Job Detail

Multi-Line Claim Consultant

Multi-Line Claim Consultant

CCMSI

Jackson, MS

Job ID : 6852446a6e792b64614e43594d63766456673d3d

Job Description :

Overview:
Cannon Cochran Management Services, Inc. (CCMSI) is a leading Third Party Administrator in self-insurance services headquartered in Danville, IL. We are guided by core values including integrity, insisting on excellence and being passionately focused on customer service. Those values, coupled with our Employee Stock Ownership Plan (ESOP), engage ownership with our employees and offers top of the line customer service for both our internal and external clients.

This is a perfect opportunity to work in a growing, dynamic work environment. CCMSI’s emphasis is on customer service and you will be expected to set and achieve performance goals in a challenging and growing team environment.

The Multi-Line Claim Representative I position is responsible for the investigation and adjustment of assigned multi-line claims. This position may be used as an advanced training position for future consideration for promotion to a Multi-Line Claim Rep II or more senior level claim position. Accountable for the quality of claim services as perceived by CCMSI clients and within our corporate claim standards.
Responsibilities:
  • Investigate and adjust multi-line 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.
  • Compliance with Service Commitments as established by team.
  • Delivery of quality claim service to clients.
  • Performs other duties as assigned.
Qualifications:
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.
  • Ability to operate general office equipment and perform clerical duties.
  • 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+ year’s multi-line claim experience or insurance related experience is required or equivalent education, i.e., Bachelor’s degree in Risk Management or Insurance related program.

Computer Skills
Proficient using Microsoft Office programs such as Word, Excel, Outlook, etc.

Certificates, Licenses, Registrations
None 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.

Object Handling Categories
Work requires the ability to lift/carry objects routinely as follows:
Light Lifting: No lifting of objects weighing more than 15 pounds on a regular basis.

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.

Company Details :

Name : CCMSI

CEO : Bryan Thomas

Headquarter : Danville, IL

Revenue : $100 to $500 million (USD)

Size : 1001 to 5000 Employees

Type : Company - Private

Primary Industry : Insurance Carriers

Sector Name : Insurance

Year Founded : 1978

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Details

: Jackson, MS

: 46124 - 64599 USD ANNUAL

: Today

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