Hybrid Senior Claims Consultant – Complex Commercial Claims

USI Insurance Services; South Portland (ME); Hybrid; USD 105,000 - 130,000; Full time

Job summary

USI Insurance Services is seeking a hybrid Claims Professional to serve as the liaison between clients and carriers for complex commercial claims. Ideal candidates have 8+ years in claims adjusting (or 10–15 years in an agency) and a strong knack for negotiation and analytical thinking.

The role requires collaboration with risk control and analytics teams to reduce total cost of risk, and involves working with EPL, D&O, E&O exposure as part of broader coverage knowledge.

Qualifications

• 8+ years in a claim adjusting role for a Commercial Lines Carrier ideal OR 10-15 years in a Commercial Lines agency.

Responsibilities

• Conduct claim reviews in conjunction with service plan. Monitor and measure financial impact.
• Negotiate with carriers to develop special account instructions.
• Analyze loss trends and tailor service plan to address adverse trends and mitigate duration, severity and costs.
• Advocate on behalf of clients on denials and coverage positions.
• 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 claims.
• Provide guidance on litigation and medical management solutions.
• Partner with risk control and analytics teams to identify loss trends and reduce total cost of risk.
• Contribute insights and client solutions in USI team huddles.

Skills

Claims experience

Negotiation skills

Communication skills

Cross-functional collaboration

Education

Bachelor's degree

Job description

USI Insurance Services is seeking a hybrid Claims Professional to serve as the liaison between clients and carriers for complex commercial claims. Ideal candidates have 8+ years in claims adjusting (or 10–15 years in an agency) and a strong knack for negotiation and analytical thinking.

The role requires collaboration with risk control and analytics teams to reduce total cost of risk, and involves working with EPL, D&O, E&O exposure as part of broader coverage knowledge.