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Multi-Line Claim Representative II

Key Facts

Remote From: 
Full time
Mid-level (2-5 years)
Spanish

Other Skills

  • Client Confidentiality
  • Microsoft Office
  • Client Confidentiality
  • Adaptability
  • Time Management
  • Teamwork
  • Prioritization
  • Verbal Communication Skills
  • Professional Responsibility
  • Problem Solving

Roles & Responsibilities

  • Typically 5-8 years of claims management experience or equivalent education, with proven multi-line claims handling performance; associate's degree preferred.
  • Excellent oral and written communication skills; able to communicate clearly with internal and external stakeholders.
  • Discretion and confidentiality; reliable attendance; ability to work with minimal supervision in a rapidly changing environment.
  • Active NY licensure preferred; if not held, must obtain within the first 90 days; bilingual (Spanish) proficiency is nice to have.

Requirements:

  • Investigate and adjust multi-line compensation claims in accordance with established claims handling procedures and CCMSI guidelines.
  • Review medical, legal and miscellaneous invoices to determine reasonableness and relation to ongoing multi-line claims; negotiate disputed bills.
  • Authorize and pay multi-line claims within settlement authority; negotiate settlements with claimants and attorneys; assist in selection and supervision of defense attorneys.
  • Assess and monitor subrogation claims; prepare reports detailing claims, payments and reserves; provide reports to excess insurers; ensure compliance with service commitments and deliver quality claim service.

Job description

Overview:

Position Title: Multi Line Claim Representative II

Location: Linwood, NJ

Schedule: 8:00 am-4:30 pm 

Salary Range: $65,000-$83,000

 

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.

 

Responsible for the investigation and adjustment of assigned multi-line claims.  This position may be used as an advanced training position for future consideration for promotion to a more senior level claim position.  Accountable for the quality of claim services as perceived by CCMSI clients and within our corporate claim standards.

Responsibilities:
  • Investigate and adjust multi-line compensation 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 multi-line claims. Negotiate any disputed bills for resolution.
  • Authorize and make payment of multi-line 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.
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.

 

Education and/or Experience     

Level II Claim Rep will possess excellent claims management skills, typically with 5-8 years of experience or equivalent education, along with proven multi-line claims handling performance levels.

Associates degree is preferred.

 

Nice to Have:

  • Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required.

 

Computer Skills            

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

 

Certificates, Licenses, Registrations

  • Active NY Licensure preferred
    • If you do not hold an active NY license, it's required to obtain within the first 90 days of employment.

 

 

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: Internal training and advancement opportunities
  • 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, strong documentation, well-supported decisions
  • Compliance & audit performance – adherence to jurisdictional and client standards
  • Timeliness & accuracy – purposeful file movement and dependable execution
  • Client partnership – proactive communication and strong follow-through
  • Professional judgment – owning outcomes and solving problems with integrity
  • Cultural alignment – believing every claim represents a real person and acting accordingly 

 

 

This is where we shine, and we hire adjusters who want to shine with us.

 

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.

 

CCMSI posts internal career opportunities in compliance with applicable state and local promotion transparency laws.

 

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.

 

#EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #CCMSICareers #ESOP #ClaimAdjuster #WallTownshipNJ #LinwoodNJ #MultiLine #ClaimRepresentative #IND123 #LI-Remote

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