Claims Consultant

Job not on LinkedIn

🔥 2 minutes ago

🌽 Illinois, Iowa, +4 more states – Remote

🌽 Illinois – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🌾 Nebraska – Remote 🏰 Missouri – Remote 🎸 Tennessee – Remote

⏰ Full Time

🟠 Senior

🔴 Lead

💼 Consultant

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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MEM

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1995

🛡️ Insurance

Insurance

MEM is an insurance provider (insurer) that operates online portals for policyholders and agents and offers claims filing and management services. The company’s site references features such as “File a Claim,” agent and policyholder logins, programs and safety grants, and guidance for injured parties, indicating a focus on claims administration, risk mitigation programs, and agent/policyholder services.

📋 Description

• Provide technical oversight and strategic direction on complex and high-exposure workers’ compensation claims • Ensure appropriate investigations, reserving, evaluation, litigation management, and settlement strategies • Conduct monthly Plan of Action meetings and claim reviews for high-exposure claims generally exceeding $500,000 in exposure • Investigate, manage, and resolve complex coverage matters, including questionable coverage claims, potential no-coverage scenarios, Employers Liability claims, and related litigation • Partner with claims leadership and coverage counsel on coverage disputes and litigation matters • Conduct comprehensive claim reviews and provide recommendations for effective resolution and favorable outcomes • Lead CARE Reviews (Claims Audits) to evaluate claim quality, identify best practices, monitor operational performance, and uncover improvement opportunities • Analyze audit findings and operational trends and provide actionable feedback to claims leadership • Deliver coaching, mentoring, and technical guidance to field claims professionals and managers • Support development and delivery of training programs for claims personnel • Provide technical oversight and consultation on Argonaut Insurance claim activities, including reviews, reserve evaluations, settlement authority reviews, audits, and special projects • Research emerging claim issues and develop jurisdiction-specific training and resources for expansion into new states and markets • Conduct Burn Rate Reviews of open, high-exposure claims • Collaborate with senior claims leadership to develop and maintain claims policies, procedures, and operational best practices • Prepare reports, analyses, and recommendations for claims leadership • Manage multiple projects, assignments, and deadlines in a fast-paced environment

🎯 Requirements

• Bachelor's degree in Business, Insurance, Risk Management, or a related field preferred • AIC (Associate in Claims) designation preferred • SCLA (Senior Claims Law Associate) designation preferred • CSRP (Certified Subrogation Recovery Professional) designation preferred • Claims Adjusting License preferred • Ten or more years of progressively responsible claims experience, including significant workers’ compensation and commercial liability claims experience • Extensive experience managing complex litigation and high-exposure claims strongly preferred • Demonstrated experience providing guidance, consultation, or leadership to claims professionals and management teams

🏖️ Benefits

• Medical, Dental, and Vision health plans, including fertility benefits, fully paid preventative care, and adult orthodontia • Employer-paid life insurance (3x base salary), AD&D, and short- and long-term disability • Employer-paid wellness and recognition incentives for employees and spouses • Flexible Spending Account and Dependent Care options • Health Savings Account with generous employer contribution • Generous PTO • 11 holidays plus 4 early releases • 16 hours Volunteer Time Off • 20 days paid parental leave • Marriage, bereavement, and jury duty leave • Employee Assistance Programs • 401(k) retirement plan with employer match and profit sharing • Adoption assistance • Tuition assistance