Multi-Line Claim Specialist, Senior

Ccmsi • Albuquerque, NM

5d • Onsite

About The Position

The Multi-Line Claim Consultant, Senior position is responsible for the investigation, evaluation, negotiation, and adjustment of assigned multi-line claims. The Senior Consultant is accountable for delivering high-quality claim services that meet CCMSI client expectations and adhere to corporate claim standards. This role is dedicated to a single account and requires extensive experience handling general liability and complex claims, including high-exposure, highly sensitive litigated files. The ideal candidate will possess strong investigative, analytical, negotiation, and litigation management skills, with experience navigating complex liability issues and collaborating with defense counsel. Experience handling claims for public entities, such as school districts, municipalities, state or local government agencies, cities, or counties, is highly preferred and will contribute to success in this role.

Requirements

• Must have valid New Mexico Adjusters' License
• 8-10 years of experience handling New Mexico multi-line claims
• Excellent written and verbal communication
• Self-starter with strong organizational skills and attention to detail.
• Strong analytical, investigative, and negotiation abilities.
• Knowledge of multi-line claims handling practices and procedures.
• Ability to manage multiple priorities in a fast-paced, evolving environment.

Nice To Haves

• Bilingual (Spanish) Proficiency - highly valued for communicating with claimants, employers, or vendors, but not required.
• Experience handling municipal claims.
• Experience handling high complexity workloads - especially litigated claims.

Responsibilities

• Investigate, evaluate, negotiate, and adjust complex multi-line claims in accordance with corporate standards, client requirements, and applicable laws.
• Establish and manage claim reserves within authority levels and provide recommendations as needed.
• Review and authorize claim-related expenses, including medical, legal, and vendor invoices.
• Negotiate settlements and facilitate claim resolution while ensuring compliance with state regulations and client-specific handling instructions.
• Manage litigated and complex exposure claims, coordinating with defense counsel, vendors, and other external partners.
• Monitor subrogation opportunities, excess/reinsurance reporting requirements, and claim recoveries.
• Maintain timely communication with clients, claimants, brokers, and other stakeholders throughout the claim lifecycle.
• Attend mediations, hearings, and settlement conferences as required.
• Provide oversight and supervision of claim activity for assigned accounts.
• Ensure compliance with CCMSI claim handling standards and service expectations.

Benefits

• 4 weeks (Paid time off that accrues throughout the year in accordance with company policy)
• 10 paid holidays in your first year
• Medical, Dental, Vision, Life, and Disability Insurance
• 401(k) and Employee Stock Ownership Plan (ESOP)

What This Job Offers

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