Multi-Line Claim Representative I - Las Vegas, United States - Cannon Cochran Management Services, Inc. (CCMSI)

Description

At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs, rewarding and recognizing individual and team efforts. Certified as a Great Place To Work, our employee satisfaction and retention ranks in the 95th percentile.

Reasons you should consider a career with CCMSI:

• Culture: Our Core Values are embedded into our culture of how we treat our employees as a valued partner-with integrity, passion and enthusiasm.
  
• Career development: CCMSI offers robust internships and internal training programs for advancement within our organization.
  
• Benefits: Not only do our benefits include 4 weeks paid time off in your first year, plus 10 paid holidays, but they also include Medical, Dental, Vision, Life Insurance, Critical Illness, Short and Long Term Disability, 401K, and ESOP.
  
• Work Environment: We believe in providing an environment where employees enjoy coming to work every day, are provided the resources needed to perform their job and claims staff are assigned manageable caseloads.
  

The Multi-Line Liability Claim Representative I is responsible for the investigation, adjustment, and handling of assigned multi-line liability claims, including the allocation of losses (ALB) and processing of allocation loss payments (ALP). This position may be utilized as an advanced training role for potential promotion to a Multi-Line Liability Claim Rep II or a more senior-level claim position. The incumbent is accountable for ensuring the quality of claim services provided to CCMSI clients and adhering to our corporate claim standards, including efficient management of ALB and ALP procedures.

This is a Monday through Friday in office position.

• Investigate and adjust multi-line liability 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 liability claims. Negotiate any disputed bills for resolution.
• Authorize and make payment of multi-line liability 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.
• Compliance with Service Commitments as established by team.
• Delivery of quality claim service to clients.
• ALB Handling: Manage the allocation of losses (ALB) among different parties involved in liability claims, ensuring fair and equitable distribution based on liability determinations.
• ALP Processing: Process allocation loss payments (ALP) to claimants, policyholders, and other relevant parties, ensuring accuracy and timeliness in accordance with claim settlements.
• Documentation and Record-Keeping: Maintain detailed and accurate documentation of claim files, including investigation findings, adjustment decisions, ALB allocations, and ALP payments.
• Communication and Negotiation: Communicate effectively with claimants, policyholders, attorneys, insurance adjusters, and other stakeholders involved in the claims process. Negotiate settlements and resolve disputes when necessary.
• Collaboration and Teamwork: Collaborate with internal departments, such as legal, risk management, and underwriting, to facilitate efficient claim resolution and mitigate future liabilities.
• Continuous Learning and Development: Stay updated on industry trends, legal developments, and best practices related to multi-line liability claims. Participate in training programs to enhance skills and knowledge.
• Customer Service: Provide excellent customer service to claimants and policyholders throughout the claims process, addressing inquiries, providing updates, and ensuring a positive claims experience.
• Performs other duties as assigned.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• 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.
• Ability to clearly communicate verbally and/or in writing both internally and externally.

Education and/or Experience

3+ years liability claim experience or insurance related experience is required or equivalent education, i.e.,

Computer Skills

Proficient with Microsoft Office programs.

Certificates, Licenses, Registrations

Adjusters license is preferred but not required.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Work requires the ability to sit or stand up to 7.5 or more hours at a time.
• Work requires sufficient auditory and visual acuity to interact with others.

CORE VALUES & PRINCIPLES

Responsible for upholding the CCMSI Core Values & Principles which include: performing with integrity; passionately focus on client service; embracing a client-centered vision; maintaining contagious enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to make things better; and leading by example.

CCMSI is an Affirmative Action / Equal Employment Opportunity employer offering an excellent benefit package including Medical, Dental, Prescription Drug, Vision, Flexible Spending, Life, ESOP and 401K.

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