The Sr Claims Consultant is considered an expert in managing insurance claims on an individual and portfolio level for our clients, and is utilized as a trainer, mentor with their technical expertise. The Sr Claims Consultant must be able to work with minimal oversight, have technical knowledge and experience in insurance claims handling and risk mitigation techniques. The ability to develop relationships and effectively communicate with a diverse range of clients, carriers and colleagues is a key success factor in this role. Strategic vision coupled with tactical execution of risk mitigation plans that drive favorable client Cost of Risk results is also critical to the overall success of this position
PRIMARY RESPONSIBILITIES:
Worker Compensation Claim Management.
Casualty & General Liability Claim Management.
Property Claim Management.
Claims Analysis & Loss Trend Reporting.
Works with insurance company partners and clients in establishing claims protocols that ensure proper reporting, notification, settlement authorities etc.
Schedules and conducts claim reviews with clients and insurance company partners ensuring proper claims handling, reserve standards and settlement protocols.
Act as a claims advocate and liaison for clients interested in mitigating claims costs.
Regularly reviews individual claims within client portfolios and keeps reserves and records up-to-date and according to industry best practices.
Serves as a mentor to colleagues as requested.
Develops an understanding of marketing strategies and contributes to business development and renewal opportunities by attending client meetings to explain the firms approach to claims mitigation and resolution.
Remains well-informed of industry trends and best practices with regards to claims management, claims/outcomes, legal and regulatory changes, etc.
Provides summaries of claims reviews, activities, etc. to appropriate Advisors, Director of Risk Mitigation and other colleagues and clients as necessary.
KNOWLEDGE, SKILLS & ABILITIES:
Analyzing trends, determining courses of action and presenting solutions is an important component of this role.
Ability to motivate and influence colleagues and clients; the role of teacher, trainer, and mentor cannot be overemphasized.
Works as part of a team of professionals and builds relationships with other firm business segments.
Communicates verbally and in writing to all levels of the firm and to a diverse group of clients.
Presents solutions, value propositions and risk mitigation strategies to colleagues, clients and prospects.
Utilizes industry best practices to develop claims management strategies and services that serve a broad spectrum of clients within multiple industries.
Reads and interprets documents such as profit and loss statements, safety rules, operating instructions, and procedure manuals.
Writes routine reports and correspondence.
Speaks effectively to groups of customers or colleagues of an organization.
Knowledge and understanding of the Spanish language, a plus.
Applies common sense understanding to carry out instructions furnished in written, verbal, or diagram form. Can deal with problems that involve several variables in standardized situations.
Strong computer skills including Microsoft Excel and Word.
Demonstrates the organization's core values, exuding behavior that is aligned with the firm's culture.
EDUCATION & EXPERIENCE:
AIC/SCLA/CPCU/ARM/LPC certification, professional designations are desired.
EXPERIENCE:
At least 7 years of experience desired within a client/customer facing or support role in the insurance industry is preferred.
7+ years' experience in claims
Combine years experience
Must have Property & Casualty Insurance License or be willing to obtain any state required license within a specified time frame of starting employment with the firm."
OTHER:
Fast paced, multi-tasking environment.
Travel may be required.
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IMPORTANT NOTICE:
This position description is intended to describe the level of work required of the person performing in the role and is not a contract. The essential responsibilities are outlined; other duties may be assigned as needs arise or as required to support the organization. All requirements may be subject to reasonable accommodation to applicants and colleagues who need them for medical or religious reasons.
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The Baldwin Group will not accept unsolicited resumes from any source other than directly from a candidate who applies on our career site. Any unsolicited resumes sent to The Baldwin Group, including unsolicited resumes sent via any source from an Agency, will not be considered and are not subject to any fees for any placement resulting from the receipt of an unsolicited resume.
