EXPERIENCED CLAIMS ADJUSTER (AUTO & LIABILITY) - REMOTE- LOUISIANA CLAIMS

Company: CCMSI
Location: Metairie
Posted on: November 16, 2024

Job Description:

Overview:

Make your application after reading the following skill and qualification requirements for this position.

Multi-Line Claim Consultant

Hybrid Schedule: Enjoy the flexibility of working from home and in the office (1-2 days per week, after initial training period) with a set schedule of Monday-Friday, 8:00 am - 4:30 pm.

At CCMSI, we're committed to finding top talent to join our team of experts in claims management. As an Employee-Owned Company and a leading Third Party Administrator in self-insurance services, we take pride in a culture that values integrity, passion, and team growth. Certified as a Great Place to Work, our high employee satisfaction and retention are a testament to the supportive work environment and career development opportunities we provide.

Why Choose a Career with CCMSI?
Culture: We believe in treating our employees as partners, fostering integrity and enthusiasm in everything we do.
Career Growth: We offer structured career development through internships, training programs, and opportunities for advancement.
Benefits: We provide a competitive benefits package, including 4 weeks of PTO in your first year, 10 paid holidays, medical, dental, vision, life insurance, critical illness, short and long-term disability, 401K, and employee stock ownership (ESOP).
Work Environment: We support a positive environment with manageable caseloads and the tools you need to succeed.
Position Overview

As a Multi-Line Claim Consultant, you'll manage a diverse portfolio across multiple industries, including Auto and General Liability claims for trucking companies and municipalities in Louisiana. This role requires a Louisiana adjuster's license, and a minimum of 5 years of experience in multi-line claims is essential. Previous experience with litigated claims is highly preferred.

Key Responsibilities
Claim Investigation & Adjustment: Oversee the investigation and adjustment of multi-line claims to ensure CCMSI's high standards are met.
Client Communication & Diary Management: Maintain regular communication with clients, update claim diaries, and ensure thorough documentation.
Quality Assurance & Audits: Adhere to audit standards and deliver quality claim services that meet our clients' expectations.
Performance Measurement
Timeliness & Accuracy: Effectiveness in claim resolution and adherence to established timelines.
Client Satisfaction: Quality of communication and responsiveness to client needs.
Compliance with Audit Standards: Maintaining thorough, accurate records in compliance with auditing standards.

If you're a dedicated claim professional looking for a hybrid opportunity with a strong commitment to client service and career growth, we invite you to apply!

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 claims. Negotiate any disputed bills or invoices for resolution.
Authorize and make payments of multi-line claims in accordance with CCMSI 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.)
Assess and monitor subrogation claims for resolution.
Review and maintain personal diary on claim system.
Prepare reports detailing claim status, payments and reserves, as requested.
Compute disability rates in accordance with state laws.
Effective and timely coordination of communication with clients, claimants and appropriate parties throughout the claim adjustment process.
Prepare newsletter articles as requested.
Provide notices of qualifying claims to excess/reinsurance carriers.
Handle more complex and involved multi-line claims than lower level claim positions with minimum supervision.
Conduct claim reviews and/or training sessions for designated clients, as requested.
Attend and participate at hearings, mediations, and informal legal conferences, as appropriate.
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

5+ years multi-line claim experience is required.

Previous experience with litigated claims is highly preferred.

Computer Skills

Proficient with Microsoft Office programs.

Certificates, Licenses, Registrations

This role requires a Louisiana adjuster's license

CORE VALUES & PRINCIPLES

Responsible for upholding the CCMSI Core Values & Principles which include: performing with integrity; passionately focus on client service; embracing a client-centered vision; maintaining contagious enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to make things better; and leading by example.

CCMSI is an Affirmative Action / Equal Employment Opportunity employer offering an excellent benefit package including Medical, Dental, Prescription Drug, Vision, Flexible Spending, Life, ESOP and 401K.

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Remote working/work at home options are available for this role.

Keywords: CCMSI, Biloxi , EXPERIENCED CLAIMS ADJUSTER (AUTO & LIABILITY) - REMOTE- LOUISIANA CLAIMS, Other , Metairie, Mississippi