Responsibilities

The Workers Compensation Claims Consultant serves as a strategic advisor to clients, delivering proactive, data-driven claims management solutions that reduce total cost of risk and improve claim outcomes. This role collaborates with clients, carriers, and internal teams to anticipate trends, identify cost drivers, and implement forward-looking claim strategies for workers compensation claims.

The consultant partners closely with clients to translate claims data into actionable insights, provides ongoing guidance on risk mitigation and claim resolution strategies, and ensures alignment between claims handling practices and each client's broader risk management objectives.

Essential Duties & Responsibilities

• Serve as a trusted claims advisor, partnering with clients to develop and execute proactive claims management strategies aligned to their risk profile and business objectives.
• Analyze claims trends, loss data, and reserve development to identify emerging risks and recommend cost-containment strategies before further escalation occurs.
• Lead consultative claim reviews with clients, providing insight-driven recommendations, benchmarking data, and strategic action plans.
• Collaborate with carriers and TPAs to influence claim outcomes, including reserving strategy, settlement approach, and closure timelines.
• Proactively monitor key performance indicators (KPIs) such as reserve movement, closure rates, and experience modification factors, and advise clients on performance improvement opportunities.
• Evaluate claim handling processes and recommend enhancements to improve efficiency, and optimize claim lifecycle outcomes.
• Provide ongoing client education on claim best practices, regulatory considerations, and risk mitigation strategies, positioning OneGroup as a consultative partner rather than a transactional service provider.
• Support sales and retention efforts by articulating the value of proactive claims management and demonstrating measurable client impact.
• Facilitate development and implementation of targeted service plans that integrate claims strategy into overall risk management and client experience frameworks.
• Serve as a central point of coordination while driving accountability among stakeholders (clients, carriers, vendors) to ensure execution of agreed-upon strategies.
• Communicate with internal customers concerning client concerns and performance

Qualifications

Education:

• Associate Degree or other equal experience preferred

Professional Certifications/Licenses:

• AIC Designation or equivalent insurance designation
• Property/Casualty License preferred

Experience/Skills:

• 5+ years' of workers' compensation.
  • Multi line claims handling experience (commercial property, general liability, auto, professional liability) preferred.
• Exceptional risk management and claims management skills related to Workers Compensation
• NYS & NCCI Experience Rating experience
• Excellent interpersonal communication and relationship building skills to include strong negotiation skills
• Working knowledge of Agency Management Systems
• Experience in the Applied Epic system is a plus, but not required.
• Solid statistical analysis skills
• Ability to work independently
• Excellent writing skills
• Proficiency in Microsoft Word, Excel and PowerPoint

Other Job Information

Compensation: Commensurate with experience plus potential for annual merit increase. In addition to your competitive salary, you will be rewarded benefits including: 11 paid holidays, paid vacation, Medical, Vision & Dental insurance, 401K with generous match, Pension, Tuition Reimbursement, Banking discounts and the list goes on!

Physical Requirements:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee may be required to stand, walk or sit. Use hands and fingers, handle or feel, reach with hands or arms, and speak and hear. The employee may occasionally be required to lift and or move up to 25 pounds. Specific vision abilities required by this job include close vision, and the ability to focus.

Minimum

USD $66,000.00/Yr.
Maximum

USD $108,804.00/Yr.