claims is highly preferred.
,
Ā Excellent oral and written communication skills.
,
Ā Good analytic and negotiation skills.
,
Ā Detail oriented and a self-starter with strong organizational abilities.
,
Ā Ability to coordinate and prioritize tasks effectively.
,
Ā Knowledge of all lower level claim position responsibilities.
,
Ā Ability to cope with job pressures in a constantly changing environment.
,
Ā Discretion and confidentiality required.
,
Ā Reliable, predictable attendance within client service hours.
Nice-to-haves
Ā Proficient with Microsoft Office programs.
,
Ā Initiative to set and achieve performance goals.
,
Ā Flexibility, accuracy, and the ability to work with minimum supervision.
Benefits
Ā 4 weeks of PTO in your first year
,
Ā 10 paid holidays
,
Ā Medical, dental, vision, life insurance
,
Ā Critical illness insurance
,
Ā Short and long-term disability
,
Ā 401K
,
Ā Employee stock ownership (ESOP)
Apply Now
As a Multi-Line Claim Consultant at CCMSI, you will manage a diverse portfolio of claims across various industries, including Auto and General Liability claims for trucking companies and municipalities in Louisiana. This hybrid role allows for flexibility in working from home and the office, focusing on delivering high-quality claims management while ensuring client satisfaction and compliance with audit standards.
Responsibilities
Ā Investigate, evaluate and adjust multi-line claims in accordance with established claim handling standards and laws.
,
Ā Establish reserves and/or provide reserve recommendations within established reserve authority levels.
,
Ā Review, approve or provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated claims.
,
Ā Negotiate any disputed bills or invoices for resolution.
,
Ā 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.
,
Ā Negotiate settlements in accordance with Corporate Claim Standards, client specific handling instructions and state laws, when appropriate.
,
Ā Assist in the selection, referral and supervision of designated multi-line claim files sent to outside vendors (i.e. legal, surveillance, case management, etc.).
,
Ā Assess and monitor subrogation claims for resolution.
,
Ā Review and maintain personal diary on claim system.
,
Ā Prepare reports detailing claim status, payments and reserves, as requested.
,
Ā Compute disability rates in accordance with state laws.
,
Ā Effective and timely coordination of communication with clients, claimants and appropriate parties throughout the claim adjustment process.
,
Ā Prepare newsletter articles as requested.
,
Ā Provide notices of qualifying claims to excess/reinsurance carriers.
,
Ā Handle more complex and involved multi-line claims than lower level claim positions with minimum supervision.
,
Ā Conduct claim reviews and/or training sessions for designated clients, as requested.
,
Ā Attend and participate at hearings, mediations, and informal legal conferences, as appropriate.
,
Ā Compliance with Corporate Claim Handling Standards and special client handling instructions as established.
Requirements
Ā 5+ years of multi-line claim experience is required.
,
Ā Previous experience with litigated claims is highly preferred.
,
Ā Excellent oral and written communication skills.
,
Ā Good analytic and negotiation skills.
,
Ā Detail oriented and a self-starter with strong organizational abilities.
,
Ā Ability to coordinate and prioritize tasks effectively.
,
Ā Knowledge of all lower level claim position responsibilities.
,
Ā Ability to cope with job pressures in a constantly changing environment.
,
Ā Discretion and confidentiality required.
,
Ā Reliable, predictable attendance within client service hours.
Nice-to-haves
Ā Proficient with Microsoft Office programs.
,
Ā Initiative to set and achieve performance goals.
,
Ā Flexibility, accuracy, and the ability to work with minimum supervision.
Benefits
Ā 4 weeks of PTO in your first year
,
Ā 10 paid holidays
,
Ā Medical, dental, vision, life insurance
,
Ā Critical illness insurance
,
Ā Short and long-term disability
,
Ā 401K
,
Ā Employee stock ownership (ESOP)
Apply Now