Claims Adjuster II – Multi-Line (Dedicated Account, Remote)

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Overview

CCMSI is seeking a Multi-Line Claims Adjuster II for a remote position, designed for individuals with 3-5 years of experience in handling multi-line claims. The scheduled work hours are Monday to Friday, with flexible 7.5-hour shifts. This role emphasizes a commitment to thorough investigation and adjustment of claims, serving a dedicated national account in the food service industry.

Company Background

CCMSI stands out as the largest privately-owned Third Party Administrator (TPA), providing tailored claim solutions for their clients. Known for being a Great Place to Work and supporting a team-oriented culture, the company fosters an environment where employee-owners can contribute meaningfully. They emphasize problem-solving, utilizing advanced technology, and delivering solid results for their clients.

Job Summary

As a Claims Adjuster II, the primary responsibility lies in managing claims from assignment through resolution, often referred to as cradle-to-grave work. This includes ensuring compliance with CCMSI standards, client-specific instructions, and relevant state laws across various jurisdictions. Successful candidates will need to possess organizational skills and the ability to manage a moderate complexity caseload while achieving high service expectations. Notably, this role demands diligent ownership of claims files, maintaining accurate diaries, and resolving claims effectively, making it distinct from a typical high-volume adjusting environment.

Responsibilities

Individuals in this role can expect to:

• Investigate and adjust multi-line claims per corporate standards and jurisdictional requirements.
• Manage and maintain claims throughout their lifecycle across multiple states, including New York and Florida.
• Ensure timely claims workflow, keeping diaries updated and files progressing.
• Establish reserves and review claims-related invoices for validity and relevance.
• Negotiate settlements with clients and other stakeholders, always aligned with CCMSI's expectations.
• Communicate professionally with clients, engage in frequent phone interactions, and handle various inquiries related to claims.
• Identify opportunities for subrogation when necessary and ensure all documentation within the claims system is accurate and timely.

Required Qualifications

To qualify for this remote position, candidates should meet the following requirements:

• 3-5 years of multi-line claims handling experience is a must.
• Proven skills in managing a moderate caseload from assignment to conclusion while adhering to best practices are essential.
• Strong organizational skills and the ability to multitask effectively.
• Exceptional verbal and written communication skills are crucial for client-facing interactions.
• Proficiency in Microsoft Office applications.
• Current adjuster license in the home state with the ability to obtain multi-state licensure required.
• Reliable attendance during set client service hours is crucial for this role.

Candidates with the following qualifications will be at an advantage:

• Previous experience with a TPA or on dedicated client accounts.
• Intermediate skills in Excel.
• Familiarity with claims environments related to food service or hospitality.
• Bilingual capabilities, particularly in Spanish, can enhance an applicant's profile but are not mandatory.

Benefits and Compensation

CCMSI values its employees and offers attractive benefits that include:

• Competitive salary range marked between $65,000 and $75,000 annually.
• Paid time off policy that accrues throughout the year, totaling 4 weeks plus 10 paid holidays during the first year.
• Comprehensive benefits package that covers Medical, Dental, Vision, Life, and Disability Insurance.
• 401(k) plan and eligibility for an Employee Stock Ownership Plan (ESOP).
• Career development opportunities, allowing for advancement into specialized roles in the claims department.
• A culture that promotes teamwork and support among colleagues.

Core Values & Culture

CCMSI's operational ethos is driven by strong core values:

• Transparency: They build trust through openness and mutual respect.
• Integrity: Employees are encouraged to act ethically and responsibly.
• Excellence: Continuous improvement and high standards are valued.
• Ownership: Every team member is regarded as an owner who takes responsibility for claims and decisions.
• Collaboration: Team success stems from collective efforts, not just individual achievement.

Conclusion

The role of Claims Adjuster II at CCMSI presents an exciting opportunity for qualified professionals to join a respected company that prioritizes employee satisfaction and client success. With a highly supportive work environment and numerous potential growth paths, candidates with the right blend of experience and skills could find a fulfilling career with CCMSI. If you meet their qualifications and resonate with their values, this could be an ideal match.

This job offer was originally published on himalayas.app