[Hiring] Multi-Line Claim Adjuster - Commercial Liability Claims @Ccmsi

Role Description

The Multi-Line Claim Consultant is responsible for the investigation and adjustment of assigned multi-line claims, including:

• National accounts commercial auto
• PIP
• General liability
• Product liability
• Construction-related general liability claims with a heavy litigation component

This role manages complex claims with a high degree of autonomy while ensuring compliance with CCMSI claim handling standards, client-specific instructions, and applicable state laws. It plays a critical part in delivering high-quality claim outcomes and may serve as an advanced position for future growth into more senior claim roles.

This is a true liability adjuster role responsible for managing claims from start to finish (cradle to grave), not an HR or consulting position.

Responsibilities

• Investigate, evaluate, and adjust assigned multi-line claims in accordance with corporate claim handling standards, client-specific instructions, and applicable state laws.
• Establish reserves and provide reserve recommendations within authorized authority levels.
• Review, approve, and provide oversight of medical, legal, damage estimates, and miscellaneous invoices to ensure accuracy, reasonableness, and claim-related necessity.
• Negotiate disputed bills and invoices to achieve appropriate resolution.
• Authorize and issue claim payments in accordance with CCMSI procedures, industry standards, and established payment authority.
• Negotiate settlements in accordance with corporate claim standards, client instructions, and state regulations.
• Assist in the selection, referral, and oversight of outside vendors including legal counsel, surveillance, and case management.
• Assess, monitor, and pursue subrogation opportunities through resolution.
• Maintain accurate and timely claim documentation, diary management, payments, and reserves within the claim system.
• Prepare claim status reports, payment summaries, and reserve analyses as requested.
• Compute disability rates in accordance with applicable state laws.
• Coordinate effective and timely communication with clients, claimants, attorneys, and other involved parties throughout the claim lifecycle.
• Provide notices of qualifying claims to excess or reinsurance carriers.
• Handle complex and litigated multi-line claims with minimal supervision.
• Attend and participate in hearings, mediations, and informal legal conferences as appropriate.
• Conduct claim reviews or training sessions for designated clients when requested.
• Ensure full compliance with corporate claim handling standards and special client handling instructions.

Qualifications

• Current adjuster license in home state.
• Litigation experience handling multi-line and commercial auto claims.
• Minimum of 5 years of multi-line claim handling experience.
• Experience managing complex claims with high exposure and legal involvement.
• Strong analytical, negotiation, and decision-making skills.
• Excellent verbal and written communication skills.
• Ability to work independently with strong organizational and time management skills.
• Proficiency with Microsoft Office applications.
• Reliable, predictable attendance during assigned client service hours.

Requirements

• Prior TPA experience handling commercial trucking or transportation accounts (nice to have).
• Employers’ Liability claim experience (nice to have).
• NY and/or CA adjuster licenses (nice to have).
• Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required (nice to have).

Benefits

• 4 weeks of 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).
• Internal training and advancement opportunities for career growth.
• A supportive, team-based work environment.