CL SR Claims Consultant

USI Holdings Corporation • $105K — $130K *

Warwick, RI 02886In-Person

Finance & Insurance

8 - 10 years of experience

Today

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Job Overview by Ladders

Qualifications

8+ years in a claims adjusting role for a Commercial Lines Carrier or 10-15 years in a Commercial Lines agency
Bachelor's degree strongly preferred
Property & Casualty license preferred
Detailed understanding of multiple lines of commercial coverage
Expertise in Microsoft Office and internet-based programs
Strong negotiation and data interpretation skills
Excellent written and verbal communication skills, capable of engaging C-suite executives

Responsibilities

Conduct claim reviews and monitor financial impacts for clients
Negotiate special account instructions with carriers
Analyze loss trends and tailor service plans to mitigate claims
Advocate for clients on claim denials and coverage negotiations
Assist clients with evaluation and reporting of complex claims
Review reserving accuracy on specific claims
Develop action plans for high-exposure claims
Provide guidance on litigation and medical management solutions
Collaborate with risk control and analytics teams to identify loss trends
Contribute insights during team meetings
Navigate clients through complex claims scenarios

Benefits

Hybrid work model with office presence 1-2 days per week
Opportunity to work with complex Commercial Lines clients
Engagement in high-level negotiations and advocacy
Access to a collaborative team environment
Professional development opportunities in claims management

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Full Job Description

Description and Requirements

***THIS IS A HYBRID POSITION. ANY PROSPECTIVE CANDIDATE MUST BE OKAY WITH GOING INTO ONE OF OUR OFFICES IDEALLY 1-2 DAYS PER WEEK. WE ARE TARGETING CANDIDATES IN THE NEW ENGLAND REGION AS WELL AS UPSTATE NEW YORK***

***THIS IS NOT AN ADJUSTER POSITION; WE ARE LOOKING FOR A CLAIMS PROFESSIONAL WHO WILL SERVE AS THE LIAISON BETWEEN THE CLIENTS AND CARRIERS WHEN THERE IS A PROBLEMATIC CLAIM. EXPERIENCE IN ONE OR MORE LINES OF CLAIMS IS IDEAL, I.E. PROPERTY, LIABILITY, WORKERS' COMPENSATION, AUTO***

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 claim adjusting role for a Commercial Lines Carrier ideal OR 10-15 years in a Commercial Lines agency.
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 auto and GL). 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.

#LI-NM2

$105,000 - $130,000

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About USI Holdings Corporation

USI is a leading insurance brokerage and consulting firm, delivering property and casualty, employee benefits, personal risk, program and retirement solutions throughout the United States. Headquartered in Valhalla, New York, USI has over 200 offices across the United States. USI combines industry-leading national capabilities delivered through longstanding, passionate and committed local service teams. USI stands for Understand, Service and Innovate. At USI, we work to Understand the specific needs of our clients, to provide an unparalleled local Service experience, and to Innovate with cutting-edge solutions so our clients can continue to invest and grow.

Learn more about USI Holdings Corporation

Size

4,800 employees

Industry

Finance & Insurance

Founded

1994

* Ladders Estimates

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