Senior Associate - Claims Management

Willis Towers Watson   •  

Addison, TX

Industry: Professional, Scientific & Technical Services

  •  

11 - 15 years

Posted 82 days ago

This job is no longer available.

JOB DESCRIPTION

The Senior Claims Specialist is responsible for timely and professional assistance and support including analysis, reporting and advocacy of current, future or potential claims. This position acts as an advocate and claims specialist and maintains positive relations with co-workers, claimants, producers, Account Executives, Account Managers, and carriers. If you’re looking to join a growing organization with unlimited growth potential, t this may be the perfect opportunity for you!    
The Role 
Corporate Risk & Broking
We know how companies can unlock potential through effective risk management. Our clients rely on us to craft strategies to quantify, mitigate and transfer risk, taking advantage of our specialist industry experience and unparalleled market know-how. The result is a new way of embracing risk that drives superior results. The Responsibilities

  • Helps develop and execute the strategies for large accounts to help identify coverage based on applicable policies, manage claims and overall programs in conjunction with WTW safety and service teams
  • Handles complaints, arbitrates disputes and negotiates alternative solutions
  • Consults with clients to help mitigate their risk
  • Support new business with sales presentations and RFP
  • Monitor the performance of trading partner’s services for your clients
  • Ensure appropriate program design and documentation – service scope aligns
  • Directly handles clients as primary consultant including complex consulting and strategy
  • Maintain direct relationships with key clients
  • Manage the appropriate level of resources for your clients
  • Participate in strategic large client meetings as required

The Requirements

  • 10+ years claimsexperience in worker’s compensation and defense base act.
  • High School diploma and college degreerequired
  • Ability to create the most complex and successful strategies for risk mitigation
  • Knowledge of claim handling & claim adjudication processes and procedures
  • Understand medical case management and cost containment programs
  • Knowledge of laws, legal codes, procedures and processes involving insurance
  • Understand company products, services, global network, and industry practices
  • Understand the basic process and value of basic data analytics and benchmarking
  • Ability to communicate technical information orally and in writing 
  • Ability to analyze and provide concise conclusions
  • Project management skills
  • Time management skills.