Commercial Lines Senior Claims Consultant

USI Insurance Services; Cockeysville (MD); Remote; USD 60,000 - 100,000; Full time

Job summary

An established industry player is seeking a seasoned claims advocate to provide consulting services for complex commercial lines clients. This role, offering remote flexibility, focuses on analyzing loss trends, negotiating with carriers, and developing tailored service plans to mitigate claims duration and costs. The ideal candidate will possess extensive experience in claims administration, strong negotiation skills, and the ability to effectively communicate with C-suite audiences. Join a dynamic team where your expertise will directly influence client outcomes and contribute to innovative risk management solutions.

Qualifications

• 8+ years in claims administration for a Commercial Lines agency.
• Detailed understanding of multiple lines of commercial coverage.

Responsibilities

• Conduct claim reviews and monitor financial impacts.
• Negotiate with carriers and advocate for clients on claims.

Skills

Claims Administration

Negotiation Skills

Data Interpretation

Communication Skills

Team Collaboration

Education

Bachelor's Degree

Tools

Microsoft Office

Job description

General Description:

Provide claims advocacy and consulting services for USI’s most complex Commercial Lines clients. While this position offers a remote opportunity, the qualified employee will live in USI's Midatlantic region.

Responsibilities:

• Conduct claim reviews in conjunction with service plan. Monitor and measure financial impact of USI reviews and communicate results to client.
• Negotiate with carriers to develop special account instructions.
• Analyze loss trends and business issues. Tailor service plan to address adverse trends and mitigate claim duration, severity, and costs using claims management solutions.
• Advocate on behalf of clients on claim denials, reservation of rights, negotiating optimal coverage position.
• Assist client with evaluation and reporting of complex claims.
• Review reserving accuracy on specific claims.
• Develop action plans and assist with resolution of complex/high exposure or high-profile claims.
• Provide guidance on litigation management and medical management solutions.
• Partner with risk control and analytics/placement team to identify loss trends and develop a comprehensive program focused on reducing total cost of risk.
• Contribute insights and client solutions in USI team huddle meetings.
• Navigate clients through complex claims including Employment Practices Liability (EPL), Directors & Officers (D&O), and Errors & Omissions (E&O).
• Evaluate third-party administrators (TPAs) and install TPA or carrier alongside client.
• Remain current with Carrier and TPA service and technology capabilities, industry trends, development around key case law, and industry claims solutions.

Knowledge, Skills, and Abilities:

• 8+ years in a claims administration role for a Commercial Lines agency required.
• Bachelor’s degree strongly preferred.
• Property & Casualty license preferred.
• Detailed understanding of multiple lines of commercial coverage (generally workers compensation, liability, property, or marine & energy). Claims expertise in at least one line.
• Comfortable with internet-based programs and expertise in Microsoft Office products.
• Strong understanding of loss forecasting, experience mods, reserve analysis, collateral, etc.
• Expertise in business, negotiation, and data interpretation skills.
• Strong written and verbal communication skills, capable of effectively delivering messages to C-suite audiences.
• Ability to work well in a team environment.