Jobs · Finance · New York

CL SR Claims Consultant

USI Insurance Services · Rochester, NY · 4 days ago
Finance$105k–$130k/yrFull-time

About the role

This is a hybrid position requiring 1–2 days per week in one of our offices. We are targeting candidates in the New England region as well as Upstate New York.

This is not an adjuster position; we are looking for a claims professional who will serve as the liaison between clients and carriers when there is a problematic claim. Experience in one or more lines of claims is ideal (e.g., property, liability, workers' compensation, auto).

Provide claims advocacy and consulting services for USI's most complex Commercial Lines clients.

Responsibilities

  • Conduct claim reviews in conjunction with service plan.
  • Monitor and measure financial impact of USI reviews and communicate results to client.
  • Negotiate with carriers to develop special account instructions.
  • Analyze loss trends and business issues.
  • Tailor service plan to address adverse trends and mitigate claim duration, severity and costs using claims management solutions.
  • Advocate on behalf of clients on claim denials, reservation of rights, negotiating optimal coverage position.
  • Assist client with evaluation and reporting of complex claims.
  • Review reserving accuracy on specific claims.
  • Develop action plan and assist with resolution of complex/high exposure or high-profile claims.
  • Provide guidance on litigation management and medical management solutions.
  • Partner with risk control and analytics/placement team to identify loss trends and develop a comprehensive program focused on reducing total cost of risk.
  • Contribute insights and client solutions in USI team huddle meetings.
  • Navigate clients through complex claims including Employment Practices Liability (EPL), Directors & Officers (D&O) and Errors & Omissions (E&O).
  • Evaluate third-party administrators (TPAs) and install TPA or carrier alongside client.
  • Remain current with Carrier and TPA service and technology capabilities, industry trends, development around key case law, and industry claims solutions.

Requirements

  • 8+ years in a claim adjusting role for a Commercial Lines carrier ideal, OR 10–15 years in a Commercial Lines agency.
  • Bachelor's degree strongly preferred.
  • Property & Casualty license preferred.
  • Detailed understanding of multiple lines of commercial lines coverage (generally workers compensation, liability and property or auto and GL).
  • Claims expertise in at least one line.
  • Comfortable with internet-based programs and expertise in Microsoft Office products.
  • Strong understanding of loss forecasting, experience mods, reserve analysis, collateral, etc.
  • Expert business, negotiation, and data interpretation skills.
  • Strong written and verbal communication skills; must effectively deliver messages to C-suite.
  • Ability to work well in a team environment.

Benefits

USI offers a full suite of competitive benefits including medical, wellness, dental and vision, 401(k), flexible spending and health savings accounts, short and long-term disability, life insurance, and other unique employer-sponsored and voluntary programs. Generous paid time off policy, paid family leave benefit, and paid holiday time.

Additional programs: award-winning wellness program, college scholarships for associates' children, financial help in times of need, Summit Awards recognition program, and deep community engagement initiatives.

Pay

$105,000 – $130,000

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