Claim Representative – General Liability

Ccmsi•Las Vegas, NV

1d•Remote

About The Position

CCMSI is seeking an experienced Claim Representative to manage a caseload of General Liability claims for commercial clients, including product manufacturers and distributors. The role involves investigating, evaluating, negotiating, and resolving claims involving premises and products liability, foodborne illness and contamination, customer injury, property damage, and other general liability exposures. The representative manages claims from assignment through closure, using sound judgment and strong technical claim-handling skills while providing exceptional client service. The position is remote and full-time, with a posted salary range of $70,000–$80,000. Experience handling litigated claims and working with defense counsel is preferred. CCMSI describes itself as the largest privately owned third-party administrator (TPA), providing customized claim management solutions. Its employee-owned culture emphasizes ownership, collaboration, service, integrity, and results. The role may qualify for bonuses or other additional forms of pay. CCMSI does not provide visa sponsorship and commits to reasonable accommodations during the hiring process.

Requirements

Current adjuster license in the home state, or ability to obtain one within the first 90 days of hire.
At least 5 years of General Liability claim-handling experience.
Experience handling commercial liability claims involving products liability, restaurants, food service operations, retail businesses, hospitality risks, or similar exposures.
Strong knowledge of liability investigation, coverage analysis, claim evaluation, and damage assessment.
Excellent negotiation, organizational, and decision-making skills.
Strong verbal and written communication abilities.
Ability to manage a diverse caseload while meeting client service expectations.
Proficiency with Microsoft Office applications and claim management systems.

Nice To Haves

Demonstrated experience partnering with defense counsel and monitoring litigation strategy.
Background in a TPA, carrier, self-insured, captive, or national accounts environment.
Industry designations such as AIC, CPCU, ARM, SCLA, or similar credentials.
Active home state or DHS license.

Responsibilities

Independently manage a caseload of General Liability claims from assignment through closure.
Investigate coverage, liability, causation, and damages to determine claim exposure and resolution strategy.
Handle claims involving products liability, restaurants, food service operations, food preparation issues, foodborne illness allegations, contamination, and retail premises liability.
Evaluate liability and damages and establish appropriate reserves throughout the life of each claim.
Conduct recorded statements and witness interviews, and review documentation to support investigation and resolution.
Analyze medical records, contracts, incident reports, and other claim-related documentation.
Collaborate with insureds, clients, brokers, vendors, and claim management to support timely claim handling and resolution.
Negotiate settlements within authority and prepare recommendations for higher-exposure claims.
Manage litigated files, including coordinating with defense counsel, reviewing litigation strategy, attending mediations, and evaluating settlement opportunities.
Prepare clear, concise claim summaries and client reports.
Maintain compliance with client service standards, regulatory requirements, and internal claim-handling guidelines.
Maintain accurate diaries, documentation, and claim-file management standards.
Participate in claim reviews and provide technical recommendations on complex claims.

Benefits

Four weeks of paid time off, accruing throughout the year in accordance with company policy.
10 paid holidays in the first year.
Medical insurance.
Dental insurance.
Vision insurance.
Life insurance.
Disability insurance.
401(k) retirement plan.
Employee Stock Ownership Plan (ESOP).
Career growth opportunities, including advancement into senior claims leadership positions.
Potential eligibility for bonuses or additional forms of pay.