CL Sr. Claims Consultant
Location:
CT - Glastonbury, CT - Norwalk, MA - Braintree, MA - Chicopee, MA - Needham, MA - Woburn, NH - Bedford, NY - Clifton Park, NY - Rochester, NY - Syracuse
Apply nowGeneral Description: Provide claims advocacy and consulting services for USI’s most complex Commercial Lines clients.
Responsibilities:
- Advocate on behalf of clients on claim denials, reservation of rights, negotiating optimal coverage position.
- 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.
- 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.
- In partnership with Complex Claim Team Leader, 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.
Knowledge, Skills and Abilities:
- 15+ years in a claims administration role for a Commercial Lines agency or carrier.
- Bachelor’s degree strongly preferred.
- Property & Casualty license preferred.
- Detailed experience in one or more lines of commercial coverage (workers compensation, liability and property, marine & energy, Specialty lines, etc.).
- 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.
- Recognized as one of Insurance Business America’s Top Insurance Employers for the seventh consecutive year (2018-2024).
- Named to Business Insurance’s annual list of the Best Places to Work in Insurance five years in a row (2020-2024).
- Named to Fortune’s 2024 Best Workplaces in Financial Services & Insurance list.
- Honored by Glassdoor as a Best-Led Company in the U.S. in 2024.
- Recognized by Newsweek as one of America’s Greatest Workplaces for Diversity in 2024
Visit our Awards and Accolades page for a complete list of our latest industry awards and recognitions!
USI is committed to providing a full-suite of competitive benefits for our growing population and its diverse needs. We offer a wide range of health, welfare and financial benefits including medical, wellness, dental and vision, 401(k), flexible spending and health savings accounts, short and long-term disability, life insurance and other unique employer-sponsored and voluntary programs. USI also offers a generous paid time off policy, paid family leave benefit as well as paid holiday time.
$110,000-$114,000 |
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