Claims Adjuster II – Multi-Line (Dedicated Account, Remote)

Ccmsi • Dallas, TX

3d • Remote

About The Position

The Multi-Line Claim Representative II is responsible for the investigation and adjustment of assigned multi-line claims within a dedicated national account in the food service industry. This role manages claims from assignment through resolution (cradle to grave) while ensuring compliance with CCMSI claim handling standards, client-specific instructions, and applicable state laws across multiple jurisdictions. This position is designed for adjusters with 3–5 years of multi-line claim handling experience who can effectively manage a moderate complexity caseload with limited litigation exposure (approximately 10%). The ideal candidate demonstrates strong organization, consistent file movement, and the ability to deliver quality outcomes while maintaining high service expectations in a client-facing environment. This is not a high-volume, quick-resolution claim environment. Adjusters are expected to take full ownership of their files, maintain accurate diaries, and drive claims to timely and well-documented resolution. This is a true liability adjuster role responsible for cradle-to-grave claim handling and is not an HR or consulting position.

Requirements

• 3–5 years of multi-line claim handling experience
• Experience managing a moderate caseload
• Proven ability to work files to conclusion while maintaining diary discipline and best practices
• Strong organizational skills with the ability to prioritize and multitask
• Excellent verbal and written communication skills in a client-facing environment
• Ability to manage frequent phone communication as a primary responsibility
• Strong analytical and decision-making capabilities
• Proficiency in Microsoft Office applications
• Reliable, predictable attendance during assigned client service hours
• Current adjuster license in home state; ability to obtain and maintain multi-state licensure (including NY and FL)
• Valid NPN (National Producer Number) required

Nice To Haves

• Prior TPA experience
• Experience working on dedicated or single-client accounts
• Intermediate Excel skills
• Experience within food service or hospitality-related claims environments
• Bilingual (Spanish) is a bonus - not required

Responsibilities

• Investigate, evaluate, and adjust assigned multi-line claims in accordance with corporate standards, client guidelines, and jurisdictional requirements
• Manage claims cradle to grave across all jurisdictions, including licensed states such as NY and FL
• Maintain a consistent claim workflow, ensuring diaries are current and files are progressing in a timely manner
• Establish and maintain reserves within authority guidelines
• Review and approve medical, legal, and damage-related invoices for accuracy and claim relevance
• Negotiate settlements with claimants, attorneys, and vendors in alignment with client expectations and authority levels
• Issue claim payments in accordance with CCMSI procedures and guidelines
• Communicate proactively and professionally with clients, claimants, and other involved parties (frequent, high-touch communication required)
• Manage inbound and outbound phone activity as a primary component of the role
• Identify and pursue subrogation opportunities where applicable
• Maintain accurate and timely documentation within the claim system
• Prepare reports and status updates as required by the client
• Ensure compliance with corporate claim standards and service commitments

Benefits

• 4 weeks (Paid time off that accrues throughout the year in accordance with company policy)
• 10 paid holidays in your first year
• Medical, Dental, Vision, Life, and Disability Insurance
• 401(k) and Employee Stock Ownership Plan (ESOP)

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed