Multi Line Claim Consultant

Ccmsi•Chicago, IL

1d•Remote

About The Position

The Multi Line Claim Consultant investigates and adjusts assigned multi-line claims, with a focus on bodily injury and litigated general liability claims. This is a full life-cycle adjuster position in a third-party administrator environment, and candidates must have proven multi-line claims experience. The role is accountable for the quality of claim services under CCMSI corporate standards and client-specific instructions. It may also serve as an advanced training position for consideration for future supervisory or management roles. The position is remote and reports to the Chicago, Illinois region. The stated schedule is 8:00 a.m.–4:30 p.m. The role requires coordination with clients, claimants, vendors, and other parties, along with compliance with applicable laws, corporate claim standards, and client handling instructions.

Requirements

At least 10 years of multi-line claim experience.
Proven multi-line claims experience in a TPA environment.
Experience with auto, general liability (GL), property damage (PD), bodily injury (BI), and litigated claims.
An active adjuster’s 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.
Attention to detail, self-direction, and strong organizational abilities.
Ability to coordinate and prioritize work.
Flexibility, accuracy, initiative, and ability to work with minimum supervision.
Discretion and ability to maintain 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.

Nice To Haves

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

Responsibilities

Investigate, evaluate, and adjust multi-line claims in accordance with established claim handling standards and applicable 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 the claims; negotiate disputed bills or invoices.
Authorize and make claim payments according to procedures, industry standards, and established payment authority.
Negotiate settlements in accordance with corporate standards, client-specific instructions, and state laws, when appropriate.
Assist in selecting, referring, and supervising outside vendors for assigned claim files, including 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 communications 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.
Maintain thorough investigations and documentation, support decisions, meet jurisdictional and client standards, move files purposefully, communicate proactively with clients, and take ownership of claim outcomes.

Benefits

Four weeks of paid time off in the first year, accrued 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.