Claims Adjuster II – Multi-Line

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🤠 Texas – Remote

🤠 Texas – Remote

💵 $65k - $75k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

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CCMSI

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1978

Insurance • Risk Management • Consulting

CCMSI is a company that provides comprehensive risk management services, focusing on claims management and consulting solutions. They offer services to help organizations mitigate risks, reduce costs, and improve operational efficiency through their expertise in claims handling and risk assessment.

📋 Description

• Investigate, evaluate, and adjust assigned multi-line claims in accordance with corporate standards, client guidelines, and jurisdictional requirements • Manage claims cradle to grave across all jurisdictions, including licensed states such as NY and FL • Maintain a consistent claim workflow, ensuring diaries are current and files are progressing in a timely manner • Establish and maintain reserves within authority guidelines • Review and approve medical, legal, and damage-related invoices for accuracy and claim relevance • Negotiate settlements with claimants, attorneys, and vendors in alignment with client expectations and authority levels • Issue claim payments in accordance with CCMSI procedures and guidelines • Communicate proactively and professionally with clients, claimants, and other involved parties (frequent, high-touch communication required) • Manage inbound and outbound phone activity as a primary component of the role • Identify and pursue subrogation opportunities where applicable • Maintain accurate and timely documentation within the claim system • Prepare reports and status updates as required by the client • Ensure compliance with corporate claim standards and service commitments

🎯 Requirements

• 3–5 years of multi-line claim handling experience • Experience managing a moderate caseload • Proven ability to work files to conclusion while maintaining diary discipline and best practices • Strong organizational skills with the ability to prioritize and multitask • Excellent verbal and written communication skills in a client-facing environment • Ability to manage frequent phone communication as a primary responsibility • Strong analytical and decision-making capabilities • Proficiency in Microsoft Office applications • Reliable, predictable attendance during assigned client service hours • Current adjuster license in home state; ability to obtain and maintain multi-state licensure (including NY and FL) • Valid NPN (National Producer Number) required

🏖️ 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: Advancement opportunities into senior or specialized claim roles • Culture: A supportive, team-based work environment