WC Claims Consultant

Alera Group

$80K — $110K *
Finance & Insurance
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Strong attention to detail and dependability in task execution.
  • Proficiency in Sagitta, ImageRight, and MS Office suite (Word, Excel, Outlook, PowerPoint).
  • Excellent communication skills, both oral and written, including public speaking.
  • Washington and/or Oregon Agent's License with 5+ years in multiline and WC claims.
  • Expertise in complex loss analysis and commitment to ongoing education in insurance.

Responsibilities

  • Serve as an advocate and liaison for clients, carriers, and adjusters.
  • Prepare and present claim reviews and risk analyses as needed.
  • Research solutions for coverage issues and negotiate on clients' behalf.
  • Collaborate with Sales Executives in client and prospect presentations.
  • Maintain documentation and diary for key claims in Sagitta and ImageRight.
  • Act as back-up for team members in the WC Claims Department.
  • Assist clients in enhancing their return-to-work initiatives and provide claims management training.

Benefits

  • Comprehensive medical and dental insurance.
  • Life and disability insurance.
  • 401k retirement plan.
  • Generous paid time off policy.
Full Job Description
RESPONSIBILITIES

  • Contact with clients, carrier and TPA claims adjusters, internal customers, and vendors on regular basis to serve as advocate, liaison, mediator, resource & problem solver.
  • Prepare, coordinate & present Claim Reviews, Risk Analysis, Status Spreadsheets and other Claim meetings as requested.
  • When coverage issues arise, will research potential solutions through a review of client's policies and then advocate on client's behalf with carrier
  • Participate with or without Sales Executives in presentations to current clients, prospects, proposals, and RFP presentations.
  • Documentation and diary maintenance on key claims in Sagitta and ImageRight
  • Function as back-up for other WC Claims Team members
  • Provide assistance to clients seeking to enhance their return-to-work programs and light duty return to work opportunities
  • Provide claims management training, "WC 101" to clients to educate them on the claims process.

QUALIFICATIONS

  • Strong attention to detail, dependability, and ability to follow through on tasks.
  • Proficiency in Sagitta, ImageRight, Claims functions, Carrier websites, and MS Office (Word, Excel, Outlook, PowerPoint).
  • Excellent oral and written communication skills, including public speaking and presenting to groups.
  • Washington and/or Oregon Agent's License with at least 5 years of experience in commercial, personal multiline, and workers' compensation claims.
  • Expertise in complex loss analysis and commitment to continued insurance education (e.g., INS, AIC, SCLA, CPCU, CCM).

ADDITIONAL INFORMATION

This job requires presence in the office on a hybrid schedule as agreed with the manager.

Alera Group offers comprehensive benefits to our colleagues, including medical, dental, life and disability insurance, 401k, generous paid time off and much more.

Salary range is $80K to $110K per year.

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Location Type

Hybrid

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