Multi-Line Claim Consultant

Ccmsi • Chicago, IL

2d • Remote

About The Position

The Multi-Line Claim Consultant investigates and adjusts assigned general liability and other multi-line claims in a third-party administrator environment. This is a full life-cycle adjuster role requiring proven multi-line claims experience. The position is accountable for delivering quality claim services in accordance with CCMSI corporate claim standards, client-specific instructions, and applicable laws. It may also serve as advanced training for consideration of promotion to a more senior claim position. The role handles more complex claims than lower-level claim positions, with minimal supervision, and may include client claim reviews and training.

Requirements

• At least 5 years of multi-line claim experience.
• Knowledge of responsibilities associated with lower-level claim positions.
• Excellent oral and written communication skills.
• Strong analytical and negotiation skills.
• Ability to set and achieve performance goals and handle changing work conditions and job pressures.
• Detail-oriented, self-starting, and well organized; able to coordinate and prioritize work accurately with minimal supervision.
• Flexibility, initiative, discretion, and ability to maintain confidentiality.
• Reliable, predictable attendance during client service hours.
• Responsiveness to internal and external client needs.
• Proficiency with Microsoft Office programs.
• An adjuster’s license may be required depending on jurisdiction.

Nice To Haves

• Bachelor’s degree preferred.
• Bilingual Spanish proficiency is highly valued but not required.
• Experience handling elevator claims.

Responsibilities

• Investigate, evaluate, and adjust multi-line claims in accordance with claim handling standards and applicable laws.
• Establish reserves or provide reserve recommendations within assigned authority levels.
• Review, approve, or oversee medical, legal, damage-estimate, and miscellaneous invoices to determine whether they are reasonable and claim-related; negotiate disputed bills or invoices.
• Authorize and make claim payments in accordance with CCMSI procedures, industry standards, and payment authority.
• Negotiate settlements in accordance with corporate standards, client instructions, and state laws.
• Assist with selecting, referring, and supervising outside vendors, including legal, surveillance, and case-management providers.
• Assess and monitor subrogation claims through resolution.
• Review and maintain a personal diary in the claim system.
• Prepare reports on claim status, payments, and reserves as requested.
• Compute disability rates in accordance with state laws.
• Coordinate timely communication with clients, claimants, and other relevant parties throughout claim adjustment.
• Prepare newsletter articles as requested.
• Provide notice of qualifying claims to excess or reinsurance carriers.
• Conduct claim reviews or training sessions for designated clients as requested.
• Attend and participate in hearings, mediations, and informal legal conferences as appropriate.
• 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, dental, vision, life, and 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 other additional forms of pay.

What This Job Offers

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