Senior Claims Consultant

• Manage and oversee complex property, catastrophe, liability, auto, and workers' compensation claims.
• Evaluate claim investigations, reserves, settlement recommendations, and coverage determinations.
• Analyze claim documentation and supporting evidence to ensure appropriate claim outcomes.
• Provide recommendations regarding claim strategy, coverage application, and settlement opportunities.
• Maintain settlement authority up to assigned limits and provide recommendations on higher-exposure claims.
• Lead the review and management of catastrophe and large-loss property claims.
• Coordinate with carriers, TPAs, consultants, engineers, and forensic accounting firms.
• Review business interruption analyses and property damage valuations.
• Assist in claim preparation, documentation, and negotiation efforts.
• Support disaster response activities and claim recovery initiatives.
• Serve as a liaison with TPAs, carriers, brokers, attorneys, and external vendors.
• Challenge claim decisions, reserve positions, and coverage interpretations when appropriate.
• Monitor TPA performance and ensure adherence to service expectations.
• Negotiate favorable claim outcomes on behalf of the organization.
• Serve as a technical resource and trusted advisor for leadership and team members.
• Communicate clear expectations on claims packages to internal field teams and external vendors.
• Provide guidance and mentoring to less experienced claims professionals.
• Identify emerging claim trends and recommend proactive risk mitigation strategies.
• Participate in strategic planning discussions regarding claims management and risk financing.
• Identify opportunities to improve claims processes, workflows, and reporting.
• Assist in the development and implementation of claims KPIs and performance metrics.
• Support technology initiatives and workflow optimization efforts in support of claims and policy management.
• Contribute to the creation and maintenance of standard operating procedures and best practices.

• Bachelor's degree or equivalent combination of education and experience.
• Minimum 8 years of progressive insurance claims experience.
• Demonstrated experience handling complex property and casualty claims.
• Strong understanding of insurance policy interpretation and coverage analysis.
• Experience managing relationships with TPAs, carriers, brokers, and legal counsel.
• Excellent negotiation, communication, and analytical skills.
• Ability to manage multiple priorities in a fast-paced environment.
• Preferred 10+ years of insurance claims experience.
• Catastrophe and large-loss property claims experience.
• Business interruption claims experience.
• Experience with in real estate, property management, multifamily, or large portfolio environments.
• Self-insured retention program experience.
• Texas All-Lines Adjuster License.
• Professional designations such as AIC, CPCU, ARM, CIC, or SCLA.
• Experience developing KPIs, dashboards, and process improvement initiatives.

Demonstrates extensive experience in managing complex property and casualty claims, with a strong focus on negotiation, coverage analysis, and relationship management with TPAs, carriers, and legal counsel. Proficient in developing KPIs and optimizing claims processes to enhance operational efficiency.

• Complex Property And Casualty Claims Management
• Insurance Policy Interpretation
• Negotiation Skills
• KPI Development
• Texas All-Lines Adjuster License

• Claims Evaluation
• Coverage Determination
• Settlement Recommendations
• Business Interruption Claims
• Catastrophe Claims Management
• Claims Documentation
• Analytical Skills
• Risk Mitigation Strategies
• Process Improvement Initiatives
• Workflow Optimization

• Communication Skills
• Mentoring
• Relationship Management
• Analytical Thinking
• Prioritization

• AIC
• CPCU
• ARM
• CIC
• SCLA

• Insurance Claims
• TPA Management
• Property Management
• Real Estate
• Large Portfolio Environments