Claims Consultant - Commercial Lines

General Description

Provide claim advocacy and consulting services for Commercial Lines clients.

• Monitor and measure financial impact of USI reviews and communicate results to client.
• Negotiate with carriers to develop special account instructions.
• Analyze loss trends and business issues and tailor claim service plan to address adverse trends and mitigate claim duration, severity and costs using claims management solutions.
• Advocate on behalf of clients on claim denials, reservation of rights, negotiating optimal coverage position.
• Assist client with evaluation and reporting of complex claims.
• Review reserving accuracy on specific claims.
• Develop action plan and assist with resolution of complex/high exposure or high-profile claims.
• Provide guidance on litigation management and medical management solutions.
• Partner with risk control and analytics/placement team to identify loss trends and develop a comprehensive program focused on reducing total cost of risk.
• Contribute insights and client solutions in USI team huddle meetings.

• Possess an advanced understanding of one or more Property & Casualty coverage line (WC / Auto / GL / PD)
• Licensed Adjuster preferred
• Property & Casualty license preferred
• Comfortable with internet-based programs and proficient in Microsoft Office products
• Effective written and verbal communication skills
• Ability to work well in a team environment
• Multi-Lines Expertise = WC-EL / AL-APD / GL / PD-BI-EE-B&M.
• Desired Additional Lines = Med-Mal / Cargo-STP / Inland Marine / Jones Act / USL&H / OCSLA / DOTHSA / M&E (as may be available).
• Ability to submit FNOL on required lines, when appropriate
• Detailed Policy Review and Analysis
• CAT / Complex Claim Experience
• Interface with Clients / Adjusters / Surveyors / TPA’s / Forensic Accountants / Attorneys / Carriers to progress and settle claims
• Coordinate, Prepare & Conduct Claim Reviews with Client Representatives and Third-Party Providers
• Perform TPA periodic evaluation, with contract review to optimize services to Client
• Ability to evaluate Texas Non-Subscriber / Occupational Accident / Workers’ Compensation programs to advise Clients on best program to be implemented for their specific needs
• Familiarity with usage and application of RMIS for Client applications
• Proven Track Record with Broker / TPA / Independent Adjuster / Carrier or combination
• Solid and Supported Industry Reputation
• Strong Problem Solving / Communication / Negotiation Skills
• Ability to work in a Producer / Account Service Team / Collaborative Claims Team Environment

With approximately $3 billion in revenue and over 10,500 associates across approximately 200 offices nationwide, USI is one of the largest insurance brokerage and consulting firms in the world. At USI, we have created one of the most dynamic personal and professional development cultures in the industry. We invest heavily in our associates, and we take pride in celebrating their growth and success through our one-of-a-kind employee reward and recognition programs.

What truly distinguishes USI as a premier insurance brokerage and consulting firm is the USI ONE Advantage® , a game-changing value proposition that delivers to clients a robust set of risk management and benefit solutions with bottom-line financial impact. USI ONE® represents Omni, Network, Enterprise—the three key elements that set USI apart from the competition. Through USI ONE, we develop strategic, timely, and effective risk management and benefit programs in terms that are easy to understand, and we demonstrate how the solutions can have a positive economic impact.

In addition to competitive pay, incentives, and benefits, USI recognizes associates through our Summit Awards program, rewarding excellence in those who build our brand each day. USI offers employee programs that recognize outstanding achievement and help our associates lead healthy, productive lives. We turn care into action with our award-winning wellness program, college scholarships for associates' children, and financial help in times of need.