Senior Claims Consultant – IAS

🔥 0 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $110k / year

⏰ Full Time

🟠 Senior

💼 Consultant

👻 Ghost score 0%

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The Baldwin Group

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

💼 Consulting

🏥 Healthcare

⚖️ Legal

💰 $170M Post IPO debt on 2023-10

Consulting • Healthcare • Legal

The Baldwin Group is a national advisory firm specializing in risk management and insurance brokerage, offering comprehensive solutions for businesses and individuals. It provides commercial insurance, employee benefits, retirement consulting, private risk and wealth management services, plus specialty offerings like reinsurance and MGAs, tailoring strategies to protect assets and support growth. The firm emphasizes collaboration, market insights, and customized plans for companies across industries as well as high-net-worth individuals.

📋 Description

• Serve as the primary workers' compensation claims consultant for a designated book of business • Advocate on behalf of clients with carriers, TPAs, defense counsel, and medical management vendors to drive favorable claim outcomes • Conduct claim file reviews and identify opportunities to reduce claim duration, improve reserve accuracy, and control total cost of risk • Monitor large-loss, catastrophic, and complex workers' compensation claims • Participate in claim strategy meetings and provide recommendations regarding return-to-work initiatives, litigation management, settlement opportunities, and claim resolution • Develop strong relationships with clients and become a trusted advisor on workers' compensation claim trends and best practices • Lead client claim review meetings and stewardship presentations • Interpret claims data and prepare executive-level reports and recommendations • Support client retention and growth initiatives through exceptional service and thought leadership • Collaborate with producers, account executives, and service teams to support new business and existing client opportunities • Analyze loss trends, reserve practices, and claim outcomes • Identify emerging claim trends and risk exposures impacting client programs • Partner with loss control and identify claim management strategies designed to reduce costs and improve program performance • Maintain a current understanding of workers' compensation laws, regulations, and industry trends • Provide technical guidance and mentoring to junior claims consultants and service team members • Stay informed regarding carrier claim practices, medical cost containment initiatives, and claim management best practices

🎯 Requirements

• Bachelor's degree or equivalent combination of education and experience • 7+ years of workers' compensation claims handling, claims consulting, brokerage claims advocacy, TPA management, or carrier claims experience • Expertise in California workers' compensation claims with strong working knowledge of multi-state workers' compensation programs • Advanced knowledge of workers' compensation claims administration and litigation management • Experience reviewing reserves, claim strategies, medical management programs, and complex claim exposures • Strong presentation, negotiation, and communication skills • Proficiency with claims analytics and reporting tools • Ability to manage multiple priorities while maintaining exceptional client service • Experience working for an insurance brokerage, insurance carrier, self-insured employer, or third-party administrator • Professional designations desired such as WCCA, WCCP, ARM, AIC, CPCU • Experience preparing and delivering executive-level stewardship presentations • AI knowledge and experience • Travel may be required