Multi-Line Claim Specialist

CCMSI

$80K — $90K *
Finance & Insurance
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • 10+ years of multi-line claims experience required.
  • Bachelor's degree preferred.
  • Bilingual (Spanish) is a plus.
  • Strong analytic and negotiation skills.
  • Detail-oriented with strong organizational abilities.
  • Ability to work independently with minimal supervision.
  • Excellent oral and written communication skills.

Responsibilities

  • Investigate and adjust multi-line claims per established standards and laws.
  • Establish reserves and provide recommendations within authority levels.
  • Review and negotiate medical and legal invoices related to claims.
  • Authorize payments for multi-line claims following procedures and authority.
  • Negotiate settlements aligned with client instructions and state laws.
  • Supervise outside vendor engagement for claim files as needed.
  • Maintain communication with clients and claimants during the claims process.

Benefits

  • 4 weeks of paid time off plus 10 paid holidays in the first year.
  • Comprehensive benefits including medical, dental, vision, life, and disability insurance.
  • 401(k) and Employee Stock Ownership Plan (ESOP) retirement plans.
  • Opportunities for internal training and career advancement.
  • Supportive team-based work culture.
Full Job Description
Overview

Position Title: Multi Line Claim Specialist

Location: Hybrid– Reporting to Chicago, IL RegionChicago-area candidates preferred. This role may be performed remote in states where CCMSI is authorized to hire. Pay transparency requirements are met for applicable jurisdictions.

Schedule: 8:00 am-4:30 pm

Salary Range: $80,000-$90,000

 

The Multi-Line Claim Specialist position is responsible for the investigation and adjustment of assigned general liability claims. This role will handle litigated GL claims. This position may be used as an advanced training position for promotion consideration for supervisory/management positions. The position is also accountable for the quality of multi-line claim services as perceived by CCMSI clients and within our corporate claim standards.

 

This is a full life0cycle ML adjuster position within a TPA environment, and only candidates with proven Multi Line claims experience will be considered.

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 multi-line claims. Negotiate any disputed bills or invoices for resolution.
  • Authorize and make payments of multi-line claims in accordance with 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.)
  • Review and maintain personal diary on claim system.
  • Assess and monitor subrogation claims for resolution.
  • Compute disability rates in accordance with state laws.
  • Effective and timely coordination of communication with clients, claimants and other appropriate parties throughout the multi-line claim adjustment process.
  • Provide notices of qualifying claims to excess/reinsurance carriers.
  • 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

10+ years multi-line claim experience is required.

Bachelor0Degree is preferred.

 

Nice to Have:

  • Bilingual (Spanish) proficiency 6 highly valued for communicating with claimants, employers, or vendors, but not required.
  • Experience handling municipal claims.

 

Why You0ll Love Working Here

 

  • 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: Internal training and advancement opportunities
  • Culture: A supportive, team-based work environment

 

How We Measure Success 

 

At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by:  

 

  • Quality claim handling 6 thorough investigations, strong documentation, well-supported decisions
  • Compliance & audit performance 6 adherence to jurisdictional and client standards
  • Timeliness & accuracy 6 purposeful file movement and dependable execution
  • Client partnership 6 proactive communication and strong follow-through
  • Professional judgment 6 owning outcomes and solving problems with integrity
  • Cultural alignment 6 believing every claim represents a real person and acting accordingly 

 

 

This is where we shine, and we hire adjusters who want to shine with us.

 

Compensation & Compliance

 

The posted salary reflects CCMSI0s good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay.

CCMSI offers comprehensive benefits including medical, dental, vision, life, and disability insurance. Paid time off accrues throughout the year in accordance with company policy, with paid holidays and eligibility for retirement programs in accordance with plan documents.

 

CCMSI posts internal career opportunities in compliance with applicable state and local promotion transparency laws.

 

Visa Sponsorship: CCMSI does not provide visa sponsorship for this position.

ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process.

Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations.

 

Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws.

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