Multi-Line Claim Specialist, Senior

Job Summary

The Multi-Line Claim Consultant, Senior position is responsible for the investigation, evaluation, negotiation, and adjustment of assigned multi-line claims. The Senior Consultant is accountable for delivering high-quality claim services that meet CCMSI client expectations and adhere to corporate claim standards. This role is dedicated to a single account and requires extensive experience handling general liability and complex claims, including high-exposure, highly sensitive litigated files.

Responsibilities

• Investigate, evaluate, negotiate, and adjust complex multi-line claims in accordance with corporate standards, client requirements, and applicable laws.
• Establish and manage claim reserves within authority levels and provide recommendations as needed.
• Review and authorize claim-related expenses, including medical, legal, and vendor invoices.
• Negotiate settlements and facilitate claim resolution while ensuring compliance with state regulations and client-specific handling instructions.
• Manage litigated and complex exposure claims, coordinating with defense counsel, vendors, and other external partners.
• Maintain timely communication with clients, claimants, brokers, and other stakeholders throughout the claim lifecycle.
• Attend mediations, hearings, and settlement conferences as required.
• Provide oversight and supervision of claim activity for assigned accounts.
• Ensure compliance with CCMSI claim handling standards and service expectations.

Qualifications

• Must have valid New Mexico Adjusters' License
• 8-10 years of experience handling New Mexico multi-line claims
• Excellent written and verbal communication
• Self-starter with strong organizational skills and attention to detail
• Strong analytical, investigative, and negotiation abilities
• Knowledge of multi-line claims handling practices and procedures
• Ability to manage multiple priorities in a fast-paced, evolving environment

Nice to Have

• Bilingual (Spanish) Proficiency - highly valued for communicating with claimants, employers, or vendors, but not required.
• Experience handling municipal claims.
• Experience handling high complexity workloads - especially litigated claims.