Claims Consultant - Commercial Lines

Relation Insurance • Tulare, CA

1d

About The Position

The Claims Consultant will provide exceptional and timely client service to the Company's customers. This will be done by interacting with carrier resources, producers, account managers and customer representatives by answering telephone calls and replying to emails related to commercial lines claims (excluding workers' compensation). The person in the position will play a key role in claims administration.

Requirements

• A Property & Casualty License from state of domicile is required and must be maintained.
• High School Diploma or its equivalent.
• 3+ years of successful experience managing Property & Casualty Claims.
• Outstanding interpersonal and communication skills are required to maintain effective relationships with clients, co-workers, carriers, claim adjusters, defense counsel and others.
• Working knowledge of insurance markets, products, services, insurance ratings and underwriting procedures.
• Strong analytical and mathematical skills.
• Intermediate skills in Microsoft Office (primary Excel, Work and Outlook).
• Must have the ability to maintain a high degree of accuracy and pay strict attention to detail.
• Strong oral and written communication skills.
• Excellent customer service skills are a must.
• Strong work ethic, upbeat personality with a sense of urgency, initiative, responsive and proactive approach to work.
• Detail oriented with ability to manage multiple assignments simultaneously.
• Excellent organizational skills in handling large volumes of work.
• Working knowledge of the laws and regulations associated with HIPAA.
• Willingness to adhere to all principles of confidentiality.
• Ability to work independently and on a team.

Responsibilities

• Manages all incoming calls related to commercial lines of business (excluding workers' compensation).
• Obtains all essential information related to the claim from producer and/or client.
• Never implies or denies coverage of a claim.
• Determines applicable coverage/policy related to the claim and completes appropriate ACORD form.
• Submits ACORD form to the appropriate carrier within mandated timelines (24 hours from receipt).
• Notifies the Producer/Account Manager and client by email and phone of the adjuster’s name, phone number and claim number.
• Receives and processes daily mail and phone calls relative to the claim in process and updates Account Management System (AMS) with said information.
• Advocates on behalf of our clients for coverage and proper claims management, including reserving and settlements.
• Explores risk control services offered by carriers and other vendors internal and external then determine if our clients would benefit from them; provides support in establishing safety goals and measurements for the client.
• Provides focus and recommendation on continuous improvement of the Company claim process to enable us to maintain a competitive edge over competition.
• Continually keeps AMS up to date with all claims related information.
• Coordinates all communications between the client and carrier and will continually keep the producer and account manager updated as well.
• Acts as claims expert and provide guidance and direction to all requests.
• As appropriate, will update and close the claim in AMS and will notify the Producer/Account Manager and client of closure and how much was spent on the claim.
• Maintains all suspense items in AMS for pending items and will close them out when completed.
• Makes photocopies, facsimiles, photographs, scanning and email communications as appropriate.
• Performs other projects, duties, and tasks, as assigned.

Benefits

• Competitive pay.
• A safe and healthy work environment provided by our robust benefit program including family health and wellness programs, 401K, employee assistance programs, paid time off, paid holidays and more.
• Career advancement and development opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED