CCMSI

Claims Specialist

• 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

Claims Adjuster II – Multi-Line