Claims Advisor - Commercial Insurance

Claims Advisor

The Claims Advisor is responsible for managing and overseeing complex commercial claims across Property, Liability, Construction, and Workers Compensation lines. This role serves as a key liaison between clients, carriers, TPAs, and internal teams—providing guidance, conducting claim reviews, interpreting coverage, and ensuring timely, accurate reporting. The Claims Advisor delivers proactive communication, maintains detailed file documentation, analyzes claim trends, and supports clients throughout the full lifecycle of their claims to ensure a smooth, informed, and efficient claims experience.

Responsibilities:

• Handling of high-profile clients Property and Liability, Construction & Workers Compensation claims.
• Coordinate and conduct claim reviews with multiple insurance carriers and/or TPA's; Meet with clients as needed and approved by Claims Manager
• Communicate and strategize with insureds, carriers, TPAs, adjusters, attorneys' etc. to settlement.
• Review policies to interpret coverage and determine coverage for appropriate reporting.
• Read summons, leases, and contracts for the purpose of determining proper handling of claim as well as liability and/or insurable interest, indemnification and hold harmless.
• Maintain diary of files for follow-up and document all follow-ups via notes in database for phone work or via letters of confirmation.
• Create and maintain claims trending, lag time reports and loss analysis of complex claims.
• Navigate various carrier databases.
• Review carrier coverage position letters and as appropriate create correspondence disputing the carrier position.
• Responsible for creating own correspondence.
• Report new claims to the carrier within the period as set by company standards.
• Direct contact with carrier claims department within 24 hours of reporting of all new claims to identify claim number and ensure adjuster assigned to loss.
• Work with accounts to ensure efficient, prompt and smooth flow of handling of all claims, ensuring that established processes are followed.
• Provide guidance to client as to claim process along with direction regarding likely outcome and timelines.
• Work with team on the accurate filing of claims and providing updates.
• Setting educational goals to improve personal performance/continuing education for license if required
• Regular contact with adjusters to monitor status of claims in order to update relevant parties on litigated and large loss claims.
• Preparation of Claim Kits, obtaining Loss Runs and Loss Summaries for our customers

Qualifications:

• 3+ years of experience handling Property, Liability, Workers Compensation, or Construction claims within an insurance carrier, TPA, or brokerage environment.
• Property & Casualty License required or willingness to obtain within 90 days of hire
• Multi-line brokerage claims experience managing high-profile or complex claims with multiple stakeholders.
• Strong understanding of insurance policy language, including coverage interpretation across commercial property, casualty lines and Workers Compensation
• Ability to conduct client claim reviews, analyze contracts to determine liability, insurable interest, indemnification, and proper claim handling
• Proficiency in navigating various carrier databases and internal EPIC claims management systems.
• Excellent verbal and written communication skills with the ability to coordinate with insureds, carriers, TPAs, adjusters, and attorneys.
• Detail-oriented with the ability to independently draft correspondence and manage multiple claims simultaneously.
• Well organized, self-motivated, and analytical problem-solving skills
• Ability to work independently while supporting a collaborative team environment with professionalism
• Hybrid work schedule; must be onsite at the designated office location a minimum of three days per week