Senior Claim Consultant

The hiring company is a reputable organization specializing in risk management services, providing expert insurance claims consultancy primarily focused on property and casualty as well as worker's compensation claims. This company serves a diverse range of clients, including Tier 1, 2, and 3 clients, indicating a broad spectrum of business sizes and claim complexities. Known for its commitment to quality and comprehensive claim resolution, the company offers strong client advocacy combined with legal oversight and problem-solving expertise. Their service approach incorporates thorough claim investigations, sound claim settlements, and ongoing client support to ensure satisfaction and effective risk management outcomes.

The role available is for a Senior Claims Consultant, a pivotal position that plays a critical leadership and oversight role in the claims management process. This is a full-time position that requires high-level skills in claims advocacy and management. The Senior Claims Consultant will be responsible for ensuring claims are handled efficiently, legally, and with strategic oversight, guaranteeing that settlements are accurate and fair. The consultant will provide guidance to clients, insurance adjusters, and internal teams, ensuring that service standards and operational plans meet the company's high expectations for quality and client satisfaction.

In this role, the Senior Claims Consultant works closely with the Claims Manager to develop and implement performance benchmarks and service standards for the Risk Management Services department. A key aspect of this role is mentoring and training junior claim colleagues, enhancing the overall capability of the team. The consultant will actively engage in claim evaluations, legal reviews, and detailed financial analyses to assess the impact of claims on clients and the company itself. They are also responsible for updating claims systems, communicating effectively with stakeholders, and providing detailed management reporting.

This position demands strong negotiation and problem-solving traits, computer proficiency especially in Microsoft Office and agency management systems, and the ability to manage multiple priorities in a dynamic environment. Regular attendance and punctuality are required, reflecting the company's professional standards. The Senior Claims Consultant acts as an essential liaison between clients, the company, carriers, and producers, ensuring clarity and resolution on complex claims, lawsuits, and coverage scenarios. They will also participate in educational initiatives for both clients and colleagues, keeping all parties informed of legislative and regulatory changes that affect claims processing and risk management.

The role offers an opportunity for remote work depending on location and department business needs, with managers providing specific telecommuting and scheduling details. The company values creative, analytical thinkers who can influence outcomes positively and maintain strict confidentiality in all dealings. The Senior Claims Consultant is a dynamic position that requires expertise in claims handling and a proactive approach to continuous improvement and client service excellence, making it ideally suited for experienced insurance claims professionals seeking a challenging and rewarding career path.