[Hiring] Senior Multi-Line Coverage & Litigation Specialist @CCMSI

Role Description

The Multi-Line Claim Specialist is responsible for the investigation, coverage analysis, and strategic management of high-exposure, complex, and heavily litigated liability claims, with a primary focus on Workers' Compensation Employers Liability (WCEL), complex liability coverage issues, contractual risk transfer, and catastrophic loss exposures within a national accounts environment. This role manages claims from assignment through resolution and serves as a technical expert in coverage interpretation, litigation strategy, and claim resolution involving significant legal, coverage, and exposure concerns.

This position is designed for highly experienced professionals with 8+ years of multi-line claims experience and a demonstrated ability to handle complex losses with significant legal involvement. The ideal candidate brings deep technical expertise, strong litigation management skills, and the ability to navigate nuanced coverage issues, including contractual risk transfer.

This is not a transactional claims role. Success in this position requires strategic thinking, advanced negotiation skills, and the ability to partner closely with clients and legal counsel to drive optimal outcomes on high-stakes claims.

Responsibilities

• Investigate, evaluate, and manage complex, high-exposure multi-line claims in accordance with CCMSI standards, client-specific instructions, and applicable state laws.
• Lead claim strategy on heavily litigated files, working closely with defense counsel to drive resolution.
• Perform detailed coverage analysis, including policy interpretation and application.
• Analyze and apply contractual risk transfer, including indemnity and additional insured provisions.
• Establish and manage significant reserves, including ongoing reserve strategy and exposure evaluation.
• Direct and oversee defense counsel, expert witnesses, and vendors to ensure effective claim progression.
• Negotiate high-value settlements in alignment with legal strategy, client expectations, and authority guidelines.
• Review and approve complex legal, medical, and damage-related invoices for accuracy and relevance.
• Provide clear, strategic communication and reporting to clients, including claim status, exposure analysis, and resolution strategy.
• Coordinate with excess and reinsurance carriers, including reporting and collaboration on large-loss files.
• Identify and pursue subrogation opportunities where applicable.
• Maintain comprehensive and defensible claim documentation within the claim system.
• Serve as a technical resource and mentor for less experienced adjusters when needed.
• Ensure full compliance with corporate claim handling standards and client service commitments.

Qualifications

• 8+ years of multi-line claim handling experience.
• Minimum 5+ years managing complex, high-exposure, and heavily litigated liability claims.
• Strong expertise in litigation management, defense counsel oversight, and claim resolution strategy.
• Advanced knowledge of WCEL, complex liability coverage analysis, contractual risk transfer, indemnity, additional insured provisions, and umbrella/excess liability exposures.
• Exceptional analytical, negotiation, and decision-making skills.
• Excellent verbal and written communication skills, including executive-level client interaction.
• Ability to independently manage highly complex claims with minimal supervision.
• Proficiency in Microsoft Office applications.
• Current adjuster license in home state (multiple licenses strongly preferred).

Nice to Have

• Strong legal background.
• Prior TPA experience handling national accounts.
• Experience with construction defect, construction liability, general liability, or large commercial trucking losses.
• Experience handling CROP claims.
• Industry designations such as CPCU, AIC, or ARM.
• New York and Hawaii Licenses.

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).
• Career growth: Opportunities for advancement into leadership or highly specialized technical roles.
• Culture: A supportive, team-based work environment with a focus on expertise and ownership.