Agency Claims Consultant
The Jonus Group
Job Description Claims Consultant
Job Summary Seeking a highly skilled and experienced Claims Consultant to serve as a vital liaison between Producers and insured clients. The ideal candidate will play a key role in resolving complex claims issues, providing expert guidance, and ensuring smooth communication between all stakeholders. This position requires a professional with a strong background in claims management, excellent communication skills, and the ability to think analytically in challenging situations.
Compensation Package
Education/Experience
#LI-CH3
Job Summary Seeking a highly skilled and experienced Claims Consultant to serve as a vital liaison between Producers and insured clients. The ideal candidate will play a key role in resolving complex claims issues, providing expert guidance, and ensuring smooth communication between all stakeholders. This position requires a professional with a strong background in claims management, excellent communication skills, and the ability to think analytically in challenging situations.
Compensation Package
- Competitive salary commensurate with experience
- Comprehensive benefits package, including health, dental, and vision insurance
- Paid time off and holidays
- Opportunities for professional development and certification reimbursement
- Review and obtain status updates on loss runs during account renewals or as needed.
- Attend prospective customer sales presentations to highlight the value-added services of the claims department.
- Investigate individual claims identified by Producers or accounts, ensuring appropriate handling and reserving value.
- Propose alternative methods for resolving claims, assist insured clients with Return-to-Work plans, and identify suitable treatment specialists or resources.
- Provide technical guidance on claims procedures and coverage to Producers, Customer Service Representatives (CSRs), and insured clients.
- Conduct claims review meetings with insured clients, Producers, and claim representatives.
- Deliver onsite training for insured clients on claims reporting procedures, returning injured workers to the job, and mitigating Employment Practices Liability exposures.
- Advocate for insured clients in coverage disputes with insurance companies and assist in analyzing coverage issues.
- Organize technical presentations for Producers, CSRs, and customers on claims-related topics.
- Evaluate injury types, accident trends, location patterns, and communication barriers to improve claims outcomes.
- Establish and maintain a preferred medical treatment network for workers' compensation injuries.
- Foster strong communication links with various insurance claims departments.
- Perform other duties as assigned.
Education/Experience
- Bachelor's degree required.
- Minimum of 15 years of experience in claims management, including roles as a Claim Representative, Claim Supervisor, and Claim Consultant.
- Multi-line claims background, including Workers' Compensation, Liability, and Property.
- Associate in Claims (AIC) certification.
- Associate in Risk Management (ARM) certification.
- Exceptional communication skills with the ability to handle difficult situations and individuals effectively.
- Strong analytical thinking and problem-solving abilities.
- Proven ability to resolve disputes between Claim Representatives and insured clients.
- Reliable and punctual with a commitment to professional excellence.
#LI-CH3
Vacancy posted 4 days ago
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