Claims Consultant – Commercial Lines

Role Overview

• 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.

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.

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
• more