Senior Commercial Claims Consultant - Complex P&C

Coca-Cola Beverages Northeast; United States; Remote; USD 66,000 - 109,000; Full time

Benefits offered by this job

11 paid holidays

Paid vacation

Medical, Vision & Dental insurance

401K with generous match

Pension

Tuition Reimbursement

Banking discounts

Job summary

OneGroup, a leading insurance and risk management firm, seeks a Claims Consultant to advise on complex commercial P&C claims, excluding Workers’ Compensation. You will champion claim strategy, coverage interpretation, carrier accountability, and executive‑level guidance while collaborating with clients, carriers, counsel, Producers, and risk teams.

Responsibilities include managing high‑severity claims, reviewing reserves and settlements, and delivering clear, actionable updates.

Qualifications

• Five or more years of progressively responsible commercial P&C claims experience.
• Demonstrated experience with complex claims, coverage issues, reserves and litigation.
• Strong knowledge of Property, General Liability, Auto Liability coverage forms.
• Excellent negotiation, writing and presentation skills.
• Experience with claims-management systems preferred.

Responsibilities

• Lead high-severity, complex claims and develop action plans.
• Provide coverage consultation and client advocacy for complex files.
• Coordinate with carriers, counsel, and internal teams for resolution.
• Generate proactive updates and executive-level claim reviews.
• Analyze loss data and trends to support risk management goals.

Skills

Strategic judgments

Client advocacy

Coverage analysis

Negotiation

Carrier accountability

Executive communication

Analytical thinking

Technical leadership

Documentation discipline

Cross-functional collaboration

Education

Bachelor's degree in insurance / risk management / business

AIC, ARM, CPCU or equivalent designation

Tools

Applied Epic

Microsoft 365

Job description

OneGroup, a leading insurance and risk management firm, seeks a Claims Consultant to advise on complex commercial P&C claims, excluding Workers’ Compensation. You will champion claim strategy, coverage interpretation, carrier accountability, and executive‑level guidance while collaborating with clients, carriers, counsel, Producers, and risk teams.

Responsibilities include managing high‑severity claims, reviewing reserves and settlements, and delivering clear, actionable updates.