Multi-Line Claim Representative II
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. The Multi-Line Liability Claim Representative II is responsible for the full investigation, evaluation, and resolution of assigned first- and third-party liability claims , including attorney-represented matters and claims with potential litigation exposure . This role requires sound coverage analysis , professional judgment, and consistent application of corporate claim handling standards. The position is accountable for delivering high-quality claim outcomes that meet client expectations, regulatory requirements, and CCMSI performance standards. This role may also serve as an advanced training position for future progression into more senior claim roles. Limited travel may be required for approximately 15% of claims annually , based on claim needs. This is a true adjusting role. It is not an HR, consulting, or administrative position. The Representative is accountable for end-to-end claim handling, decision-making, and results.
Requirements
- 5 - 10 years of auto liability claim handling experience
- Litigation experience
- Experience drafting coverage letters
- Strong analytical, negotiation, and decision-making skills
- Ability to manage workload independently in a fast-paced, multi-jurisdiction environment
- Excellent written and verbal communication skills
- Strong organizational skills with consistent attention to detail
- Reliable, predictable attendance during core client service hours
Nice To Haves
- Experience with public entity claims is preferred
- Bilingual (Spanish) proficiency — This role may involve communicating with injured workers, employers, or vendors where Spanish-language skills are beneficial but not required.
Responsibilities
- Investigate and adjust multi-line liability claims in accordance with established claims handling procedures using CCMSI guidelines and direct supervision.
- Review medical, legal and miscellaneous invoices to determine if reasonable and related to the ongoing liability claims.
- Negotiate any disputed bills for resolution.
- Authorize and make payment of liability claims utilizing a claim payment program in accordance with industry standards and within settlement authority.
- Negotiate settlements with claimants and attorneys in accordance with client's authorization.
- Assist in selection and supervision of defense attorneys.
- Assess and monitor subrogation claims for resolution.
- Prepare reports detailing claims, payments and reserves.
- Provide reports and monitor files, as required by excess insurers.
- Compliance with Service Commitments as established by team.
- Delivery of quality claim service to clients.
Benefits
- 4 weeks PTO + 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
Mid Level
Education Level
No Education Listed
Number of Employees
1,001-5,000 employees
