Senior Complex P&C Claims Consultant

Community Bank, N.A.; Town of New Hartford (NY); Presencial; USD 66.000 - 109.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

11 paid holidays

Paid vacation

Medical insurance

Vision & Dental insurance

401K match

Pension

Tuition reimbursement

Banking discounts

Descripción de la vacante

OneGroup, a leading insurance and risk management advisory, seeks a Claims Consultant to manage complex commercial P&C claims with a strategic, client-focused approach. You will provide advocacy, carrier coordination, and executive-level guidance across multiple lines of coverage, collaborating with clients, carriers, legal counsel, and internal teams.

The role emphasizes this senior-advisor function, strong knowledge of Property, General Liability, and Auto claims, and expertise in Applied

Formación

• Five or more years of progressively responsible commercial P&C claims experience.
• Experience with complex commercial claims, coverage issues, reserves, litigation, settlement considerations, and carrier escalation.
• Strong knowledge of commercial Property, General Liability, Auto Liability, and related P&C coverage forms and claim processes.
• Strong judgment, analytical ability, negotiation, writing, presentation, and relationship-management skills.
• Ability to communicate confidently with clients, carriers, adjusters, legal counsel, Producers, and leaders.
• Experience with Applied Epic or another agency or claims-management system preferred; proficiency with Microsoft 365 required.

Responsabilidades

• Lead high-severity, complex, litigated, sensitive, or coverage-challenged claims and develop action plans, ownership, and resolution objectives.
• Review liability, financial exposure, reserves, settlement posture, litigation developments, and carrier handling.
• Analyze policy language, endorsements, exclusions, reservations of rights, coverage positions, and denials; advocate for carrier review and escalation.
• Coordinate with carriers, TPAs, counsel, experts, vendors, and internal leadership while maintaining boundaries between consultation, carrier authority, and legal advice.
• Identify subrogation, risk-transfer, tender, indemnification, and recovery opportunities when applicable.
• Serve as the claims advisor for assigned clients and lead large-loss reviews, stewardship and service plan discussions, and executive claim presentations.
• Provide proactive updates that explain significant developments, business implications, client actions, and next steps.
• Evaluate carrier and TPA performance, address delays or service concerns, and elevate unresolved issues to appropriate leadership.
• Contribute claims insight to renewal, placement, retention, and carrier-selection discussions.
• Review loss runs, reserves, claim duration, severity, closure activity, and recurring loss drivers; translate findings into practical recommendations.
• Partner with Risk Management Consultants to connect claim trends with loss-prevention and risk-mitigation opportunities.
• Partner with Producers, account service teams, and other stakeholders to support client needs, new business, retention, and effective handoffs.
• Contribute to service standards, escalation procedures, training, and continuous process improvement.
• Maintain accurate and timely claim documentation, diary dates, communications, advice, and next steps in Applied Epic and other approved systems.
• Protect confidential information and follow privacy, cybersecurity, documentation, escalation, and E&O-risk-management requirements.
• Immediately elevate suspected reporting errors, missed deadlines, incorrect advice, or other potential E&O issues.

Conocimientos

P&C claims experience

Complex claims knowledge

Negotiation

Communication

Applied Epic experience

Microsoft 365 proficiency

Educación

Bachelor's or Associate degree in insurance or related

Herramientas

Applied Epic

Microsoft 365

Descripción del empleo

OneGroup, a leading insurance and risk management advisory, seeks a Claims Consultant to manage complex commercial P&C claims with a strategic, client-focused approach. You will provide advocacy, carrier coordination, and executive-level guidance across multiple lines of coverage, collaborating with clients, carriers, legal counsel, and internal teams.

The role emphasizes this senior-advisor function, strong knowledge of Property, General Liability, and Auto claims, and expertise in Applied