Multi-Line Claim Representative I
About The Position
At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. We don’t just process claims—we support people. As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work® , and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day. Are you a seasoned claims adjuster ready to take on a dynamic, fully remote role? CCMSI is seeking a Multi-Line Claims Representative I to investigate and adjust claims in the IL jurisdiction. With a focus on professional growth, this role may serve as advanced training for promotion to senior-level positions. Candidates should have at least three years of multi-line claims experience and a track record of excellent client service.
Requirements
- Minimum of 3 years handling multi-line claims, including liability determination and bodily injury evaluation.
- Strong negotiation skills, understanding of medical terminology, and proven ability to analyze complex coverage issues.
- Associate degree preferred; equivalent work experience or Bachelor's degree in Risk Management or Insurance-related fields is a plus.
- Proficient in Microsoft Office and claims management systems.
- General liability claim experience is required; some first party property and auto liability claim handling experience is highly desired.
Nice To Haves
- Illinois municipal claims experience
- Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required.
Responsibilities
- Claims Investigation & Adjustment: Investigate, analyze, and resolve multi-line claims in line with CCMSI standards and guidelines.
- Coverage & Liability Assessment: Conduct detailed evaluations to determine liability, assess coverage, and manage bodily injury claims.
- Negotiation: Negotiate settlements directly with claimants, attorneys, and other involved parties within the scope of client authorization.
- Medical & Legal Review: Review medical records and legal invoices to ensure they align with claim requirements, resolving disputes as needed.
- Payments & Subrogation: Authorize claim payments, supervise subrogation opportunities, and maintain financial accuracy within system reserves.
- Client Relations: Deliver exceptional service by preparing thorough reports, maintaining accurate documentation, and adhering to service commitments.
- Compliance: Adhere to company policies, client requirements, and regulatory standards.
Benefits
- 4 weeks ( Paid time off that accrues throughout the year in accordance with company policy) + 10 paid holidays in your first year
- Comprehensive benefits : Medical, Dental, Vision, Life, and Disability Insurance
- Retirement plans : 401(k) and Employee Stock Ownership Plan (ESOP)
- Career growth : Internal training and advancement opportunities
- Culture : A supportive, team-based work environment
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
Associate degree
