Jobs · Massachusetts

Multi-Line Claim Consultant

CCMSI · Reading, MA · 1 mo ago
Hybrid$75k–$85k/yrFull-time

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.

Qualifications

  • 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.

Benefits

Comprehensive benefits : Medical, Dental, Vision, Life, and Disability Insurance
Retirement plans : 401(k) and Employee Stock Ownership Plan (ESOP)

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