CL Sr Claims Consultant

USI Insurance Services • New Orleans, LA

297d • $99,750 - $119,700

About The Position

The CL Sr Claims Consultant will provide claims advocacy and consulting services for USI's most complex Commercial Lines clients. This role involves conducting claim reviews, monitoring financial impacts, negotiating with carriers, analyzing loss trends, and advocating for clients on claim denials. The consultant will assist clients with complex claims evaluation and reporting, review reserving accuracy, and develop action plans for high-exposure claims. Additionally, the consultant will provide guidance on litigation management and collaborate with risk control teams to identify loss trends and develop comprehensive risk reduction programs.

Requirements

• 8+ years in a claims administration role for a Commercial Lines agency required.
• Bachelor's degree strongly preferred.
• Property & Casualty license preferred.
• Detailed understanding of multiple lines of commercial lines coverage.
• Claims expertise in at least one line.
• Comfortable with internet-based programs and expertise in Microsoft Office products.
• Strong understanding of loss forecasting, experience mods, reserve analysis, collateral, etc.
• Expert business, negotiation, and data interpretation skills.
• Strong written and verbal communication skills.
• Ability to work well in a team environment.

Responsibilities

• Conduct claim reviews in conjunction with service plan.
• 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.
• Tailor 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 and negotiate 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.
• Navigate clients through complex claims including Employment Practices Liability (EPL), Directors & Officers (D&O) and Errors & Omissions (E&O).
• Evaluate third-party administrators (TPAs) and install TPA or carrier alongside client.

Benefits

• Medical, wellness, dental and vision insurance.
• 401(k) plan.
• Flexible spending and health savings accounts.
• Short and long-term disability insurance.
• Life insurance.
• Generous paid time off policy.
• Paid family leave benefit.
• Paid holiday time.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Industry: Insurance Carriers and Related Activities
• Education Level: Bachelor's degree