Professional Liability Claim Adjusting Specialist
CCMSI, Florida, NY, United States
Overview
Position Title : Professional Liability Adjusting Specialist
Location : Maitland, FL (Hybrid reporting)
Schedule : 8:00 am-4:30 pm ET
Salary Range : $87,500-$90,000
Build Your Career With Purpose at CCMSI. 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. We deliver customized claim solutions that help clients protect their employees, assets, and reputations. As the largest privately‑owned Third Party Administrator, we are a certified Great Place to Work® and our employee‑owners are empowered to grow, collaborate, and make meaningful contributions every day.
We are seeking a
Multi‑Line, Professional Liability, Medical Claim Adjusting Specialist
for our hybrid position based in our Maitland, FL office. This role manages a dedicated client account and is responsible for investigating and adjusting a variety of claims, including General Liability, Auto, Property Damage, Professional Liability, and Sexual Abuse/Misconduct Liability.
Preferred Experience
Experience handling claims for organizations and professionals that provide social services (e.g., foster care, behavior facilities).
Responsibilities
Investigate, evaluate and adjust multi‑line claims in accordance with established claim handling standards and laws.
Establish reserves and/or provide reserve recommendations within established reserve authority levels.
Review, approve or provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated multi‑line claims; negotiate any disputed bills or invoices for resolution.
Authorize and make payments of multi‑line claims in accordance with claim procedures using a claim payment program in line with industry standards and within established payment authority.
Negotiate settlements in accordance with Corporate Claim Standards, client‑specific handling instructions and state laws when appropriate.
Assist in the selection, referral and supervision of designated multi‑line claim files sent to outside vendors (e.g., legal, surveillance, case management).
Review and maintain personal diary on claim system.
Assess and monitor subrogation claims for resolution.
Compute disability rates in accordance with state laws.
Effectively coordinate communication with clients, claimants and other appropriate parties throughout the multi‑line claim adjustment process.
Provide notices of qualifying claims to excess/reinsurance carriers.
Ensure compliance with Corporate Claim Handling Standards and special client handling instructions as established.
Qualifications
Excellent oral and written communication skills.
Initiative to set and achieve performance goals.
Good analytic and negotiation skills.
Ability to cope with job pressures in a constantly changing environment.
Knowledge of all lower level claim position responsibilities.
Detail oriented, self‑starter with strong organizational abilities.
Ability to coordinate and prioritize tasks.
Flexibility, accuracy, initiative and ability to work with minimum supervision.
Discretion and confidentiality required.
Reliable, predictable attendance within client service hours.
Responsive to internal and external client needs.
Ability to clearly communicate verbally and/or in writing both internally and externally.
Education and Experience 10+ years multi‑line claim experience is required.
Bachelor’s Degree is preferred.
Active Adjuster’s License: FL
Nice to Have
Bilingual (Spanish) proficiency – highly valued for communicating with claimants, employers, or vendors, but not required.
Benefits
4 weeks paid time off that accrues throughout the year + 10 paid holidays in the first year.
Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance.
Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP).
Career growth: Internal training and advancement opportunities.
Culture: A supportive, team‑based work environment.
How We Measure Success
Quality claim handling – thorough investigations, strong documentation, well‑supported decisions.
Compliance & audit performance – adherence to jurisdictional and client standards.
Timeliness & accuracy – purposeful file movement and dependable execution.
Client partnership – proactive communication and strong follow‑through.
Professional judgment – owning outcomes and solving problems with integrity.
Cultural alignment – believing every claim represents a real person and acting accordingly.
Compensation & Compliance The posted salary reflects CCMSI’s good‑faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay. CCMSI offers comprehensive benefits including medical, dental, vision, life, and disability insurance. Paid time off accrues throughout the year in accordance with company policy, with paid holidays and eligibility for retirement programs in accordance with plan documents.
Visa Sponsorship CCMSI does not provide visa sponsorship for this position.
ADA Accommodations CCMSI is committed to providing reasonable accommodations throughout the application and hiring process.
Equal Opportunity Employer CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations.
Core Values
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. If that sounds like your kind of workplace, we would love to meet you.
#J-18808-Ljbffr
Location : Maitland, FL (Hybrid reporting)
Schedule : 8:00 am-4:30 pm ET
Salary Range : $87,500-$90,000
Build Your Career With Purpose at CCMSI. 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. We deliver customized claim solutions that help clients protect their employees, assets, and reputations. As the largest privately‑owned Third Party Administrator, we are a certified Great Place to Work® and our employee‑owners are empowered to grow, collaborate, and make meaningful contributions every day.
We are seeking a
Multi‑Line, Professional Liability, Medical Claim Adjusting Specialist
for our hybrid position based in our Maitland, FL office. This role manages a dedicated client account and is responsible for investigating and adjusting a variety of claims, including General Liability, Auto, Property Damage, Professional Liability, and Sexual Abuse/Misconduct Liability.
Preferred Experience
Experience handling claims for organizations and professionals that provide social services (e.g., foster care, behavior facilities).
Responsibilities
Investigate, evaluate and adjust multi‑line claims in accordance with established claim handling standards and laws.
Establish reserves and/or provide reserve recommendations within established reserve authority levels.
Review, approve or provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated multi‑line claims; negotiate any disputed bills or invoices for resolution.
Authorize and make payments of multi‑line claims in accordance with claim procedures using a claim payment program in line with industry standards and within established payment authority.
Negotiate settlements in accordance with Corporate Claim Standards, client‑specific handling instructions and state laws when appropriate.
Assist in the selection, referral and supervision of designated multi‑line claim files sent to outside vendors (e.g., legal, surveillance, case management).
Review and maintain personal diary on claim system.
Assess and monitor subrogation claims for resolution.
Compute disability rates in accordance with state laws.
Effectively coordinate communication with clients, claimants and other appropriate parties throughout the multi‑line claim adjustment process.
Provide notices of qualifying claims to excess/reinsurance carriers.
Ensure compliance with Corporate Claim Handling Standards and special client handling instructions as established.
Qualifications
Excellent oral and written communication skills.
Initiative to set and achieve performance goals.
Good analytic and negotiation skills.
Ability to cope with job pressures in a constantly changing environment.
Knowledge of all lower level claim position responsibilities.
Detail oriented, self‑starter with strong organizational abilities.
Ability to coordinate and prioritize tasks.
Flexibility, accuracy, initiative and ability to work with minimum supervision.
Discretion and confidentiality required.
Reliable, predictable attendance within client service hours.
Responsive to internal and external client needs.
Ability to clearly communicate verbally and/or in writing both internally and externally.
Education and Experience 10+ years multi‑line claim experience is required.
Bachelor’s Degree is preferred.
Active Adjuster’s License: FL
Nice to Have
Bilingual (Spanish) proficiency – highly valued for communicating with claimants, employers, or vendors, but not required.
Benefits
4 weeks paid time off that accrues throughout the year + 10 paid holidays in the first year.
Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance.
Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP).
Career growth: Internal training and advancement opportunities.
Culture: A supportive, team‑based work environment.
How We Measure Success
Quality claim handling – thorough investigations, strong documentation, well‑supported decisions.
Compliance & audit performance – adherence to jurisdictional and client standards.
Timeliness & accuracy – purposeful file movement and dependable execution.
Client partnership – proactive communication and strong follow‑through.
Professional judgment – owning outcomes and solving problems with integrity.
Cultural alignment – believing every claim represents a real person and acting accordingly.
Compensation & Compliance The posted salary reflects CCMSI’s good‑faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay. CCMSI offers comprehensive benefits including medical, dental, vision, life, and disability insurance. Paid time off accrues throughout the year in accordance with company policy, with paid holidays and eligibility for retirement programs in accordance with plan documents.
Visa Sponsorship CCMSI does not provide visa sponsorship for this position.
ADA Accommodations CCMSI is committed to providing reasonable accommodations throughout the application and hiring process.
Equal Opportunity Employer CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations.
Core Values
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. If that sounds like your kind of workplace, we would love to meet you.
#J-18808-Ljbffr