Remote Medical Claims Processor Jobs in Spring Hill, TN

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 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 Summary 

The Multi-Line Claim Consultant is responsible for the investigation and adjustment of assigned general liability and premises liability claims within a national accounts environment. This role manages claims from assignment through resolution (cradle to grave), including files with litigation exposure, while ensuring compliance with CCMSI claim handling standards, client-specific instructions, and applicable state laws across multiple jurisdictions (excluding Alaska).

This position is designed for experienced liability adjusters with 5+ years of claim handling experience who can independently manage a multi-account desk, navigate competing priorities, and deliver high-quality outcomes in a fast-paced environment. The ideal candidate demonstrates strong organizational discipline, effective negotiation skills, and sound professional judgment when handling bodily injury and liability-driven claims.

This is not a high-volume, quick-resolution claim environment. Adjusters are expected to take full ownership of their files, maintain proactive communication, and drive claims through completion with accuracy and accountability.

Please note: This is a claims adjuster role, responsible for cradletograve liability claim handling. It is not an HR, consulting, or employerside position.

• Investigate, evaluate, and adjust multiline liability claims (property damage & bodily injury) in accordance with CCMSI standards and state requirements.
• Manage claims involving commercial vehicles, trucking exposures, commercial general liability premises/product claims, and thirdparty 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, highquality service with professionalism and integrity.

What You Bring

• Active adjuster license in home state required (multi-state licensing preferred)
• Experience managing a multi-client desk and navigating varying client expectations
• 5+ years of multi-lin claims experience is required (General Liability and Premises Liability)
• Strong analytical, negotiation, and decisionmaking skills
• Strong ability to handle diverse claim types and pivot quickly throughout the workday
• Ability to analyze coverage and communicate claim decisions clearly and professionally
• Excellent timemanagement and organizational abilities
• Strong written and verbal communication skills
• Ability to work independently in a remote environment with strong accountability
• Reliable, predictable attendance during business hours
• Litigation management experience
• Active New York adjuster license is required

• Third Party Administrator (TPA) experience 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

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. We measure success by:  

• 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

This is where 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 together-we grow together. If that sounds like your kind of workplace, we'd love to meet you.

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