Jobs · West Virginia

Commercial Lines Senior Claims Consultant

USI Insurance Services · Charleston, WV · 1 wk ago
HybridFull-time

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.
  • Aid 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 claims administration role for a Commercial Lines agency required.
  • 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 marine & energy).
  • 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.

Qualifications

Knowledge, Skills And Abilities:

  • 8+ years in a claims administration role for a Commercial Lines agency required.
  • 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 marine & energy).
  • 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.

Skills

  • Claims administration.
  • Commercial Lines coverage.
  • Loss forecasting.
  • Reserve analysis.
  • Collateral management.
  • Business negotiation.
  • Data interpretation.
  • Microsoft Office products.

Benefits

  • Medical, wellness, dental and vision insurance.
  • 401(k) plan.
  • Flexible spending and health savings accounts.
  • Short and long-term disability insurance.
  • Life insurance.
  • Unique employer-sponsored and voluntary programs.
  • Generous paid time off policy.
  • Paid family leave benefit.
  • Paid holiday time.

Pay

Compensation is commensurate with experience.

Schedule

This position offers a hybrid opportunity with the employee working part-time from their home office and part-time in either our Charleston, WV office, Pittsburgh office or Erie office. This position requires onsite meetings with USI clients.

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