Remote Risk Adjustment Coder Jobs in Gallatin, 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, premises liability, and bodily injury claims within a national account environment. This role manages claims from assignment through resolution (cradle to grave), including files with significant litigation exposure, while ensuring compliance with CCMSI claim handling standards, client-specific instructions, and applicable state laws.

This position supports a highly engaged national client and requires exceptional responsiveness, thorough documentation, and consistent communication. While claims may be handled nationwide, the portfolio includes a significant concentration of claims in Missouri, Pennsylvania, Kentucky, and Tennessee, making experience with those jurisdictions highly desirable.

This position is designed for experienced liability adjusters with 5+ years of claim handling experience who can independently manage complex liability claims and provide exceptional client service in a fast-paced environment. The successful candidate will be comfortable handling bodily injury and premises liability exposures while balancing competing priorities across multiple accounts.

Approximately 30% of the caseload may involve litigated claims, making litigation management experience and the ability to effectively manage defense counsel critical to success.

This is a true liability adjuster role responsible for cradle-to-grave claim handling and is not an HR or consulting position.

• Investigate, evaluate, and adjust general liability, premises liability, and bodily injury claims in accordance with corporate standards and jurisdictional requirements

• Manage claims from assignment through resolution, including litigated files

• Conduct detailed liability investigations and evaluate coverage, negligence, damages, and exposure

• Establish and maintain appropriate reserves based on claim development and exposure analysis

• Review medical records, bills, legal documentation, and investigative materials to support claim strategy

• Negotiate settlements with claimants, attorneys, and authorized representatives

• Coordinate and manage defense counsel and other external vendors as appropriate

• Maintain proactive communication with clients, claimants, attorneys, and other involved parties

• Prepare claim reports, reserve recommendations, and status updates as required

• Identify and pursue subrogation opportunities when applicable

• Maintain accurate claim documentation, diary management, and financial controls

• Provide timely excess and carrier reporting when required

• Ensure compliance with Corporate Claim Handling Standards and client-specific requirements

What You Bring

• 5+ years of multi-line liability claim handling experience

• Experience and confidence handling attorney-represented, complex, and litigated files.

• Strong experience handling general liability, premises liability, and bodily injury claims

• Demonstrated litigation management experience, including working directly with defense counsel and managing litigated files

• Experience handling claims in one or more of the following jurisdictions:
  • Missouri
  • Pennsylvania
  • Kentucky
  • Tennessee

• Active adjuster license in Missouri, Pennsylvania, Kentucky, or Tennessee required (one or more required)

• Ability to independently manage a moderate to complex caseload

• Strong investigative, analytical, negotiation, and decision-making skills

• Demonstrated ability to provide detailed, responsive client service

• Excellent written and verbal communication skills

• Strong organizational skills and diary management practices

• Ability to work independently in a remote environment

• Proficiency with Microsoft Office applications

• Reliable, predictable attendance during business hours

Preferred

• Familiarity with hospitality, entertainment, recreation, tourism, amusement, or similar guest-facing operations is a plus.

• Exposure to significant injury claims involving fractures, surgeries, traumatic brain injuries, or other serious bodily injury allegations is preferred.

• Active licenses in multiple states, particularly MO, PA, KY, and TN
• Prior Third Party Administrator (TPA) experience
• Experience handling high-touch national account programs
• Experience conducting coverage evaluations and coverage position analysis
• Experience preparing and issuing tender letters
• NY Adjusters license is a huge plus 

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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