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Sr. Claims Consultant, PC

Sr. Claims Consultant, PC

Holmes MurphyMinneapolis, MN, US
30+ days ago
Job type
  • Full-time
Job description

Property Casualty Claim Process Manager

The purpose of this position is to provide high quality property casualty claim process management, advocacy and analysis to company clients and internal staff in alignment with division and company vision, mission and strategy. Serve as elite expert in their field and within agency for servicing large, unique and / or high-profile clients.

Essential Responsibilities :

  • Serve as a highly qualified and experienced claims consultant with exceptional communication, customer service and analytical skills. Ability and willingness to work with our largest, most complex and highest profile clients across the country.
  • Demonstrate exceptional client service, independently as well as part of a team.
  • Responsible for prompt delivery and coordination of claim management services.
  • Coordinate and participate in regular claim reviews with the client and the carrier / TPA as requested and allowed.
  • Analyze claim data to determine loss trends and assist in loss prevention.
  • Ensure proper communication of loss information to the client and carrier / TPA.
  • Proactively identify strategic claim resolution strategies. Partner closely with adjusters, legal counsel, etc. to implement action plans and pursue resolution.
  • Assist the client in properly determining coverage.
  • Communicate with clients, insurance carriers and internal customers on a regular basis to serve as a client advocate.
  • Utilize automated tools to track and proactively manage the direction of each claim and ensure reserve accuracy.
  • Partner closely with Producers, Insurance and Safety teams to identify and provide solutions for our client's claim management needs
  • Ensure immediate notice of new lawsuits to the carrier and TPA.

Additional Responsibilities :

  • Establish rapport between the client and their carrier / TPA.
  • Assist in the marketing and placement of business based upon clients' claim needs.
  • Provide and / or oversee accurate and timely loss information for internal and external clients' use.
  • Build strong relationships with and understand our client's business, associated risks and exposures.
  • Educate the client of the claim process for various losses.
  • Manage key relationships with insurers, TPAs, adjuster and safety professionals
  • Assist in on-boarding new clients or changes in clients' insurance partners.
  • Help provide clients and agency unique analysis, ideas, tools and resources to provide our clients in making an impact with their business.
  • Assist in external or internal client education.
  • Ability and willingness to participate in internal and external educational opportunities to enhance knowledge of current industry trends.
  • Understand quality management objectives to include file audits, policy checks and helping to improve processes based upon results. Work with team members where improvement is needed.
  • Perform special projects and other duties as requested.
  • Knowledge, Skills and Abilities :

  • Strong competency in Microsoft Word, Excel and PowerPoint and Outlook is required, as well as agency management systems.
  • Strong technical and insurance risk management knowledge.
  • Ability to prioritize, perform quality work independently within a deadline driven environment.
  • Maintain professional demeanor when interacting with other employees, clients, and vendors.
  • Capable of exercising discretion in confidential matters and using independent judgment.
  • Ability and willingness to consistently participate in internal and external educational opportunities to enhance knowledge of current insurance topics or relevant system improvements.
  • Ability and willingness to pursue relevant designations and / or continuing education, as appropriate.
  • Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.
  • Ability to exert up to 10 pounds of force occasionally, and / or negligible amount of force frequently or constantly to lift, carry, push, pull objects.
  • Must be knowledgeable of and comply with HMA's Client Privacy Policy, HIPAA regulations and E&O procedures and policies.
  • Competencies :

    In addition to the responsibilities, knowledge, skills, and abilities outlined in this job description, the Company also assesses and develops employees based on core and technical competencies through a performance management process. Competencies applicable to this role include :

  • Trust : Build trust through honest and caring actions and consistently do the right thing.
  • Communication : Seek understanding to convey messages and information to others in a caring and constructive manner.
  • Client Focus : Establish meaningful relationships with clients (internal and external) by supporting their unique potential and delivering an impactful experience.
  • Teamwork : Contribute to the success of the organization by effectively influencing others and uplifting their experiences and unique strengths.
  • Claims Knowledge, Principles, & Practice : Invest in the understanding and application of PC Claims principles and practices as it relates to consulting with clients and meeting their strategic needs.
  • Analytical Skills : Ability to identify an issue, investigate the facts, and develop and deploy an effective solution.
  • General Working Conditions :

  • General office conditions exist to meet our in-person attendance requirements. Requires extended periods of sedentary work. Involves frequent computer use and focus on data management. Work in an open-plan office setting with minimal private workspace and frequent interruptions. Occasional overnight travel may be required, depending on project needs.
  • Qualifications :

  • Education : High school diploma; college degree preferred.
  • Licensing : Active state specific Property Casualty Insurance agent's license required or the ability to acquire license within three months of hire. AIC / CPCU / CRIS or other industry-related insurance certification preferred.
  • Experience : Minimum 5 years' insurance industry experience required; Multi-line or workers' compensation experience a plus.
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