Multi-Line Complex Claims Specialist - Remote (Metairie, LA)

Overview:

Multi-Line Claim Specialist (Remote Position)
Location: Metairie, LA (Remote)
Salary: $65,000–$75,000 annually
Schedule: Monday–Friday, 8:00 AM–4:30 PM

Disclaimer: The posted salary range for this position reflects the anticipated base pay for this role. Actual pay is determined based on factors such as qualifications, skills, relevant experience, internal equity, and location. Additional compensation may include discretionary bonuses, benefits, or other forms of compensation, depending on the role. The salary range provided is in compliance with state and local requirements and is intended to offer transparency to applicants. We encourage open discussions with our hiring team regarding any questions you may have about compensation and benefits for this position.

CCMSI is an Affirmative Action / Equal Employment Opportunity employer offering an excellent benefits package including Medical, Dental, Prescription Drug, Vision, Flexible Spending, Life, ESOP, and 401K.  CCMSI conducts background checks in accordance with applicable federal, state, and local laws.

At CCMSI, we are driven by our commitment to delivering exceptional service to our clients. As a leading Employee-Owned Third Party Administrator in self-insurance services, we invest in our people with structured career development programs, robust benefits, and a collaborative culture. We are proud to be certified as a Great Place to Work, with employee satisfaction and retention in the 95th percentile.

Why Join CCMSI?

• Culture: Experience a workplace that values integrity, passion, and enthusiasm.
• Career Growth: Advance your career with internal training and promotion opportunities.
• Benefits: Enjoy 4 weeks of PTO in your first year, 10 paid holidays, Medical, Dental, Vision, Life Insurance, 401K, ESOP, and more.
• Work-Life Balance: Be part of a supportive environment with manageable caseloads and a focus on team success.

About the Role

As a Multi-Line Claim Specialist, you will manage complex litigated claims from start to finish across multiple accounts. Performance will be measured by your ability to meet deadlines, resolve claims efficiently, and maintain exceptional service standards.

• Investigate, evaluate and adjust multi-line 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 multi-line claims. Negotiate any disputed bills or invoices for resolution.
• Authorize and make payments of multi-line 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 multi-line claim files sent to outside vendors. (i.e. legal, surveillance, case management, etc.)
• Review and maintain personal diary on claim system.
• Assess and monitor subrogation claims for resolution.
• Compute disability rates in accordance with state laws.
• Effective and timely coordination of communication with clients, claimants and other appropriate parties throughout the multi-line claim adjustment process.
• Provide notices of qualifying claims to excess/reinsurance carriers.
• Compliance with Corporate Claim Handling Standards and special client handling instructions as established. 

• Experience: 10+ years of multi-line claims experience, with expertise in complex litigated claims.
• License: Louisiana Adjuster's License is required.
• Skills: Excellent communication, negotiation, and analytical abilities. Proficiency in Microsoft Office.
• Education:  AIC, ARM, or CPCU designations are a plus.

What Success Looks Like:

• Completing claims efficiently from start to finish.
• Maintaining a high level of accuracy and organization.
• Delivering outstanding service to multiple accounts.
• Consistently achieving performance goals and deadlines.

Physical Requirements:

• Ability to sit or stand for extended periods.

Core Values & Principles:

Employees are expected to uphold CCMSI’s Core Values and 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.

At CCMSI, we believe in creating an environment of integrity, enthusiasm, and opportunity. Apply today and join a team that is committed to excellence and continuous improvement!

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