Commercial Claims Leader

About The Job

The Commercial Claims Leader will work closely with internal and external clients to provide best in class claims consulting by leading a high-performing, engaged, technically proficient, and solution-oriented team.

Essential Functions

• Claims Function Leadership
  • Responsible for all aspects of hiring, training, mentoring, and professional development of direct reports.
  • Maintain a high performing, engaged, and collaborative team.
  • Manage workloads, capacity and account assignments.
  • Develop and continuous improvement of internal claim processes and deliverables by evaluating efficiency, iterating solutions and adapting to new platforms or resources.
  • Collaborate with internal teams to prepare and participate in RFP and new business opportunities.

Client Delivery

• Advanced experience and technical expertise with a variety of coverages and policy forms.
• Ability to quickly analyze and grasp policy language, identifying key and relevant terms, and ensuring proper coverage application.
• Ability to use this skill to negotiate coverage claim disputes with carriers and serve as the team resource.
• Develop and maintain productive relationships with key Carrier staff.
• Attend Carrier functions, promote optimum utilization of Carrier websites.
• Serve as dedicated Claim Consultant for key clients requiring advanced advocacy.
• Monitor preparation of WC Claim Kits and ensure the Claim Contacts are kept up to date for reference.
• Collaborate and provide recommendations in a clear and concise manner to internal customers to establish buy-in and influence client-specific strategy.
• Establish and monitor claim resolution strategies including financial targets and reserve adequacy.

Capability Development

• Provides strategic insight to develop new and iterative capabilities to influence client’s loss performance and cost of risk.
• Develops and introduces new capabilities with the Claims Department team and the overall consulting team.
• Advocates for and allocates resources to the development and deployment of capabilities.
• Participates in industry groups, including CIAB and Assurex, to develop and maintain industry insight.