CCMSI

Claims Specialist

• 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.
• 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.
• Conduct claim reviews and/or training sessions for designated clients, as requested.

Workers' Compensation Claims Adjuster

• Investigate, evaluate, and adjust auto liability, bodily injury, and property damage claims in accordance with Corporate Claim Standards and client-specific requirements
• Manage claims from assignment through resolution, including represented and non-represented bodily injury claims
• Conduct liability investigations and determine appropriate claim strategies
• Establish and maintain reserves within authority levels
• Evaluate medical records, bills, repair estimates, legal documentation, and other claim-related expenses
• Negotiate settlements with claimants, attorneys, and authorized representatives
• Authorize claim payments within established authority
• Coordinate with defense counsel and vendors when appropriate
• Identify and pursue subrogation opportunities
• Maintain timely and accurate claim documentation and diary management
• Prepare claim reports, reserve analyses, and client communications as needed
• Monitor files in accordance with service commitments and client expectations
• Deliver responsive, high-quality service to clients and other stakeholders

Auto Liability, Bodily Injury Claims Adjuster

• Investigate, evaluate, and adjust multi‑line liability claims (property damage & bodily injury) in accordance with CCMSI standards and state requirements.
• Manage claims involving commercial vehicles, trucking exposures, and third‑party liability.
• Determine coverage, assess liability, and develop defensible claim strategies.
• Review medical, legal, and vendor invoices for accuracy and reasonableness; negotiate discrepancies as needed.
• Establish, monitor, and adjust reserves in alignment with exposure and authority guidelines.
• Negotiate settlements with claimants, attorneys, and representatives in accordance with client expectations.
• Engage, coordinate, and manage defense counsel or other external vendors when appropriate.
• Identify and pursue subrogation opportunities.
• Maintain detailed and timely claim documentation, diary management, and financial reporting.
• Support excess reporting requirements and client communication needs.
• Deliver consistent, high‑quality service with professionalism and integrity.

Multi-Line Claims Adjuster – Commercial Auto, GL/BI

• 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

Workers' Compensation Claims Adjuster

Auto Liability, Bodily Injury Claims Adjuster

Multi-Line Claims Adjuster – Commercial Auto, GL/BI

Claims Adjuster II – Multi-Line