Claims Consultant

This is a fully remote position, open to applicants in United States.

📋 Description

• Serve as the main claims representative for designated clients across various coverage lines (e.g., casualty, property, workers’ compensation, professional liability).

• Offer strategic advice on claim reporting, development, settlement strategies, and resolutions.

• Represent clients in intricate, high-severity, or contested claims to secure the best possible outcomes.

• Ensure that insurers, TPAs, and defense counsel comply with industry best practices, service expectations, and policy commitments.

• Examine claim patterns, loss drivers, and reserve sufficiency; formulate recommendations aimed at minimizing total risk costs.

• Conduct claims evaluations and stewardship meetings with carriers and TPAs.

• Assist renewal and placement initiatives with insights from claims, loss narratives, and benchmarking data.

• Provide support in coverage interpretation, negotiations regarding claims, and escalation of issues when necessary.

• Oversee and coordinate fee-for-service consulting endeavors.

• Collaborate closely with producers, account executives, and risk management teams to align claims strategies with client objectives.

• Create and deliver claims reports, dashboards, and summaries for client-facing presentations.

• Educate clients regarding claims procedures, coverage aspects, and emerging claims challenges.

⛳️ Requirements

• Bachelor's degree or equivalent professional experience.

• 5+ years of experience in claims management, brokerage claims consulting, carrier claims, TPA, or similar roles.

• Strong preference for experience managing complex or large-loss claims.

• In-depth knowledge of insurance policy terminology and claims procedures.

• Excellent analytical, problem-solving, and negotiation abilities.

• Superior written and verbal communication skills; capable of confidently presenting to senior client stakeholders.

• High standard of professionalism, discretion, and client-focused service orientation.

• Capacity to juggle multiple priorities in a dynamic, consultative setting.

• Adjuster license (if applicable).

• Relevant industry certifications such as CPCU, ARM, AIC, SCLA, or similar.

🏝️ Benefits

• Health insurance.

• 401(k) matching.

• Paid time off.

• Professional development opportunities.