Job Description

Liability Claims Adjuster

Location: Hybrid - Maitland, FL

Hours: Monday - Friday, 8:00 AM to 4:30 PM ET

Salary Range: $60,000-$84,500

CCMSI is Hiring! We're looking for an experienced Multi-Line Claim Adjuster to join our team. This role is hybrid, reporting to our Maitland, FL office.

At CCMSI, we are employee-owned and committed to providing exceptional service. We offer manageable caseloads, extensive career development, and industry-leading benefits.

Why Join CCMSI?

Work-Life Balance Enjoy 4 weeks of PTO in your first year + 10 paid holidays

Comprehensive Benefits Medical, Dental, Vision, 401K, ESOP & more

Career Growth Structured training programs with opportunities for advancement

Supportive Culture Work in an environment where your expertise is valued

About the Role

As a Multi-Line Claims Adjuster, you will handle litigated Florida multi line claims for a dedicated client account from inception to resolution. This role requires 5-10 years of ML claim handling experience and a Florida adjuster's license.

At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs, rewarding and recognizing individual and team efforts. Certified as a Great Place To Work, our employee satisfaction and retention ranks in the 95th percentile.

Reasons you should consider a career with CCMSI:

• Culture: Our Core Values are embedded into our culture of how we treat our employees as a valued partner-with integrity, passion and enthusiasm.
• Career development: CCMSI offers robust internships and internal training programs for advancement within our organization.
• Benefits: Not only do our benefits include 4 weeks paid time off in your first year, plus 10 paid holidays, but they also include Medical, Dental, Vision, Life Insurance, Critical Illness, Short and Long Term Disability, 401K, and ESOP.
• Work Environment: We believe in providing an environment where employees enjoy coming to work every day, are provided the resources needed to perform their job and claims staff are assigned manageable caseloads.

We are seeking a Multi-Line Claims Adjuster with litigation experience for our hybrid position based in our Maitland, FL office. This role manages a dedicated client account and is responsible for investigating and adjusting a variety of claims, including General Liability, Auto, Property Damage, Professional Liability, and Sexual Abuse/Misconduct Liability.

Key Qualifications:

• Florida claims experience is required, along with a FL Adjuster's license.
• Strongly preferred: Previous experience handling claims in Connecticut, Iowa, Pennsylvania, South Carolina, Tennessee, Virginia, Georgia, Maryland, and Alabama.
• Experience with determining liability in cases involving behavioral and mental health issues of facility patients.
• Expertise in managing sexual abuse and misconduct liability claims involving facility patients is highly desirable.
• Experience in multiple jurisdictions regarding litigation matters is essential.
• Experience with municipalities, pharmacy, GL, nonprofit
• Knowledge of Florida Sovereign Immunity statute

Responsibilities

• Investigate and adjust multi-line liability claims in accordance with established claims handling procedures using CCMSI guidelines and direct supervision.
• Review medical, legal and miscellaneous invoices to determine if reasonable and related to the ongoing liability claims. Negotiate any disputed bills for resolution.
• Authorize and make payment of liability claims utilizing a claim payment program in accordance with industry standards and within settlement authority.
• Negotiate settlements with claimants and attorneys in accordance with client's authorization.
• Assist in selection and supervision of defense attorneys.
• Assess and monitor subrogation claims for resolution.
• Prepare reports detailing claims, payments and reserves.
• Provide reports and monitor files, as required by excess insurers.
• Compliance with Service Commitments as established by team.
• Delivery of quality claim service to clients.
• Performs other duties as assigned.

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.
• Individual must be a self-starter with strong organizational abilities.
• Ability to coordinate and prioritize required.
• Flexibility, initiative, and the ability to work with a minimum of direct supervision a must.
• Discretion and confidentiality required.
• Ability to work as a team member in a rapidly changing environment.
• 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.

Level II Claim Rep will possess excellent claims management skills, typically with 5 to 10 years of experience or equivalent education, along with proven claims handling performance levels.

Florida claims experience is required.

Associates degree is preferred.

Proficient with Microsoft Office programs such as: Word, Excel, Outlook, etc.

Florida adjusters license is required.

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.

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