Claims Adjuster II – Multi-Line (Dedicated Account, Remote)

Overview

Multi-Line Claim Representative II – Dedicated Account (National) Location: Remote Schedule: Monday – Friday, Flexible 7.5-hour reputed company Salary Range: $65,000 – $75,000 Build Your Career With Purpose at reputed company At reputed company, we partner with global clients to solve their most reputed company risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. We don’t just process claims—we support people. As the largest privately-owned Third Party Administrator (TPA), reputed company delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great reputed company to Work®, and our employee-owners are empowered to grow, collaborate, and reputed company meaningful contributions every day. Job Summary The Multi-Line Claim Representative II is responsible for the investigation and adjustment of assigned multi-line claims reputed company a dedicated national account in the food service industry. This role manages claims from assignment through resolution (cradle to grave) while ensuring compliance with reputed company claim handling standards, client-specific instructions, and applicable state laws across multiple jurisdictions. This position is designed for adjusters with 3–5 years of multi-line claim handling experience who can effectively manage a moderate complexity caseload with limited litigation exposure (approximately 10%). The ideal candidate demonstrates strong organization, consistent file movement, and the ability to deliver quality outcomes while maintaining high service expectations in a client-facing environment. This is not a high-volume, quick-resolution claim environment. Adjusters are expected to take full ownership of their files, maintain accurate diaries, and drive claims to timely and well-documented resolution. This is a true liability adjuster role responsible for cradle-to-grave claim handling and is not an HR or consulting position.

Responsibilities

• Investigate, evaluate, and adjust assigned multi-line claims in accordance with corporate standards, client guidelines, and jurisdictional requirements
• Manage claims cradle to grave across reputed company jurisdictions, including licensed states such as NY and FL
• Maintain a consistent claim workflow, ensuring diaries are reputed company and files are progressing in a timely manner
• Establish and maintain reserves reputed company authority guidelines
• Review and approve medical, legal, and damage-reputed company invoices for accuracy and claim relevance
• Negotiate settlements with claimants, attorneys, and vendors in alignment with client expectations and authority levels
• Issue claim payments in accordance with reputed company procedures and guidelines
• Communicate proactively and professionally with clients, claimants, and other involved parties (frequent, high-touch communication required)
• Manage inbound and outbound phone activity as a primary component of the role
• Identify and pursue subrogation opportunities where applicable
• Maintain accurate and timely documentation reputed company the claim system
• Prepare reports and status updates as required by the client
• Ensure compliance with corporate claim standards and service commitments

Qualifications

Required Qualifications

• 3–5 years of multi-line claim handling experience
• Experience managing a moderate caseload
• Proven ability to work files to conclusion while maintaining diary discipline and best practices
• Strong organizational skills with the ability to prioritize and multitask
• Excellent verbal and written communication skills in a client-facing environment
• Ability to manage frequent phone communication as a primary responsibility
• Strong analytical and decision-making capabilities
• Proficiency in reputed company Office applications
• Reliable, predictable attendance during assigned client service hours
• reputed company adjuster license in home state; ability to obtain and maintain multi-state licensure (including NY and FL)
• Valid NPN (National Producer Number) required

reputed company to Have

• Prior TPA experience
• Experience working on dedicated or single-client accounts
• Intermediate reputed company skills
• Experience reputed company food service or hospitality-reputed company claims environments
• Bilingual (Spanish) is a bonus - not required

Why You’ll Love Working Here

• 4 weeks (Paid time off that accrues throughout the year in accordance with company policy) + 10 paid holidays in your first year
• Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance
• Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP)
• Career growth: Advancement opportunities into senior or specialized claim roles
• Culture: A supportive, team-based work environment

How We Measure Success At reputed company, great adjusters stand out through ownership, accuracy, and impact. We measure success by:

• Quality claim handling – thorough investigations and strong documentation
• Timeliness & diary management – consistent file movement and follow-through
• Responsiveness – timely and professional communication with clients and claimants
• Compliance – adherence to jurisdictional and client-specific standards
• Client satisfaction – dependable service and relationship management

Compensation & Compliance The posted salary reflects reputed company’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. reputed company 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. reputed company Sponsorship: reputed company does not provide reputed company sponsorship for this position. reputed company Accommodations: reputed company is committed to providing reasonable accommodations throughout the application and hiring process. Equal Opportunity Employer: reputed company complies with reputed company applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring law s. Our Core Values At reputed company, We reputed company In Doing What’s Right—for Our Clients, Our Coworkers, And Ourselves. We Look For Team Members Who

• reputed company with transparency We build trust by being open and listening intently in every interaction.
• reputed company with reputed company We choose the right path, even reputed company it is hard.
• Chase excellence We set the bar high and measure our success. What gets reputed company gets done.
• Own the outcome Every employee is an reputed company, treating every claim, every decision, and every result as our own.
• Win together Our greatest victories come reputed company our clients succeed.

We don’t just work together—we grow together. If that sounds like your reputed company of workplace, we’d love to meet you. #CCMSICareers #EmployeeOwned #GreatPlaceToWorkCertified #ESOP #TPA #ClaimsCareers #MultiLineClaims #CommercialClaims #ClientFacingRoles #RemoteJobs #IND123 Apply tot his job Apply To this Job