Claim Representative – General Liability

Claim Representative – General Liability

Location: Remote
Schedule: Full-Time
Salary Range: $70,000 - $80,000

At CCMSI, we partner with clients to solve complex risk management challenges through innovative claim solutions, collaborative problem-solving, and an unwavering commitment to service excellence.

As the largest privately‑owned Third Party Administrator (TPA), CCMSI delivers customized claim management solutions that help our clients navigate complex events, emerging risks, and large‑scale claim programs. Our employee‑owned culture empowers team members to take ownership, drive results, and make a meaningful impact.

Job Summary

CCMSI is seeking an experienced Claim Representative to manage a caseload of General Liability claims for commercial clients, including product manufacturers and distributors.

The successful candidate will investigate, evaluate, negotiate, and resolve claims involving premises liability, products liability, foodborne illness, food contamination, customer injury, property damage, and other general liability exposures. This position requires strong technical claim handling skills, sound judgment, and the ability to effectively manage claims through resolution while delivering exceptional client service.

Experience handling litigated claims and working closely with defense counsel is preferred.

Ideal Candidate Profile

The ideal candidate is a strong liability adjuster who thrives in a fast‑paced environment and enjoys investigating and resolving complex General Liability claims. They bring experience handling products liability, restaurant and food service exposures, retail risks, customer injury claims, and other commercial liability matters. This individual possesses excellent analytical and negotiation skills, is comfortable managing litigated files, and can effectively partner with clients, insureds, and defense counsel to achieve favorable claim outcomes while maintaining exceptional customer service.

Responsibilities

• Independently manage a caseload of General Liability claims from assignment through closure.
• Investigate coverage, liability, causation, and damages to determine claim exposure and resolution strategy.
• Handle claims involving products liability, restaurants, food service operations, food preparation issues, foodborne illness allegations, contamination claims, and retail premises liability.
• Evaluate liability and damages and establish appropriate reserves throughout the life of the claim.
• Conduct recorded statements, witness interviews, and review documentation to support claim investigation and resolution.
• Analyze medical records, contracts, incident reports, and other claim‑related documentation.
• Collaborate with insureds, clients, brokers, vendors, and claim management to ensure timely claim handling and resolution.
• Negotiate settlements within authority and prepare recommendations for higher exposure claims.
• Manage litigated files, including coordination with defense counsel, review of litigation strategy, attendance at mediations, and evaluation of settlement opportunities.
• Prepare clear, concise claim summaries and client reports.
• Maintain compliance with client service standards, regulatory requirements, and internal claim handling guidelines.
• Maintain accurate diaries, documentation, and claim file management standards.
• Participate in claim reviews and provide technical recommendations on complex claims.

Required Qualifications

• Current adjuster license in home state or the ability to obtain within first 90 days of hire.
• Minimum 5 years of General Liability claim handling experience.
• Experience handling commercial liability claims involving products liability, restaurants, food…