Claims Consultant - Commercial Lines jobs in United States
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USI Insurance Services · 22 hours ago

Claims Consultant - Commercial Lines

USI Insurance Services is one of the largest insurance brokerage and consulting firms in the world. They are seeking a Claims Consultant to provide claim advocacy and consulting services for Commercial Lines clients, focusing on monitoring financial impacts, negotiating with carriers, and developing tailored claim service plans.

Commercial InsuranceConsultingEmployee BenefitsFinancial ServicesHealth InsuranceInsuranceRisk Management
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Growth Opportunities

Responsibilities

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 and tailor claim 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
Assist 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

Qualification

Property & Casualty coverageClaims management solutionsMulti-Lines ExpertiseLicensed AdjusterDetailed Policy ReviewCAT / Complex Claim ExperienceProblem SolvingRMISEffective communicationTeam collaborationNegotiation skills

Required

Provide claim advocacy and consulting services for Commercial Lines clients
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 and tailor claim 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
Assist 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
Possess an advanced understanding of one or more Property & Casualty coverage line (WC / Auto / GL / PD)
Minimum 10 Years direct claims experience
Comfortable with internet-based programs and proficient in Microsoft Office products
Effective written and verbal communication skills
Ability to work well in a team environment
Multi-Lines Expertise = WC-EL / AL-APD / GL / PD-BI-EE-B&M
Ability to submit FNOL on required lines, when appropriate
Detailed Policy Review and Analysis
CAT / Complex Claim Experience
Carrier ROR / Denial Letter Response
Interface with Clients / Adjusters / Surveyors / TPA's / Forensic Accountants / Attorneys / Carriers to progress and settle claims
Coordinate, Prepare & Conduct Claim Reviews with Client Representatives and Third-Party Providers
Perform TPA periodic evaluation, with contract review to optimize services to Client
Ability to evaluate Texas Non-Subscriber / Occupational Accident / Workers' Compensation programs to advise Clients on best program to be implemented for their specific needs
Familiarity with usage and application of RMIS for Client applications
Proven Track Record with Broker / TPA / Independent Adjuster / Carrier or combination
Solid and Supported Industry Reputation
Strong Problem Solving / Communication / Negotiation Skills
Ability to work in a Producer / Account Service Team / Collaborative Claims Team Environment

Preferred

Licensed Adjuster preferred
Property & Casualty license preferred
Bachelor's degree preferred

Benefits

Medical
Wellness
Dental
Vision
401(k)
Flexible spending and health savings accounts
Short and long-term disability
Life insurance
Generous paid time off policy
Paid family leave benefit
Paid holiday time

Company

USI Insurance Services

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USI Insurance Services is an insurance brokerage and consulting firm that delivers diversified insurance and financial services.

Funding

Current Stage
Late Stage
Total Funding
$1B
Key Investors
Kohlberg Kravis Roberts
2023-09-11Private Equity· $1B
2017-03-17Secondary Market
2017-03-17Acquired

Leadership Team

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Stew Gibson
Senior Vice President and Chief Information Officer
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Dave Petno
Vice President, Employee Benefits Consultant
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Company data provided by crunchbase