Senior Claims Consultant
About The Position
As a Senior Claims Consultant, you'll serve as a trusted advisor to clients navigating complex and high-stakes claims challenges. This role combines deep technical claims expertise with strategic consulting, helping clients achieve favorable claim outcomes while strengthening their long-term risk management strategies. You'll partner closely with clients, carriers, legal counsel, and internal teams to manage sophisticated claim portfolios, resolve complex coverage issues, and deliver insights that support business decisions. In addition to leading claims advocacy efforts, you'll play an important role in mentoring team members and contributing to the continued growth and excellence of the Claims Department.
Requirements
- Bachelor's degree or equivalent professional experience.
- Insurance licensing or the ability to obtain required licensing within 60 days of hire.
- Strong knowledge of commercial insurance policy language and claims processes.
- Experience managing complex, high-severity, or litigated claims and developing claim resolution strategies.
- Strong analytical, negotiation, and problem-solving skills.
- Excellent written, verbal, and presentation skills, including experience working with executive-level client contacts.
- Ability to collaborate effectively with clients, carriers, attorneys, and internal teams.
Nice To Haves
- CPCU or CIC designation.
- AIC or CRIS designation.
- Experience working with an Agency Management System such as EPIC or AMS360.
- Proficiency with Microsoft Office applications, including Outlook, Excel, Word, and PowerPoint.
- Experience preparing loss analyses, benchmarking reports, underwriting narratives, or renewal strategy recommendations.
- Prior experience mentoring team members or leading claims-related process improvement initiatives.
Responsibilities
- Lead strategy for catastrophic, litigated, and high-severity claims, driving resolution efforts and negotiating favorable outcomes for clients.
- Analyze insurance policy language, carrier positions, and claim developments to develop effective advocacy and coverage strategies.
- Collaborate with attorneys, adjusters, carriers, producers, and internal teams to resolve complex claim matters and remove barriers to resolution.
- Conduct loss trend analysis, benchmarking, and root-cause assessments that help clients reduce future exposures and improve risk management outcomes.
- Prepare and present claims reviews, performance metrics, and loss analyses to executive-level client stakeholders and leadership teams.
- Develop underwriting narratives, claim summaries, and strategic recommendations that support renewal negotiations and underwriting discussions.
- Mentor Claims Consultants by providing technical guidance, training, and support for process improvement initiatives.
- Oversee workload distribution and account assignments within the Claims Department to help ensure efficient service delivery and team success.
Benefits
- Multiple medical plan options, with preventive care covered at 100%
- Free virtual medical and mental healthcare for employees and their families, plus a dedicated healthcare concierge
- Employer-paid short-term and long-term disability coverage
- Paid parental leave
- Personalized PTO that lets you take time away when you need it, without traditional accruals, plus separate sick leave
- Competitive 401(k) company match to help you build your financial future
- Comprehensive dental and vision coverage
- Employee Assistance Program with confidential mental health, legal, financial, and work-life support
- medical, dental, and vision insurance
- 401(k) with company match
- personalized time off
- company paid holidays
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
Associate degree
