Senior Claims Consultant - High-Exposure WC

Mem Ins; Columbia Township (MO); Hybrid; USD 80.000 - 110.000; Vollzeit

Zusammenfassung

MEM is seeking a Claims Consultant to oversee high-exposure and complex workers' compensation claims. You will conduct POA meetings, CARE reviews, and coach field staff to ensure strong case management, reserving, investigations, and settlements.

Collaboration with senior management ensures robust policies and procedures in the claims manual. Experience in commercial liability claims and a track record of leadership in claims consulting is required.

Qualifikationen

• Certifications in claims and subrogation preferred.
• AIC, SCLA, CSRP are advantageous.
• Licensed to adjust workers' compensation claims preferred.
• Extensive liability claims background is expected.

Aufgaben

• Promote leadership and technical development for field claim teams.
• Lead monthly Plan of Action meetings for high exposure claims (> $500,000).
• Provide coaching on workers' compensation coverage, causation, and litigation issues.
• Offer claim-handling recommendations and ensure proper communications.
• Conduct CARE reviews to monitor progress and trends in operations.
• Oversee complex claims reviews and reserve adequacy, actions, and factors.
• Investigate questionable or no-coverage claims and manage liabilities.
• Coordinate with coverage counsel to resolve complex claims and lawsuits.
• Provide oversight for Argonaut Insurance claims including reserves and CARE Reviews.
• Develop jurisdictional training for new states MEM operates in.

Kenntnisse

AIC

SCLA

CSRP

Claims license

Ausbildung

AIC (Associate in Claims)

SCLA (Senior Law Associate)

CSRP (Certified Subrogation Recovery Professional)

Claims Adjusting License

Jobbeschreibung

MEM is seeking a Claims Consultant to oversee high-exposure and complex workers' compensation claims. You will conduct POA meetings, CARE reviews, and coach field staff to ensure strong case management, reserving, investigations, and settlements.

Collaboration with senior management ensures robust policies and procedures in the claims manual. Experience in commercial liability claims and a track record of leadership in claims consulting is required.