Claims Consultant providing risk management advisory services and analysis of claims data. Managing teams and facilitating client engagements while ensuring strong service levels in the insurance sector.
Responsibilities
Functions as subject matter expert for claims management, risk clarity, and advisory services
Facilitates risk management policy changes for pre & post-loss processes including but not limited to: Pre-hire enhanced physical setup Workers’ compensation and modified work policy review & creation FMLA & WC compliance assistance
Conducts face-to-face client claim reviews and quarterly strategy meetings
Designs and implements claims-specific training as needed
Responsible for the overall oversight of claims processing, management, and prevention for clients
Acts as liaison between insurance company and insured in responding to inquiries
Acts as a mediator when disagreements arise, providing follow-up with both company and insured
Proactively advises Account Managers (AM) and Account Executives (AE) and Client Advisors regarding claims with special attention to the status of open files
Serves as the expert to service teams and clients on claims related topics through training initiatives and publications
Responds to customer telephone calls and office visits in a timely and professional manner
Maintains strict confidentiality and upholds applicable laws at all times
Develops and maintains a positive working relationship with team members and clients
Corresponds with clients, prospects, and others in a professional manner
Requirements
Willingness to participate in self-development or technical classes
Strong organizational and workflow management skills
Must be comfortable in an electronic environment with strong computer skills
Strong working knowledge of Microsoft Office Products
Excellent verbal and written communication skills
Excellent people skills and ability to work well in a team environment
Bachelor’s degree in business or related field of study or equivalent relevant experience
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