Commercial Claims Leader

Themjcos; Carmel (IN); On-site; USD 120,000 - 180,000; Full time

Job summary

Themjcos seeks a Commercial Claims Leader to guide a high-performing, technically proficient team. You will mentor staff, manage workloads, and enhance claim processes while collaborating on RFPs and new business opportunities.

You will analyze policy language for coverage, negotiate disputes with carriers, and maintain key client relationships as a dedicated consultant for major accounts. Lead strategy for reserves and loss cost initiatives.

Qualifications

• Bachelor’s degree preferred.
• 8–10 years of multi-line Commercial Claims experience.
• 1–5 years of management experience.

Responsibilities

• Hire, train, mentor, and develop direct reports.
• Maintain a high performing, engaged team.
• Manage workloads, capacity and assignments.
• Improve internal claim processes and deliverables; adapt to new platforms/resources.
• Collaborate on RFPs and new business opportunities.
• Analyze policy language to ensure proper coverage.
• Negotiate coverage claim disputes with carriers.
• Develop productive relationships with Carrier staff.
• Serve as dedicated Claim Consultant for key clients.
• Monitor WC Claim Kits and keep Claim Contacts updated.
• Provide clear recommendations to influence client strategy.
• Set and monitor claim resolution strategies and reserves.
• Develop strategic insights to improve loss performance.
• Develop and introduce new capabilities with the Claims team.
• Advocate for resources for capability deployment.
• Participate in CIAB and Assurex for industry insight.

Skills

Leadership

Mentoring

Hiring

Capacity planning

Process improvement

Policy knowledge

RFP participation

Client relations

Strategic insight

Education

Bachelor’s degree

8-10 years Commercial Claims

1-5 years management

Job description

ABOUT THE JOB

The Commercial Claims Leader will work closely with internal and externalclients to provide best in class claims consulting by leading a high-performing, engaged, technically proficient, and solution-oriented team.

ESSENTIAL FUNCTIONS

Claims Function Leadership

• Responsible for all aspects of hiring, training, mentoring, and professional development of direct reports.
• Maintain a high performing, engaged, and collaborative team.
• Manage workloads, capacity and account assignments.
• Development and continuous improvement of internal claim processes and deliverables by evaluating efficiency, iterating solutions and adapting to new platforms or resources.
• Collaborate with internal teams to prepare and participate in RFP and new business opportunities.

Client Delivery

• Advanced experience and technical expertise with a variety of coverages and policy forms. Ability to quickly analyze and grasp policy language, identifying key and relevant terms, and ensuring proper coverage application. Ability to use this skill to negotiate coverage claim disputes with carriers and serve as the team resource.
• Develop and maintain productive relationships with key Carrier staff; attend Carrier functions, promote optimum utilization of Carrier websites.
• Serve as dedicated Claim Consultant for key clients requiring advanced advocacy.
• Monitor preparation of WC Claim Kits and ensure the Claim Contacts are kept up to date for reference.
• Collaborate and provide recommendations in a clear and concise manner to internal customersto establish buy-in and influence client-specific strategy.
• Establish and monitor claim resolution strategies including financial targets and reserve adequacy.

Capability Development

• Provides strategic insight to develop new and iterative capabilities to influence client’s loss performance and cost of risk.
• Develops and introduces new capabilities with the Claims Department team and the overall consulting team.
• Advocates for and allocates resources to the development and deployment of capabilities.
• Participates in industry groups, including CIAB and Assurex, to develop and maintain industry insight.

EDUCATION

• Bachelor’s degree preferred
• 8-10 years of experience in multi-line Commercial Claims
• 1-5 years management experience