Senior Multi-Line Coverage & Litigation Specialist | National Accounts (Remote)

CCMSI; Las Vegas (NV); Teletrabalho; USD 95 000 - 115 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Paid time off + holidays

Medical, dental, vision benefits

401(k) + ESOP

Career growth opportunities

Team-oriented culture

Resumo da oferta

CCMSI is seeking a highly experienced Multi-Line Claim Specialist for national accounts with a focus on complex coverage and WCEL issues. You will investigate, strategize, and manage high-exposure claims through to resolution, leveraging deep coverage knowledge and negotiation skills.

The role emphasizes strategic thinking, collaboration with counsel, and driving optimal outcomes on high-stakes files. Remote work is available, with substantial exposure to national clients and complex litigation

Qualificações

• 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.

Responsabilidades

• 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

Conhecimentos

Multi-line claim handling

Litigation management

Policy interpretation

Negotiation skills

Client interaction

Microsoft Office

Descrição da oferta de emprego

Overview

Multi-Line Claim Specialist – National Accounts (Complex Coverage Focus)

Location: Remote
Schedule: Full-Time
Salary Range: $95,000 to $115,000

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 manageing complex, high-exposrue, and heavily litigated liability claims
• Strong expertise in litigation management, defense counsel oversight, and claim resolution strategy
• Advanced knowledge of WCEL, complex liabiltiy coverage analysis, contractual risk transfer, indemnity, additional insured provisions, and umbrella/excell liability exposures
• Exceptional analytical, negotiation, and decision-making skills
• Excellent verbal and written communication skills, including executive-level client interacation
• 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.