5+ years in claims administration for Commercial Lines Agency or related field
Bachelor's degree strongly preferred
Property & Casualty license preferred
Expertise in multiple lines of commercial coverage, with claims expertise in at least one
Strong understanding of loss forecasting and reserve analysis
Exceptional negotiation and data interpretation skills
Strong written and verbal communication skills, capable of engaging C-suite executives
Responsibilities
Conduct claim reviews and monitor financial impacts for clients
Negotiate with carriers to create tailored account instructions
Advocate for clients on claim denials and optimal coverage positions
Assist clients in evaluating and reporting complex claims
Review reserving accuracy on specific claims
Develop action plans for high-exposure claims resolution
Provide guidance on litigation and medical management solutions
Benefits
Collaborative team environment focused on long-term client success
Opportunity to work with complex commercial clients
Access to advanced claims management solutions
Engagement in strategic discussions and insights during team meetings
Hybrid work model offering flexibility
Full Job Description
Description and Requirements
Commercial Lines Senior Claims Consultant
This role offers the opportunity to serve as a trusted advisor to complex commercial clients, partnering closely with producers, account managers, carriers, and clients to deliver strategic claims guidance and advocacy. Beyond claim resolution, this position plays an integral role in analyzing loss trends, identifying opportunities to reduce total cost of risk, and contributing to a collaborative team approach focused on long-term client success.
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:
5+ years in a claims administration role for a Commercial Lines Agency, TPA or other related field.
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.
#LI-JN1
#LI-hybrid
$113,000. - $126,000.00
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.
