Jobs · Finance · California

Workers Comp Senior Claims Consultant

Acrisure · Costa Mesa, 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. With a revenue growth from $38 million to nearly $5 billion in just twelve years and over 19,000 colleagues worldwide, Acrisure fosters an entrepreneurial environment prioritizing leadership, accountability, and collaboration.

Responsibilities

  • Manage and resolve Middle-Market to Large Commercial client workers' compensation claims, communicating regularly with parties including 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 commercial revenue annually.
  • 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 the insurance adjuster, client contacts, defense attorney, and others involved in the claim.
  • 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 with adjusters, clients, and others involved in the claim, responding within 1 business day to all inquiries and providing updates as needed.
  • Regularly review and monitor open WC claims, maintaining a record of status and related data until resolution.
  • Enter and maintain data in Epic (Agency Management Software) including email, phone contacts, and client stewardship reports.
  • Contact clients as requested or agreed upon, handling all P&C claims-related mail and informing the Client Advisor or Account Executive when necessary.
  • Review account policy information to confirm coverage and coordinate with the Client Advisor and Account Executive if there are any coverage concerns.
  • Work with carriers and clients to ensure claims are resolved promptly and fairly.
  • Develop and foster good working relationships with adjusters and clients by responding within 1 business day to all inquiries, anticipating needs, and expressing gratitude for their help, cooperation, and time.
  • Provide stewardship reports on assigned clients as requested by the Marketing team, Client Advisor, or Account Executive to assist in renewal marketing or renewal presentations.
  • Support the mission and vision of the Agency as a whole and specifically of the Claim and Risk Management Team.
  • Complete Continuing Education requirements to maintain P&C license 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
  • Exercise good judgment/decision making ability
  • Possess good problem-solving skills
  • Work independently, as well as part of a team
  • Prioritize tasks and work on multiple projects simultaneously
  • Active listening and the ability to respond to questions, concerns, or implement a solution
  • 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. This range reflects Acrisure's good faith estimate at the time of this posting. 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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