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Commercial Lines Claims Consultant
Location:
TX - Houston
Apply nowGeneral Description: Provide claim advocacy and claim consulting services for Commercial Lines Clients.
Responsibilities:
- Monitor and measure financial impact of USI reviews and communicate results to Client.
- Dialogue / negotiate with Carriers to develop special account handling 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 P&C Analytics / Placement Team to identify loss trends and develop a comprehensive program focused on reducing Total Cost Of Risk (TCOR).
- Contribute insights and Client solutions in USI Team huddle meetings.
Knowledge, Skills and Abilities:
- Possess an advanced understanding of at least one Property & Casualty coverage line (WC / Auto / GL / and / or PD).
- Licensed Adjuster (preferred, but not required).
- Property & Casualty license preferred.
- Bachelor’s degree strongly preferred.
- 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.
- Desired Additional Lines = Med-Mal / Cargo-STP / Inland Marine / Jones Act / USL&H / OCSLA / DOTHSA / M&E (as may be available).
- 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 (prefer no Attorneys).
- Solid and Supported Industry Reputation.
- Strong Problem Solving / Communication / Negotiation Skills.
- Ability to work in a Producer / Account Service Team / Collaborative Claims Team Environment.
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Why USI?
With more than $2.7 billion in revenue and over 10,000 associates across approximately 200 offices nationwide, USI is one of the largest insurance brokerage and consulting firms in the world. At USI, we have created one of the most dynamic personal and professional development cultures in the industry. We invest heavily in our associates, and we take pride in celebrating their growth and success through our one-of-a-kind employee reward and recognition programs.
Unrivaled Resources and Support
What truly distinguishes USI as a premier insurance brokerage and consulting firm is the USI ONE Advantage®, a game-changing value proposition that delivers to clients a robust set of risk management and benefit solutions with bottom-line financial impact. USI ONE® represents Omni, Network, Enterprise—the three key elements that set USI apart from the competition. Through USI ONE, we develop strategic, timely, and effective risk management and benefit programs in terms that are easy to understand, and we demonstrate how the solutions can have a positive economic impact.
Industry-Leading Programs, Rewards, and Recognition
In addition to competitive pay, incentives, and benefits, USI recognizes associates through our Summit Awards program, rewarding excellence in those who build our brand each day. USI offers employee programs that recognize outstanding achievement and help our associates lead healthy, productive lives. We turn care into action with our award-winning wellness program, college scholarships for associates' children, and financial help in times of need.
Deep Community Engagement
We are committed to giving back to our local communities and supporting a culture of environmental sustainability. From sharing our time, talent, and resources to support local non-profit organizations, animal shelters, and environmental beautification and restoration projects – to partnering with eco-conscious vendors and taking steps to reduce our own environmental footprint – we’re working together as ONE to build a better future.
Committed to a Diverse, Equitable, and Inclusive Workplace
Our award-winning I’m With U diversity, equity, and inclusion program educates our associates to help them better understand and serve our clients, prospects, fellow team members, and local communities through curated education and training resources, employee support programs, and community outreach initiatives to build a more diverse, equitable, and inclusive culture.
Nationally Recognized as a Top Insurance Employer
- 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.
Job ID:
28754