Jobs · Finance · California

Workers Comp Senior Claims Consultant

Acrisure · Santa Rosa, CA · 1 wk ago
Finance$115k–$162k/yrFull-time

About the role

Acrisure is a global fintech leader that connects clients with customized solutions across various insurance, reinsurance, payroll, benefits, cybersecurity, and mortgage services. In the past twelve years, Acrisure has grown significantly, reaching revenues of almost $5 billion and employing over 19,000 colleagues worldwide.

Responsibilities

  • Manage and resolve Middle-Market to Large Commercial client workers' compensation claims, communicating regularly with parties such as the insurance adjuster, client, defense attorney, and outside consultant.
  • Gather facts, review coverage, and analyze estimates to resolve coverage disputes favorably for clients.
  • Evaluate claims for reserve or settlement purposes.
  • Prepare stewardship reports for the client, Client Advisor, and Account Executive on an agreed-upon schedule.
  • Provide recommendations or guidance to the Client Advisor or Account Manager on claims for clients generating less than $10,000 in annual commercial revenue.
  • Back-up other Claim Consultants as needed, especially those managing Workers' Compensation claims for Middle Market and Large Commercial clients.
  • Strategically manage existing open WC claims, documenting all activity in Epic, maintaining ongoing contact with relevant parties, and providing updates/reports as needed.
  • Assist the Account Executive and Client Advisor in resolving coverage questions, identifying and reporting frequency or severity trends, and developing risk management techniques to reduce future insurance costs.
  • Communicate courteously and professionally with all parties involved in the claim process, responding within 1 business day to all inquiries and maintaining good relationships with adjusters and clients.
  • Conduct regular and timely follow-up contact with adjusters, clients, and others involved in the claim, and regularly review and monitor open WC claims.
  • Enter and maintain data in Epic (Agency Management Software) including email, phone contacts, and client stewardship reports.
  • Contact clients as requested or agreed upon, and handle all P&C claims-related mail, informing the Client Advisor and/or Account Executive when necessary.
  • Review and coordinate with the Client Advisor and/or Account Executive regarding coverage concerns and new claims, and ensure prompt resolution.
  • Support the mission and vision of the Agency and the Claim and Risk Management Team, adhering to all policies, procedures, and workflow processes.
  • Complete continuing education requirements to maintain P&C licenses and other designations.
  • Perform other activities or tasks as requested.

Requirements

  • 5 years of experience in Insurance, P&C
  • 3 years in brokerage preferred, not required
  • 3 years or more of claims management experience
  • Active P&C license, or ability to successfully complete training and pass licensing test within 12 months of hire
  • High-school diploma, or equivalent (College degree, a plus)
  • Superior organizational and time management skills
  • Excellent oral and written communication skills
  • 3 years or more customer-oriented service experience
  • Good judgment/decision-making ability
  • Good problem-solving skills
  • Ability to work independently and as part of a team
  • Prioritization skills & ability to work on multiple tasks, as needed
  • Attention to detail
  • Intermediate or above computer skills (utilizing Microsoft Word, Excel, Outlook, PowerPoint, and Agency Management software)
  • Intermediate skills or above navigating the internet

Pay

The base compensation range for this position is $115,000 - $162,000. Placement within the range will be based on a variety of factors, including but not limited to skills, experience, qualifications, location, and internal equity. Candidates should be comfortable with an on-site presence to support collaboration, team leadership, and cross-functional partnership.

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