Multi-Line Claim Specialist – National Accounts (High Exposure / Litigation Focus)

Build your career with purpose 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. 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.

About the role

The Multi-Line Claim Specialist is responsible for the investigation and strategic management of high-exposure, complex, and heavily litigated multi-line claims within a national accounts environment. This role manages claims from assignment through resolution (cradle to grave) and serves as a technical expert in coverage analysis, litigation strategy, and claim resolution. This position is designed for highly experienced professionals with 10+ years of multi-line claims experience and a demonstrated ability to handle complex losses with significant legal involvement. 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

Requirements

• 10+ years of multi-line claims handling experience
• Minimum 5+ years managing complex, high-exposure litigated claims
• Advanced experience with coverage analysis, policy interpretation, and liability evaluation
• Strong expertise in litigation management and defense counsel oversight
• Experience with contractual risk transfer (indemnity and additional insured analysis)
• Exceptional analytical, negotiation, and decision-making skills
• Excellent verbal and written communication skills, including executive-level client interaction
• Ability to manage highly complex claims independently with minimal supervision
• Proficiency in Microsoft Office applications
• Reliable, predictable attendance during assigned client service hours
• Current adjuster license in home state (multiple licenses strongly preferred)

Qualifications

• Juris Doctor (JD) or strong legal background (highly preferred)
• 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
• Bilingual (Spanish) proficiency helpful but not required

Benefits

• 4 weeks paid time off (accrues throughout the year) + 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

Pay

Salary Range: $100,000 - $125,000

Schedule

Full-Time, Remote

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

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.