CCMSI

Insurance

• Determine coverage by analyzing insurance policy terms.
• Investigate and adjust Auto Physical Damage (APD) claims.
• Settle claims within authority or seek authority in line with client instructions.
• Review and process payments in accordance with claim standards.
• Apply knowledge of state regulations governing auto insurance claims.
• Negotiate settlements and resolve repair/tow bills to achieve favorable outcomes.
• Manage multiple claims simultaneously while maintaining quality standards.

Multi-Line Claims Adjuster – Auto Physical Damage, Commercial Trucking

Consultant

• Conduct timely 3-point contact per CCMSI best practices.
• Investigate, evaluate, and adjust California workers’ compensation claims with independence and sound judgment.
• Establish, maintain, and justify detailed reserve levels.
• Administer indemnity and award payments in accordance with CA jurisdictional requirements.
• Negotiate settlements consistent with corporate standards, client instructions, and state law.
• Maintain a current and thorough diary, ensuring all deadlines and statutory requirements are met.
• Pursue subrogation recovery as applicable.
• Prepare claim status reports, reserve analyses, and updates for client meetings.
• Conduct claim reviews with clients and participate in discussions as needed.
• Communicate effectively with injured workers, employers, providers, and attorneys throughout the claim lifecycle.
• Ensure all documentation meets CCMSI best practice requirements.

Workers’ Compensation Claim Consultant – CA Jurisdiction

• Investigate, evaluate, and adjust multi-line liability claims in compliance with jurisdictional requirements and CCMSI claim handling guidelines.
• Review medical, legal, and miscellaneous invoices to ensure reasonableness and relation to claim exposure.
• Authorize and process payments on assigned claims within settlement authority.
• Negotiate settlements with claimants and attorneys as authorized by the client.
• Select and oversee defense counsel as appropriate.
• Identify, pursue, and monitor subrogation opportunities.
• Prepare and maintain accurate claim documentation, reports, reserves, and payment records.
• Ensure compliance with established service commitments and performance standards.

Claims Adjuster – Liability

• Investigate, evaluate and adjust 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 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 claim files sent to outside vendors.
• Review and maintain personal diary on claim system.
• Assess and monitor subrogation claims for resolution.
• Prepare reports detailing claim status, payments and reserves, as requested.
• Provide notices of qualifying claims to excess/reinsurance carriers.
• Conduct claim reviews and/or training sessions for clients, as requested.
• Attend and participate at hearings, mediations, and informal legal conferences, as appropriate.

Senior Workers' Compensation Claims Adjuster – CA Jurisdiction

• Investigate and adjust workers’ compensation claims in accordance with Nevada state law and CCMSI claim standards.
• Review medical reports, legal correspondence, and invoices to determine reasonableness and relatedness to ongoing claims.
• Maintain organized claim files with accurate documentation, timely diary notes, and required correspondence.
• Communicate with injured workers, employers, and medical providers to ensure timely resolution and coordination of care.
• Monitor and adhere to all compliance deadlines and reporting requirements.
• Prepare reports detailing claim status, payments, and reserves as required by clients and excess carriers.
• Provide exceptional customer service to both clients and internal partners.
• May attend client claim review s as required.

Workers’ Compensation Claims Adjuster – Nevada Jurisdiction

• Investigate and adjust multi-line liability claims in accordance with CCMSI guidelines
• Handle claims involving Commercial Auto, General Liability, Municipalities, and Garage Keepers
• Review and negotiate medical, legal, and miscellaneous invoices
• Negotiate settlements with claimants and attorneys
• Select and supervise defense attorneys
• Monitor subrogation opportunities and excess insurer reporting
• Ensure compliance with service commitments and quality standards
• Maintain accurate documentation and reporting

Liability Claims Adjuster

Recruitment

• Own your region: Manage requisitions from opening to hire for ~11 branches in multiple states.
• Know your markets: Understand each location’s talent landscape, competitors, and cultural nuances.
• Be a partner, not just a recruiter: Advise on internal equity, potential turnover risks, and future hiring needs.
• Source creatively: Leverage job boards, LinkedIn, referrals, events, and non-traditional methods to find top talent.
• Communicate relentlessly: Keep hiring managers informed, aligned, and engaged throughout the process.
• Measure success: Track and report on time-to-fill, candidate quality, and sourcing effectiveness.