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

Overview

Multi-Line Claim Representative II Dedicated Account (National)

Location: RemoteSchedule: Monday Friday, Flexible 7.5-hour workdaySalary Range: $65,000 $75,000

Build Your Career With Purpose at CCMSI

At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.

We dont just process claimswe support people. As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work, and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day.

Job Summary

The Multi-Line Claim Representative II is responsible for the investigation and adjustment of assigned multi-line claims within a dedicated national account in the food service industry. This role manages claims from assignment through resolution (cradle to grave) while ensuring compliance with CCMSI claim handling standards, client-specific instructions, and applicable state laws across multiple jurisdictions.

This position is designed for adjusters with 35 years of multi-line claim handling experience who can effectively manage a moderate complexity caseload with limited litigation exposure (approximately 10%). The ideal candidate demonstrates strong organization, consistent file movement, and the ability to deliver quality outcomes while maintaining high service expectations in a client-facing environment.

This is not a high-volume, quick-resolution claim environment. Adjusters are expected to take full ownership of their files, maintain accurate diaries, and drive claims to timely and well-documented resolution.

This is a true liability adjuster role responsible for cradle-to-grave claim handling and is not an HR or consulting position.

Responsibilities

Investigate, evaluate, and adjust assigned multi-line claims in accordance with corporate standards, client guidelines, and jurisdictional requirements

Manage claims cradle to grave across all jurisdictions, including licensed states such as NY and FL

Maintain a consistent claim workflow, ensuring diaries are current and files are progressing in a timely manner

Establish and maintain reserves within authority guidelines

Review and approve medical, legal, and damage-related invoices for accuracy and claim relevance

Negotiate settlements with claimants, attorneys, and vendors in alignment with client expectations and authority levels

Issue claim payments in accordance with CCMSI procedures and guidelines

Communicate proactively and professionally with clients, claimants, and other involved parties (frequent, high-touch communication required)

Manage inbound and outbound phone activity as a primary component of the role

Identify and pursue subrogation opportunities where applicable

Maintain accurate and timely documentation within the claim system

Prepare reports and status updates as required by the client

Ensure compliance with corporate claim standards and service commitments

Qualifications

Required Qualifications

35 years of multi-line claim handling experience

Experience managing a moderate caseload

Proven ability to work files to conclusion while maintaining diary discipline and best practices

Strong organizational skills with the ability to prioritize and multitask

Excellent verbal and written communication skills in a client-facing environment

Ability to manage frequent phone communication as a primary responsibility

Strong analytical and decision-making capabilities

Proficiency in Microsoft Office applications

Reliable, predictable attendance during assigned client service hours

Current adjuster license in home state; ability to obtain and maintain multi-state licensure (including NY and FL)

Valid NPN (National Producer Number) required

Nice to Have

Prior TPA experience

Experience working on dedicated or single-client accounts

Intermediate Excel skills

Experience within food service or hospitality-related claims environments

Bilingual (Spanish) is a bonus - not required

Why Youll 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: Advancement opportunities into senior or specialized claim roles

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 thorough investigations and strong documentation

Timeliness & diary management consistent file .