Source Job

• Manage recovery files from initial review through resolution, identifying third-party reimbursement opportunities.
• Investigate claims, coordinate with attorneys, adjusters, and carriers, and negotiate recovery matters.
• Review plan documents, ensure HIPAA compliance, and maintain a high-volume caseload with strict deadlines.

The company focuses on recovering healthcare costs for benefit plans, ensuring affordable health benefits for employees and their families. It is recognized for an inclusive, collaborative, and respectful workplace culture, and has received regional and national workplace awards.

• Supervise and develop a team of multi-line claim professionals handling complex casualty claims.
• Provide technical guidance on coverage analysis, contractual risk transfer, and litigation strategy for high-exposure claims.
• Partner with clients and defense counsel to drive timely, accurate claim resolutions and maintain strong relationships.

CCMSI is a third-party administrator providing complex risk management and claim solutions to commercial clients. As the largest privately-owned TPA, its employee-owned culture empowers team members to take ownership and drive results.