Overview
Multi-Line Claim Specialist – National Accounts (Complex Coverage Focus)
Location: Remote
Schedule: Full-Time
Salary Range: $95,000 to $115,000
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 Specialist is responsible for the investigation, coverage analysis, and strategic management of high-exposure, complex, and heavily litigated liability claims, with a primary focus on Workers' Compensation Employers Liability (WCEL), complex liability coverage issues, contractual risk transfer, and catastrophic loss exposures within a national accounts environment.
- This role manages claims from assignment through resolution and serves as a technical expert in coverage interpretation, litigation strategy, and claim resolution involving significant legal, coverage, and exposure concerns.
- This position is designed for highly experienced professionals with 8+ years of multi-line claims experience and a demonstrated ability to handle complex losses with significant legal involvement.
- The ideal candidate brings deep technical expertise, strong litigation management skills, and the ability to navigate nuanced coverage issues, including contractual risk transfer.
- This is not a transactional claims role.
- Success in this position requires strategic thinking, advanced negotiation skills, and the ability to partner closely with clients and legal counsel to drive optimal outcomes on high-stakes claims.
Responsibilities
- Investigate, evaluate, and manage complex, high-exposure multi-line claims in accordance with CCMSI standards, client-specific instructions, and applicable state laws
- Lead claim strategy on heavily litigated files, working closely with defense counsel to drive resolution
- Perform detailed coverage analysis, including policy interpretation and application
- Analyze and apply contractual risk transfer, including indemnity and additional insured provisions
- Establish and manage significant reserves, including ongoing reserve strategy and exposure evaluation
- Direct and oversee defense counsel, expert witnesses, and vendors to ensure effective claim progression
- Negotiate high-value settlements in alignment with legal strategy, client expectations, and authority guidelines
- Review and approve complex legal, medical, and damage-related invoices for accuracy and relevance
- Provide clear, strategic communication and reporting to clients, including claim status, exposure analysis, and resolution strategy
- Coordinate with excess and reinsurance carriers, including reporting and collaboration on large-loss files
- Identify and pursue subrogation opportunities where applicable
- Maintain comprehensive and defensible claim documentation within the claim system
- Serve as a technical resource and mentor for less experienced adjusters when needed
- Ensure full compliance with corporate claim handling standards and client service commitments
Qualifications
Required Qualifications
- 8+ years of multi-line claim handling experience
- Minimum 5+ years managing complex, high-exposure, and heavily litigated liability claims
- Strong expertise in litigation management, defense counsel oversight, and claim resolution strategy
- Advanced knowledge of WCEL, complex liability coverage analysis, contractual risk transfer, indemnity, additional insured provisions, and umbrella/excess liability exposures
- Exceptional analytical, negotiation, and decision-making skills
- Excellent verbal and written communication skills, including executive-level client interaction
- Ability to independently manage highly complex claims with minimal supervision
- Proficiency in Microsoft Office applications
- Current adjuster license in home state (multiple licenses strongly preferred)
Nice to Have
- Strong legal background
- Prior TPA experience handling national accounts
- Experience with construction defect, construction liability, general liability, or large commercial trucking losses
- Experience handling CROP claims
- Industry designations such as CPCU, AIC, or ARM
- New York and Hawaii Licenses
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: Opportunities for advancement into leadership or highly specialized technical roles
- Culture: A supportive, team-based work environment with a focus on expertise and ownership
How We Measure Success
- At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by:
- Quality claim handling – thorough analysis, defensible decisions, and strategic file management
- Litigation outcomes – effective partnership with counsel and favorable resolution of complex claims
- Financial accuracy – strong reserve management and cost containment
- Client partnership – proactive communication and trusted advisor relationships
- Professional judgment – sound decision-making on high-exposure matters
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.
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