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

This a Full Remote job, the offer is available from: Texas (USA) Overview: Multi-Line Claim Representative II – Dedicated Account (National) Location: Remote Schedule: Monday – Friday, Flexible 7.5-hour workday Salary 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 don’t just process claims—we 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 3–5 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

• 3–5 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 You’ll 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 movement and follow-through
• Responsiveness – timely and professional communication with clients and claimants
• Compliance – adherence to jurisdictional and client-specific standards
• Client satisfaction – dependable service and relationship management

Compensation & Compliance The posted salary reflects CCMSI’s good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay. CCMSI offers comprehensive benefits including medical, dental, vision, life, and disability insurance. Paid time off accrues throughout the year in accordance with company policy, with paid holidays and eligibility for retirement programs in accordance with plan documents. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws. Our Core Values At CCMSI, we believe in doing what’s right—for our clients, our coworkers, and ourselves. We look for team members who:

• Lead with transparency We build trust by being open and listening intently in every interaction.
• Perform with integrity We choose the right path, even when it is hard.
• Chase excellence We set the bar high and measure our success. What gets measured gets done.
• Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own.
• Win together Our greatest victories come when our clients succeed.

We don’t just work together—we grow together. If that sounds like your kind of workplace, we’d love to meet you. #CCMSICareers #EmployeeOwned #GreatPlaceToWorkCertified #ESOP #TPA #ClaimsCareers #MultiLineClaims #CommercialClaims #ClientFacingRoles #RemoteJobs #IND123 #LI-Remote This offer from "CCMSI" has been enriched by Jobgether.com and got a 72% flex score.