Senior Claims Consultant

Amherst•Austin, TX

2d•Hybrid

About The Position

The Senior Claims Consultant serves as a subject matter expert across property, catastrophe, general liability, auto, and workers' compensation claims. This role is responsible for managing complex claims, overseeing third-party administrators and vendors, evaluating coverage positions, and driving strategic initiatives that improve claims outcomes and operational efficiency. The ideal candidate possesses strong technical claims expertise, exceptional analytical and negotiation skills, and the ability to influence outcomes across internal and external stakeholders. This individual will play a key role in shaping the future of the Claims & Risk function through process improvement, operational excellence, and thought leadership.

Requirements

Bachelor's degree or equivalent combination of education and experience.
Minimum 8 years of progressive insurance claims experience.
Demonstrated experience handling complex property and casualty claims.
Strong understanding of insurance policy interpretation and coverage analysis.
Experience managing relationships with TPAs, carriers, brokers, and legal counsel.
Excellent negotiation, communication, and analytical skills.
Ability to manage multiple priorities in a fast-paced environment.

Nice To Haves

10+ years of insurance claims experience.
Catastrophe and large-loss property claims experience.
Business interruption claims experience.
Experience within real estate, property management, multifamily, or large portfolio environments.
Self-insured retention program experience.
Texas All-Lines Adjuster License.
Professional designations such as AIC, CPCU, ARM, CIC, or SCLA.
Experience developing KPIs, dashboards, and process improvement initiatives.

Responsibilities

Manage and oversee complex property, catastrophe, liability, auto, and workers' compensation claims.
Evaluate claim investigations, reserves, settlement recommendations, and coverage determinations.
Analyze claim documentation and supporting evidence to ensure appropriate claim outcomes.
Provide recommendations regarding claim strategy, coverage application, and settlement opportunities.
Maintain settlement authority up to assigned limits and provide recommendations on higher-exposure claims.
Lead the review and management of catastrophe and large-loss property claims.
Coordinate with carriers, TPAs, consultants, engineers, and forensic accounting firms.
Review business interruption analyses and property damage valuations.
Assist in claim preparation, documentation, and negotiation efforts.
Support disaster response activities and claim recovery initiatives.
Serve as a liaison with TPAs, carriers, brokers, attorneys, and external vendors.
Challenge claim decisions, reserve positions, and coverage interpretations when appropriate.
Monitor TPA performance and ensure adherence to service expectations.
Negotiate favorable claim outcomes on behalf of the organization.
Serve as a technical resource and trusted advisor for leadership and team members.
Communicate clear expectations on claims packages to internal field teams and external vendors.
Provide guidance and mentoring to less experienced claims professionals.
Identify emerging claim trends and recommend proactive risk mitigation strategies.
Participate in strategic planning discussions regarding claims management and risk financing.
Identify opportunities to improve claims processes, workflows, and reporting.
Assist in the development and implementation of claims KPIs and performance metrics.
Support technology initiatives and workflow optimization efforts in support of claims and policy management.
Contribute to the creation and maintenance of standard operating procedures and best practices.