Multi-Line Claim Representative II

Ccmsi•Chicago, IL

10d•$65,000 - $80,000•Hybrid

About The Position

The Multi-Line Liability Claim Representative II is responsible for the investigation and adjustment of assigned multi-line liability claims. This position may be used as an advanced training position for future consideration for promotion to a more senior level claim position. Accountable for the quality of claim services as perceived by CCMSI clients and within our corporate claim standards.

Requirements

Excellent oral and written communication skills.
Individual must be a self-starter with strong organizational abilities.
Ability to coordinate and prioritize required.
Flexibility, initiative, and the ability to work with a minimum of direct supervision a must.
Discretion and confidentiality required.
Ability to work as a team member in a rapidly changing environment.
Reliable, predictable attendance within client service hours for the performance of this position.
Responsive to internal and external client needs.
Ability to clearly communicate verbally and/or in writing both internally and externally.
Level II Claim Rep will possess excellent claims management skills, typically with 5 to 10 years of experience or equivalent education, along with proven claims handling performance levels.
Associates degree is preferred.
Litigation experience
Experience drafting coverage letters
Experience with public entity claims is preferred
Proficient with Microsoft Office programs such as: Word, Excel, Outlook, etc.
Adjusters license may be required based upon jurisdiction.
Work requires the ability to sit or stand up to 7.5 or more hours at a time.
Work requires sufficient auditory and visual acuity to interact with others.
Responsible for upholding the CCMSI Core Values & Principles which include: performing with integrity; passionately focus on client service; embracing a client-centered vision; maintaining contagious enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to make things better; and leading by example.

Nice To Haves

Litigation experience
Experience drafting coverage letters
Experience with public entity claims is preferred

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.
Performs other duties as assigned.