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CCMSI

Complex Claims Adjuster – Property & Civil Rights Specialist - New Mexico

CCMSI, Albuquerque, New Mexico, United States, 87113


Overview:

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Senior Multi-Line Claims Adjuster – Property, Liability & Civil RightsLocation: Albuquerque, NM (Hybrid)

At CCMSI, we are committed to finding the best and brightest talent to join our team of industry-leading claims professionals. As a 100% employee-owned company and a leader in self-insurance services, we pride ourselves on our collaborative, client-focused culture. Our Albuquerque office is seeking an experienced Senior Multi-Line Claims Adjuster specializing in Property, General Liability, and Civil Rights claims, particularly in public entity claims such as municipalities and school districts.

This role offers a hybrid work environment with the flexibility to work from home three days a week while coming into the office two days per week. As part of our team, you’ll handle high-exposure, complex claims in accordance with New Mexico Tort laws, as well as federal and state-level civil rights litigation.

Key Responsibilities:

Investigate, evaluate, and adjust multi-line claims, including property, general liability, auto, and civil rights claims.Manage claims for public entities such as municipalities and school districts, with a focus on complex civil litigation.Negotiate settlements in compliance with client-specific instructions and state laws.Coordinate with external vendors (legal, surveillance, case management) to ensure thorough claims resolution.Provide timely and accurate communication with clients, claimants, and involved parties throughout the claims process.Participate in mediations, hearings, and legal conferences as required.Review and maintain personal claim diaries, ensuring accurate documentation and reporting.

What We’re Looking For:

3+ years of multi-line claim adjusting experience is required, with expertise in public entity claims, civil rights litigation, and New Mexico Tort law.Strong analytical and negotiation skills with a proven ability to handle complex, high-exposure claims.Familiarity with municipal insurance, public entity claims, and civil rights disputes is highly desirable.An active NM Adjuster’s License is preferred (or willingness to obtain within 60 days of hire).Excellent oral and written communication skills and the ability to work independently in a dynamic environment.

Why Join CCMSI?

Hybrid Work Schedule: Enjoy a flexible work-life balance with two days in-office and three days remote per week.Competitive Compensation & Benefits: Comprehensive benefits including Medical, Dental, Vision, ESOP, 401K, and 4 weeks of PTO in your first year.Employee Ownership: As an employee-owned company, you’ll directly benefit from our success through our ESOP program.Career Development: Take advantage of internal training programs and clear paths for advancement within the company.

Join a team where your expertise is valued, your contributions are recognized, and you can make a real impact. Apply today and help us continue to provide exceptional service to our clients.

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 claims. Negotiate any disputed bills or invoices for resolution.Authorize and make payments of multi-line claims in accordance with CCMSI claim procedures utilizing a claim payment program in accordance with Industry standards and within established payment authority.Negotiate settlements in accordance within 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. (i.e. legal, surveillance, case management, etc.)Assess and monitor subrogation claims for resolution.Review and maintain personal diary on claim system.Prepare reports detailing claim status, payments and reserves, as requested.Compute disability rates in accordance with state laws.Effective and timely coordination of communication with clients, claimants and appropriate parties throughout the claim adjustment process.Prepare newsletter articles as requested.Provide notices of qualifying claims to excess/reinsurance carriers.Handle more complex and involved multi-line claims than lower level claim positions with minimum supervision.Conduct claim reviews and/or training sessions for designated clients, as requested.Attend and participate at hearings, mediations, and informal legal conferences, as appropriate.Compliance with Corporate Claim Handling Standards and special client handling instructions as established.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.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.Must be detail oriented and a self-starter with strong organizational abilities.Ability to coordinate and prioritize required.Flexibility, accuracy, initiative and the ability to work with minimum supervision.Discretion and confidentiality required.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 multi-line claim adjusting experience is required.

Previous experience and familiarity with municipal insurance, public entity claims, and civil rights disputes is highly desirable

Computer Skills

Proficient with Microsoft Office programs.

Certificates, Licenses, Registrations

New Mexico Adjusters license is preferred.

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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