Complex Claims Consultant

Responsibilities

• Manages an inventory of highly complex commercial claims with large exposures
• Ensures exceptional customer service by managing all aspects of the claim
• Verifies coverage and establishes timely and adequate reserves
• Leads focused investigation to determine compensability, liability and covered damages
• Collaborates with internal and external business partners to develop, own and execute a claim resolution strategy
• Establishes and manages claim budgets
• Realizes and addresses subrogation/salvage opportunities or potential fraud occurrences
• Achieves quality standards by appropriately managing each claim
• Keeps leadership informed of significant risks and losses
• Maintains subject matter expertise and ensures compliance with state/local regulatory requirements
• Mentors, guides, develops and delivers training to less experienced Claim Professionals

• Bachelor's Degree or equivalent experience
• Typically a minimum six years of relevant experience, preferably in claim handling
• Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire where applicable
• Prior negotiation experience
• Professional designations preferred (e.g. CPCU)

• Bachelor's Degree
• Insurance Adjuster License
• CPCU