Claims Consultant

🕒 il y a 1 mois

🇺🇸 États-Unis – Télétravail

💵 $100 000 - $130 000 / an

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

💼 Consultant

🗣️🇺🇸🇬🇧 Anglais requis

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Logo of Risk Strategies Company

Risk Strategies Company

5001 - 10000 employés

💼 Conseil

📦 Logistique

🏥 Santé

Consulting • Logistics • Healthcare

Risk Strategies Company est un courtier en assurances et une société de gestion des risques complète. Elle offre une large gamme de services, y compris l'assurance commerciale, les avantages sociaux pour les employés, l'assurance pour les clients privés et des solutions de gestion des risques spécialisées adaptées aux besoins uniques des entreprises et des particuliers. Avec une expertise dans divers secteurs, Risk Strategies propose des solutions innovantes et personnalisées pour atténuer les risques et optimiser la couverture. Leur approche centrée sur le client garantit un service personnalisé et un soutien dédié, faisant d'eux un partenaire de confiance dans la gestion des risques et le développement de la résilience.

Description

• Act as the primary claims liaison for assigned clients across multiple lines of coverage (e.g., casualty, property, workers’ compensation, professional liability) • Provide strategic guidance on claim reporting, claim development, settlement strategy, and resolution • Advocate for clients in complex, high‑severity, or disputed claims to achieve optimal outcomes • Ensure insurers, TPAs, and defense counsel adhere to best practices, service standards, and policy obligations • Analyze claim trends, loss drivers, and reserve adequacy; prepare recommendations to reduce total cost of risk • Conduct claims reviews and stewardship meetings with carriers and TPAs • Support renewal and placement efforts with claims insights, loss narratives, and benchmarking • Assist with coverage interpretation, claims negotiations, and escalation of issues when necessary • Manage/coordinate fee for service consulting projects • Partner closely with producers, account executives, and risk management teams to align claims strategies with overall client goals • Prepare and present claims reports, dashboards, and client‑facing summaries • Educate clients on claims processes, coverage considerations, and emerging claims issues

🎯 Exigences

• Bachelor’s degree or equivalent professional experience • 5+ years of experience in claims management, brokerage claims consulting, carrier claims, TPA, or related roles • Experience handling complex or large‑loss claims strongly preferred • Deep understanding of insurance policy language and claims processes • Strong analytical, problem‑solving, and negotiation skills • Excellent written and verbal communication; able to present confidently to senior client stakeholders • High level of professionalism, discretion, and client‑service orientation • Ability to manage multiple priorities in a fast‑paced, consultative environment • Adjuster license (as applicable) • Industry designations such as CPCU, ARM, AIC, SCLA, or similar

🏖️ Avantages

• Health insurance • 401(k) matching • Paid time off • Professional development opportunities

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