Claims Consultant

Job Duties

• Advocates for clients throughout the claims lifecycle, including claim reporting, dispute resolution, coverage discussions, and negotiation of timely and equitable settlements.
• Provides consultative guidance regarding policy provisions, carrier coverage positions, claim handling practices, and claim resolution strategies.
• Ledds and coordinates claims strategy for complex, high-severity, catastrophic, and multi-jurisdictional claims.
• Develops and executes client-specific claims service plans aligned with organizational objectives, risk exposures, and claim management needs.
• Collaborates with brokerage, placement, and client service teams to support account strategy, renewals, stewardship meetings, coverage discussions, and client presentations by providing claims expertise, loss trend analysis, and market intelligence.
• Analyzes claims data and loss trends to identify opportunities for risk improvement, claims cost reduction, and loss prevention, and develops stewardship, benchmarking, and executive-level reporting for clients.
• Provides feedback and recommendations regarding coverage concerns, emerging exposures, and claims trends impacting client insurance programs.
• Facilitates collaboration among carriers, adjusters, legal counsel, engineers, consultants, and other service providers to support favorable client outcomes.
• Supports new business pursuits, prospect meetings, requests for proposals (RFPs), and finalist presentations by providing claims expertise and thought leadership.
• Serves as a strategic member of the account team by providing claims expertise, loss insights, and market intelligence that support client retention, growth, and placement objectives.
• Mentors and coaches junior team members while contributing to the development of claims best practices, service standards, and team knowledge sharing.
• Attends required training and continuing education programs, maintain applicable licenses, comply with company policies and procedures.

Requirements

• Bachelor's degree in Risk Management, Business, Insurance, Finance, or a related field, and 8 to 10 years of commercial insurance and claims experience or an equivalent combination of education and experience.
• Ability to obtain and maintain applicable state insurance licenses.
• Experience managing complex commercial property, casualty, executive risk, cyber, or specialty claims.
• Strong understanding of commercial insurance policy structures, coverage interpretation, and claims management best practices.
• Demonstrated ability to analyze claims data and provide actionable business recommendations.
• Strong client relationship management, communication, negotiation, and presentation skills.
• Demonstrated ability to lead client discussions and influence outcomes among multiple stakeholders.
• Strong critical thinking, analytical, problem-solving, and organizational skills.
• Ability to work independently and effectively within a team-based client service model.
• Proficiency in Microsoft Office applications, including Excel, PowerPoint, and Word.
• Insurance agency experience preferred.
• Broad understanding of insurance policy, forms, and applications preferred.
• Property and Casualty Insurance License preferred.