Commercial Lines Sr Claims Consultant

General Description:  Provide claims advocacy and consulting services for USI’s most complex Commercial Lines clients.

Responsibilities:

• 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.
• 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.
• ·        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:

• ·        8+ years in a claims administration role for a Commercial Lines agency required.
• ·        Bachelor’s degree strongly preferred.
• ·        Property & Casualty license preferred.
• ·        Detailed understanding of multiple lines of commercial lines coverage (generally workers compensation, liability and property or marine & energy). Claims expertise in at least one line.
• ·        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.