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)