Claims Consultant

Essential Functions/Responsibilities

• Aid clients in claim reporting by setting up best practices, gathering necessary information, assessing potential coverage, and submitting claims on their behalf.
• Offer ongoing consultation and continuous monitoring of open complex claims.
• Support and guide clients through the carrier claim process.
• Act as an advocate for the most favorable and timely resolution of claims.
• Analyze policy language to identify all possible avenues for coverage.
• Conduct thorough reviews of all coverage positions, challenging when necessary.
• Perform formal client onboarding to help develop internal claim administration processes, facilitate and participate in claim reviews, and communicate disposition strategies and financial developments.
• Provide ongoing proactive solutions to meet clients' needs.

Technical Functions

• Proficient in Microsoft Office products: Excel, Word, Outlook.
• High-level knowledge of property/casualty insurance, including coverage forms, legal issues, and claim protocols.

Required Education/Experience

• Bachelor’s degree in business or related field, or equivalent work experience.
• Property & Casualty license (or ability to obtain).
• Minimum of 5-8 years experience in the insurance industry in a Claims or related position.
• Demonstrated skills: sense of urgency, detail-oriented, excellent organizational and time management skills, and proven ability to work independently with minimal supervision while collaborating effectively within the team.
• Excellent verbal and written communication skills and professional presentation.