Senior Claims Consultant
- Collaborate with the Claims Manager to develop performance and service standards, and assist in implementing and monitoring claims management plans.
- Prepare management reports to track performance and outcomes.
- Mentor junior claims professionals and participate in ongoing training under the Director of Risk Management Services.
- Review claim documentation for coverage accuracy and maintain updates in EPIC.
- Handle complex inquiries from insureds, third-party claimants, and colleagues, ensuring timely and effective resolutions.
- Prepare detailed loss summaries and assist in creating specialized claims service plans for VIP clients.
- Analyze loss details, financial impacts, and reserve trends, including workers' compensation reserve analysis.
- Stay current on legislative and regulatory changes impacting claims advocacy and educate clients and colleagues accordingly.
- Conduct field inspections, client claim reviews, and liaise between clients and carriers to resolve issues and establish special handling instructions.
- Support producers with claims enrolled in workers' compensation programs, including reviewing NCCI Worksheets and Mod-Master reports.
- Maintain agency claims logs, large loss reports, and litigated claims reports.
- Deliver claims training seminars and participate in professional development to maintain licenses and certifications.
- 10+ years of experience in casualty claims
- Bachelor's degree in business, accounting, or marketing preferred.
- Professional insurance-related designations highly desirable.
- Ability to obtain required state insurance licenses and adjuster's license within one year.
- Strong analytical, negotiation, and problem-solving skills.
- Proficiency in Microsoft Office and agency management systems.
- Excellent communication and interpersonal skills with the ability to work in a fast-paced environment.
FAQs
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