Claims Specialist - Commercial Lines

General Description: Manage claim administration functions for clients of the business.

Responsibilities:

• Conducts claim reviews and negotiates with carriers for claim services.
• Advanced understanding of at least two lines of coverage relative to claims management strategies, resolution techniques & coverage forms ( generally WC & Liability)
• Ability to use carrier / TPA claims management systems to generate reports that provide loss information and some level of trends / analytics.
• Ability to identify client issues, build a plan towards resolution, execute and manage internal and external expectations effectively.
• Understanding of loss ratios and general understanding of loss impact on premium.
• Higher-level technical administrative ability with use of Microsoft Suite, ability to produce user friendly documents through internal resources.
• Strength in communication internally and with clients at various levels within the client organization.
• Plan and organize workflow and meetings with clients in an independent manner.
• Responsible for claim advocacy and negotiation, including claim denial review, reservation of rights review, and claim reporting.
• Analyzes claims based on a best practice outline and partners with other members of the technical resource team.
• Responsible to assist members of the USI team with "Close" and "Keep".

Knowledge, Skills and Abilities:

• Superior written and oral communication skills.
• Ability to work well in a team environment.
• Must have strong analytical thinking and problem-solving skills.
• Strong organizational skills required.
• Strong negotiation skills required.
• Ideal candidate will have a minimum of three to five year of claims administration experience.
• College degree preferred but high school diploma or graduate equivalent degree required.
• Proficient-to-expert in MS Office suite of products.