Remote Prior Authorization Rn Jobs in Metairie, LA

Overview

General Liability Claims Adjuster - Gaming & Hospitality Accounts

Location: Metairie, LA (Hybrid) or Remote for Qualified CandidatesSchedule: Monday - Friday, 8:00 AM - 4:30 PMSalary Range: $65,000 - $75,000 annually

Hybrid employees typically work 1-2 days per week in the Metairie office. Remote eligibility is available for qualified candidates based on experience and location.

Build Your Career With Purpose at CCMSI

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 protect their employees, assets, and reputations. We are a certified Great Place to Work and an employee-owned company where your expertise, judgment, and contributions directly impact client success.

Job Summary

The General Liability Claims Adjuster is responsible for the investigation, evaluation, negotiation, and resolution of liability claims within a dedicated national gaming and hospitality program.

This role handles a diverse inventory of General Liability claims, ranging from low-severity incidents to more complex litigated matters. Claims may involve premises liability, bodily injury, guest incidents, property damage, and other liability exposures occurring within gaming, hospitality, and entertainment environments.

The successful candidate will independently manage claims from assignment through resolution while ensuring compliance with Corporate Claim Standards, client-specific handling requirements, and applicable state regulations across multiple jurisdictions.

This position is ideal for an experienced liability adjuster who enjoys investigative claim work, litigation management, direct client interaction, and the opportunity to support a nationally recognized hospitality and gaming program.

ResponsibilitiesAt CCMSI, we look for experienced claim professionals who take ownership of their files, communicate effectively, and exercise sound judgment. Successful adjusters are proactive, organized, client-focused, and comfortable navigating both routine and complex liability matters.What You'll Do

• Investigate, evaluate, and adjust General Liability claims from assignment through resolution
• Conduct liability investigations involving bodily injury, premises liability, and property damage exposures
• Analyze coverage, liability, damages, and risk transfer opportunities
• Establish and maintain appropriate reserves based on claim exposure
• Review incident reports, medical records, witness statements, contracts, and supporting documentation
• Negotiate settlements with claimants, attorneys, and authorized representatives
• Manage attorney-represented and litigated claims throughout the claim lifecycle
• Coordinate activities with defense counsel, experts, and vendors as necessary
• Identify and pursue subrogation opportunities when appropriate
• Maintain timely diary management and accurate claim documentation
• Prepare claim summaries, reserve recommendations, and client reports
• Deliver exceptional customer service and responsive claim management
• Ensure compliance with Corporate Claim Standards and client-specific handling instructions

Qualifications

Required Qualifications

• Active Adjuster License or Designated Home State (DHS) License required
• Minimum 5 years of General Liability claims handling experience
• Experience managing claims from investigation through final resolution
• Strong liability investigation and coverage analysis skills
• Experience handling premises liability and bodily injury claims
• Litigation management experience required
• Experience working directly with defense counsel
• Ability to establish reserves and negotiate settlements
• Strong organizational, diary management, and documentation skills
• Excellent verbal and written communication abilities
• Ability to work independently in a hybrid or remote environment
• Proficiency with Microsoft Office applications
• Reliable attendance during established business hours

Preferred Qualifications

• Gaming, hospitality, hotel, casino, or entertainment industry claims experience
• Multi-jurisdiction liability claim experience
• Prior TPA experience
• Experience handling high-exposure liability claims
• Additional adjuster licenses
• Industry designations such as:
  • AIC
  • CPCU
  • ARM

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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