Claim Representative – General Liability

CCMSI; Las Vegas (NV); Remote; USD 70,000 - 80,000; Full time

Benefits offered by this job

Paid time off

Public holidays

Medical insurance

Dental insurance

Vision insurance

401(k) and ESOP

Career growth

Employee-owned culture

Job summary

CCMSI is seeking an experienced Claim Representative to manage a General Liability caseload for commercial clients, including products and restaurant exposures. You will investigate, evaluate, negotiate, and resolve claims while delivering exceptional client service in a remote setting.

The ideal candidate has 5+ years of liability claim experience, strong negotiation skills, and the ability to handle litigated files with defense counsel.

Qualifications

• Current adjuster license in home state or the ability to obtain within first 90 days of hire.
• Minimum 5 years of General Liability claim handling experience.
• Experience handling commercial liability claims involving products liability, restaurants, food service, retail, hospitality, or similar exposures.
• Strong knowledge of liability investigation, coverage analysis, claim evaluation, and damage assessment.
• Excellent negotiation, organizational, and decision-making skills.
• Strong verbal and written communication abilities.
• Ability to effectively manage a diverse caseload while meeting client service expectations.
• Proficiency with Microsoft Office applications and claim management systems.

Responsibilities

• Independently manage a caseload of General Liability claims from assignment through closure.
• Investigate coverage, liability, causation, and damages to determine claim exposure and resolution strategy.
• Handle claims involving products liability, restaurants, food service operations, food preparation issues, foodborne illness allegations, contamination claims, and retail premises liability.
• Evaluate liability and damages and establish appropriate reserves throughout the life of the claim.
• Conduct recorded statements, witness interviews, and review documentation to support claim investigation and resolution.
• Analyze medical records, contracts, incident reports, and other claim-related documentation.
• Collaborate with insureds, clients, brokers, vendors, and claim management to ensure timely claim handling and resolution.
• Negotiate settlements within authority and prepare recommendations for higher exposure claims.
• Manage litigated files, including coordination with defense counsel, review of litigation strategy, attendance at mediations, and evaluation of settlement opportunities.
• Prepare clear, concise claim summaries and client reports.
• Maintain compliance with client service standards, regulatory requirements, and internal claim handling guidelines.
• Maintain accurate diaries, documentation, and claim file management standards.
• Participate in claim reviews and provide technical recommendations on complex claims.

Skills

General Liability

Negotiation

Litigation handling

Analytical skills

Communication

Case management

Tools

Microsoft Office

Claims management systems

Job description

Overview

Claim Representative – General Liability

Overview Claim Representative – General Liability Location: Remote
Schedule: Full-Time
Salary Range: $70,000 - $80,000
Build Your Career With Purpose at CCMSI

At CCMSI, we partner with clients to solve complex risk management challenges through innovative claim solutions, collaborative problem-solving, and an unwavering commitment to service excellence.
As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim management solutions that help our clients navigate complex events, emerging risks, and large-scale claim programs. Our employee-owned culture empowers team members to take ownership, drive results, and make a meaningful impact.

Job Summary

CCMSI is seeking an experienced Claim Representative to manage a caseload of General Liability claims for commercial clients, including product manufacturers and distributors.
The successful candidate will investigate, evaluate, negotiate, and resolve claims involving premises liability, products liability, foodborne illness, food contamination, customer injury, property damage, and other general liability exposures. This position requires strong technical claim handling skills, sound judgment, and the ability to effectively manage claims through resolution while delivering exceptional client service.
Experience handling litigated claims and working closely with defense counsel is preferred.

Ideal Candidate Profile

The ideal candidate is a strong liability adjuster who thrives in a fast-paced environment and enjoys investigating and resolving complex General Liability claims. They bring experience handling products liability, restaurant and food service exposures, retail risks, customer injury claims, and other commercial liability matters. This individual possesses excellent analytical and negotiation skills, is comfortable managing litigated files, and can effectively partner with clients, insureds, and defense counsel to achieve favorable claim outcomes while maintaining exceptional customer service.

Responsibilities

• Independently manage a caseload of General Liability claims from assignment through closure.
• Investigate coverage, liability, causation, and damages to determine claim exposure and resolution strategy.
• Handle claims involving products liability, restaurants, food service operations, food preparation issues, foodborne illness allegations, contamination claims, and retail premises liability.
• Evaluate liability and damages and establish appropriate reserves throughout the life of the claim.
• Conduct recorded statements, witness interviews, and review documentation to support claim investigation and resolution.
• Analyze medical records, contracts, incident reports, and other claim-related documentation.
• Collaborate with insureds, clients, brokers, vendors, and claim management to ensure timely claim handling and resolution.
• Negotiate settlements within authority and prepare recommendations for higher exposure claims.
• Manage litigated files, including coordination with defense counsel, review of litigation strategy, attendance at mediations, and evaluation of settlement opportunities.
• Prepare clear, concise claim summaries and client reports.
• Maintain compliance with client service standards, regulatory requirements, and internal claim handling guidelines.
• Maintain accurate diaries, documentation, and claim file management standards.
• Participate in claim reviews and provide technical recommendations on complex claims.

Qualifications

• Current adjuster license in home state or the ability to obtain within first 90 days of hire.
• Minimum 5 years of General Liability claim handling experience.
• Experience handling commercial liability claims involving products liability, restaurants, food service operations, retail businesses, hospitality risks, or similar exposures.
• Strong knowledge of liability investigation, coverage analysis, claim evaluation, and damage assessment.
• Excellent negotiation, organizational, and decision-making skills.
• Strong verbal and written communication abilities.
• Ability to effectively manage a diverse caseload while meeting client service expectations.
• Proficiency with Microsoft Office applications and claim management systems.

Preferred Qualifications

• Demonstrated experience partnering with defense counsel and monitoring litigation strategy.
• Background in a TPA, carrier, self-insured, captive, or national accounts environment.
• Industry designations such as AIC, CPCU, ARM, SCLA, or similar credentials.
• Active home state or DHS license

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 to advance into senior claims leadership positions
• Culture: A collaborative, employee-owned environment where leaders are empowered to make an impact

How We Measure Success

• Quality claim handling and technical excellence
• Effective litigation management and claim outcomes
• Development and engagement of team members
• Compliance with client requirements and Corporate Claim Standards
• Reserve accuracy and financial stewardship
• Client responsiveness and partnership
• Timely claim resolution and operational efficiency
• Positive team culture and employee growth

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

• 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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