Multi Line Claim Adjuster (Auto, GL, PD)

Ccmsi•Chicago, IL

14h•Remote

About The Position

The Multi-Line Claim Representative II investigates and adjusts assigned auto and general liability property damage claims. This is a full life-cycle multi-line adjuster position in a third-party administrator environment; candidates must have proven multi-line claims experience. The position is accountable for the quality of claim services as perceived by CCMSI clients and in accordance with corporate claim standards. It may also serve as advanced training for consideration for supervisory or management positions. The role is remote and reports to the Chicago, Illinois region, with a schedule of 8:00 a.m. to 4:30 p.m. CCMSI is a privately owned third-party administrator providing customized claim solutions to clients. The company describes its employee-owned culture as collaborative and supportive, with opportunities for growth and meaningful contributions. The position requires reliable attendance during client service hours, effective communication with clients and claimants, and compliance with corporate standards, client instructions, and applicable laws.

Requirements

3–5+ years of multi-line claim experience.
Active home-state license.
Excellent oral and written communication skills.
Initiative to set and achieve performance goals.
Good analytical and negotiation skills.
Ability to cope with job pressures in a constantly changing environment.
Knowledge of responsibilities associated with lower-level claim positions.
Detail-oriented, self-starting, and strong organizational abilities.
Ability to coordinate and prioritize work.
Flexibility, accuracy, initiative, and ability to work with minimal supervision.
Discretion and confidentiality.
Reliable, predictable attendance during client service hours.
Responsiveness to internal and external client needs.
Ability to communicate clearly verbally and/or in writing, internally and externally.
Must be able to perform essential duties satisfactorily; reasonable accommodations may be made for individuals with disabilities.

Nice To Haves

Bachelor’s degree preferred.
Bilingual Spanish proficiency is highly valued for communicating with claimants, employers, or vendors, but is not required.

Responsibilities

Investigate, evaluate, and adjust multi-line claims in accordance with established claim handling standards and laws.
Establish reserves or provide reserve recommendations within established authority levels.
Review, approve, or oversee medical, legal, damage estimate, and miscellaneous invoices to determine whether they are reasonable and related to assigned claims.
Negotiate disputed bills or invoices toward resolution.
Authorize and make claim payments in accordance with procedures, industry standards, and established payment authority.
Negotiate settlements in accordance with corporate claim standards, client-specific handling instructions, and state laws, when appropriate.
Assist with the selection, referral, and supervision of assigned claim files sent to outside vendors, such as legal, surveillance, and case management vendors.
Review and maintain a personal diary in the claim system.
Assess and monitor subrogation claims for resolution.
Compute disability rates in accordance with state laws.
Coordinate timely and effective communication with clients, claimants, and other appropriate parties throughout the claim adjustment process.
Provide notices of qualifying claims to excess or reinsurance carriers.
Comply with corporate claim handling standards and special client handling instructions.

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).
Internal training and advancement opportunities.
Supportive, team-based work environment.
The role may qualify for bonuses or additional forms of pay.