Experienced Claims Adjuster (Auto & Liability) – Remote- Louisiana Claims
Overview:
Multi-Line Claim Consultant
Hybrid Schedule: Enjoy the flexibility of working from home and in the office (1-2 days per week, after initial training period) with a set schedule of Monday-Friday, 8:00 am - 4:30 pm.
At CCMSI, we’re committed to finding top talent to join our team of experts in claims management. As an Employee-Owned Company and a leading Third Party Administrator in self-insurance services, we take pride in a culture that values integrity, passion, and team growth.Certified as a Great Place to Work, our high employee satisfaction and retention are a testament to the supportive work environment and career development opportunities we provide.
Why Choose a Career with CCMSI?- Culture: We believe in treating our employees as partners, fostering integrity and enthusiasm in everything we do.
- Career Growth: We offer structured career development through internships, training programs, and opportunities for advancement.
- Benefits: We provide a competitive benefits package, including 4 weeks of PTO in your first year, 10 paid holidays, medical, dental, vision, life insurance, critical illness, short and long-term disability, 401K, and employee stock ownership (ESOP).
- Work Environment: We support a positive environment with manageable caseloads and the tools you need to succeed.
Position Overview
As a Multi-Line Claim Consultant, you’ll manage a diverse portfolio across multiple industries, including Auto and General Liability claims for trucking companies and municipalities in Louisiana. This role requires a Louisiana adjuster’s license, and a minimum of 5 years of experience in multi-line claims is essential.Previous experience with litigated claims is highly preferred.
Key Responsibilities- Claim Investigation & Adjustment: Oversee the investigation and adjustment of multi-line claims to ensure CCMSI’s high standards are met.
- Client Communication & Diary Management: Maintain regular communication with clients, update claim diaries, and ensure thorough documentation.
- Quality Assurance & Audits: Adhere to audit standards and deliver quality claim services that meet our clients' expectations.
- Timeliness & Accuracy: Effectiveness in claim resolution and adherence to established timelines.
- Client Satisfaction: Quality of communication and responsiveness to client needs.
- Compliance with Audit Standards: Maintaining thorough, accurate records in compliance with auditing standards.
If you're a dedicated claim professional looking for a hybrid opportunity with a strong commitment to client service and career growth, we invite you to apply!
Responsibilities:
- Investigate, evaluate and adjust multi-line claims in accordance with established claim handling standards and laws.
- Establish reserves and/or provide reserve recommendations within established reserve authority levels.
- Review, approve or provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated claims. Negotiate any disputed bills or invoices for resolution.
- Authorize and make payments of multi-line claims in accordance with CCMSI claim procedures utilizing a claim payment program in accordance with Industry standards and within established payment authority.
- Negotiate settlements in accordance within Corporate Claim Standards, client specific handling instructions and state laws, when appropriate.
- Assist in the selection, referral and supervision of designated multi-line claim files sent to outside vendors. (i.e. legal, surveillance, case management, etc.)
- Assess and monitor subrogation claims for resolution.
- Review and maintain personal diary on claim system.
- Prepare reports detailing claim status, payments and reserves, as requested.
- Compute disability rates in accordance with state laws.
- Effective and timely coordination of communication with clients, claimants and appropriate parties throughout the claim adjustment process.
- Prepare newsletter articles as requested.
- Provide notices of qualifying claims to excess/reinsurance carriers.
- Handle more complex and involved multi-line claims than lower level claim positions with minimum supervision.
- Conduct claim reviews and/or training sessions for designated clients, as requested.
- Attend and participate at hearings, mediations, and informal legal conferences, as appropriate.
- Compliance with Corporate Claim Handling Standards and special client handling instructions as established.
Qualifications:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Excellent oral and written communication skills.
- Initiative to set and achieve performance goals.
- Good analytic and negotiation skills.
- Ability to cope with job pressures in a constantly changing environment.
- Knowledge of all lower level claim position responsibilities.
- Must be detail oriented and a self-starter with strong organizational abilities.
- Ability to coordinate and prioritize required.
- Flexibility, accuracy, initiative and the ability to work with minimum supervision.
- Discretion and confidentiality required.
- 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.
Education and/or Experience
5+ years multi-line claim experience is required.
Previous experience with litigated claims is highly preferred.
Computer Skills
Proficient with Microsoft Office programs.
Certificates, Licenses, Registrations
This role requires a Louisiana adjuster’s license
CORE VALUES & PRINCIPLES
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.
CCMSI is an Affirmative Action / Equal Employment Opportunity employer offering an excellent benefit package including Medical, Dental, Prescription Drug, Vision, Flexible Spending, Life, ESOP and 401K.
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