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Claims Specialist / Adjuster / Examiner
Linwood, NJ
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Fully RemoteBuild Your Career With Purpose at CCMSIAt 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 don't just process claims—we support people. As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work®, and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day.
Job SummaryThe General Liability & Premises Liability Claims Adjuster is responsible for the investigation, evaluation, negotiation, and resolution of commercial general liability, premises liability, and bodily injury claims within a national accounts environment.
This role supports several high-profile national account programs operating within the hospitality, retail, and entertainment industries, requiring exceptional communication, strong liability analysis, and the ability to independently manage claims from assignment through resolution.
Approximately 15% of the claim inventory involves New York exposures, making an active New York Adjuster License a requirement for consideration. Claims are handled across multiple jurisdictions nationwide and frequently involve litigated matters, attorney representation, bodily injury exposures, and complex liability investigations.
The ideal candidate brings significant experience handling commercial general liability and premises liability claims, understands litigation management and defense counsel oversight, and is comfortable working directly with sophisticated national account clients that expect responsiveness, thorough documentation, and proactive claim management.
This is not a high-volume production environment. Adjusters are expected to own their files, exercise sound judgment, maintain strong client relationships, and deliver high-quality claim outcomes.
ResponsibilitiesWhen we hire adjusters, we look for professionals who take ownership of their work, navigate complex claims with confidence, and deliver exceptional service with integrity. In this role, you'll manage your files independently while contributing to a collaborative, high-performing team.
What You'll Do
Investigate, evaluate, and adjust multi-line liability claims (GL & bodily injury) in accordance with CCMSI standards and state requirements.
Manage claims involving commercial vehicles, trucking exposures, commercial general liability premises/product claims, and third-party liability.
Determine coverage, assess liability, and develop defensible claim strategies.
Review medical, legal, and vendor invoices for accuracy and reasonableness; negotiate discrepancies as needed.
Establish, monitor, and adjust reserves in alignment with exposure and authority guidelines.
Negotiate settlements with claimants, attorneys, and representatives in accordance with client expectations.
Engage, coordinate, and manage defense counsel or other external vendors when appropriate.
Identify and pursue subrogation opportunities.
Maintain detailed and timely claim documentation, diary management, and financial reporting.
Support excess reporting requirements and client communication needs.
Deliver consistent, high-quality service with professionalism and integrity.
Who Will Thrive in This Role?
You may be a great fit if you:
Have extensive General Liability and Premises Liability claim experience
Enjoy investigating and resolving complex liability claims
Are comfortable managing litigation and working with defense counsel
Prefer a relationship-driven national account environment over high-volume transactional claim handling
Take ownership of your files and proactively communicate with clients and stakeholders
Thrive in hospitality, retail, entertainment, or other customer-facing liability exposures
Qualifications
What You Bring
Required
Active New York Adjuster License required
Active adjuster license in home state required
Minimum 5 years of General Liability and Premises Liability claim handling experience
Experience handling:
Commercial General Liability (CGL) claims
Premises Liability claims
Bodily Injury claims
Attorney-represented claims
Litigated claims
Experience managing claims from investigation through resolution
Experience working directly with defense counsel and litigation management
Strong liability investigation and coverage analysis skills
Ability to evaluate damages, establish reserves, and negotiate settlements
Experience handling claims across multiple jurisdictions
Excellent written and verbal communication skills
Strong organizational and diary management skills
Ability to work independently in a fully remote environment
Reliable attendance during business hours
Preferred
Experience performing coverage evaluations and coverage position analysis
draft/issue tender letters
Experience working within a TPA environment
Bilingual (English/Spanish) is a bonus but 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: Internal training and advancement opportunities
Culture:
A supportive, team-based work environment
How We Measure Success
At CCMSI, great adjusters stand out through ownership, accuracy, and impact.
owning outcomes and solving problems with integrity
Cultural alignment
believing every claim represents a real person and acting accordingly
This is w we shine, and we hire adjusters who want to shine with us.
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.
Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws.
Our Core Values
At CCMSI, we believe in doing what's right—for our clients, our coworkers, and ourselves. We look for team members who:
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...Visit the Employer site for more details