Claims Consultant - Commercial Lines
USI Insurance Services, Dallas, Texas, United States, 75215
General Description
Provide claim advocacy and consulting services for Commercial Lines clients.
Responsibilities
Monitor and measure financial impact of USI reviews and communicate results to client.
Negotiate with carriers to develop special account instructions.
Analyze loss trends and business issues and tailor claim service plan to address adverse trends and mitigate claim duration, severity and costs using claims management solutions.
Advocate on behalf of clients on claim denials, reservation of rights, negotiating optimal coverage position.
Assist client with evaluation and reporting of complex claims.
Review reserving accuracy on specific claims.
Develop action plan and assist with resolution of complex/high exposure or high-profile claims.
Provide guidance on litigation management and medical management solutions.
Partner with risk control and analytics/placement team to identify loss trends and develop a comprehensive program focused on reducing total cost of risk.
Contribute insights and client solutions in USI team huddle meetings.
Knowledge, Skills and Abilities
Possess an advanced understanding of one or more Property & Casualty coverage line (WC / Auto / GL / PD)
Licensed Adjuster preferred
Property & Casualty license preferred
Comfortable with internet-based programs and proficient in Microsoft Office products
Effective written and verbal communication skills
Ability to work well in a team environment
Multi-Lines Expertise = WC-EL / AL-APD / GL / PD-BI-EE-B&M.
Desired Additional Lines = Med-Mal / Cargo-STP / Inland Marine / Jones Act / USL&H / OCSLA / DOTHSA / M&E (as may be available).
Ability to submit FNOL on required lines, when appropriate
Detailed Policy Review and Analysis
CAT / Complex Claim Experience
Interface with Clients / Adjusters / Surveyors / TPA’s / Forensic Accountants / Attorneys / Carriers to progress and settle claims
Coordinate, Prepare & Conduct Claim Reviews with Client Representatives and Third-Party Providers
Perform TPA periodic evaluation, with contract review to optimize services to Client
Ability to evaluate Texas Non-Subscriber / Occupational Accident / Workers’ Compensation programs to advise Clients on best program to be implemented for their specific needs
Familiarity with usage and application of RMIS for Client applications
Proven Track Record with Broker / TPA / Independent Adjuster / Carrier or combination
Solid and Supported Industry Reputation
Strong Problem Solving / Communication / Negotiation Skills
Ability to work in a Producer / Account Service Team / Collaborative Claims Team Environment
Why USI? With approximately $3 billion in revenue and over 10,500 associates across approximately 200 offices nationwide, USI is one of the largest insurance brokerage and consulting firms in the world. At USI, we have created one of the most dynamic personal and professional development cultures in the industry. We invest heavily in our associates, and we take pride in celebrating their growth and success through our one-of-a-kind employee reward and recognition programs.
Unrivaled Resources and Support What truly distinguishes USI as a premier insurance brokerage and consulting firm is the
USI ONE Advantage®
, a game-changing value proposition that delivers to clients a robust set of risk management and benefit solutions with bottom-line financial impact. USI ONE® represents Omni, Network, Enterprise—the three key elements that set USI apart from the competition. Through USI ONE, we develop strategic, timely, and effective risk management and benefit programs in terms that are easy to understand, and we demonstrate how the solutions can have a positive economic impact.
Industry-Leading Programs, Rewards, and Recognition In addition to competitive pay, incentives, and benefits, USI recognizes associates through our Summit Awards program, rewarding excellence in those who build our brand each day. USI offers
employee programs
that recognize outstanding achievement and help our associates lead healthy, productive lives. We turn care into action with our award-winning wellness program, college scholarships for associates' children, and financial help in times of need.
Deep Community Engagement We are committed to giving back to our local communities and supporting a culture of environmental sustainability. From sharing our time, talent, and resources to support local non-profit organizations, animal shelters, and environmental beautification and restoration projects – to partnering with eco-conscious vendors and taking steps to reduce our own environmental footprint – we’re working
together as ONE
to build a better future.
Committed to a Diverse and Inclusive Workplace Our award-winning
I’m With U
diversity and inclusion program educates our associates to help them better understand and serve our clients, prospects, fellow team members, and local communities through curated education and training resources, employee support programs, and community outreach initiatives to build a more diverse, equitable, and inclusive culture.
Nationally Recognized as a Top Insurance Employer
Recognized as one of Insurance Business America’s Top Insurance Employers eight consecutive years (2018-2025).
Named to Business Insurance’s annual list of the Best Places to Work in Insurance six years in a row (2020-2025).
Named to Fortune’s Best Workplaces in Financial Services & Insurance list for the last two years (2024-2025).
Certified as a Great Place To Work two years in a row (2024-2025).
USI is committed to providing a full-suite of competitive benefits for our growing population and its diverse needs. We offer a wide range of health, welfare and financial benefits including medical, wellness, dental and vision, 401(k), flexible spending and health savings accounts, short and long-term disability, life insurance and other unique employer-sponsored and voluntary programs. USI also offers a generous paid time off policy, paid family leave benefit as well as paid holiday time.
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Responsibilities
Monitor and measure financial impact of USI reviews and communicate results to client.
Negotiate with carriers to develop special account instructions.
Analyze loss trends and business issues and tailor claim service plan to address adverse trends and mitigate claim duration, severity and costs using claims management solutions.
Advocate on behalf of clients on claim denials, reservation of rights, negotiating optimal coverage position.
Assist client with evaluation and reporting of complex claims.
Review reserving accuracy on specific claims.
Develop action plan and assist with resolution of complex/high exposure or high-profile claims.
Provide guidance on litigation management and medical management solutions.
Partner with risk control and analytics/placement team to identify loss trends and develop a comprehensive program focused on reducing total cost of risk.
Contribute insights and client solutions in USI team huddle meetings.
Knowledge, Skills and Abilities
Possess an advanced understanding of one or more Property & Casualty coverage line (WC / Auto / GL / PD)
Licensed Adjuster preferred
Property & Casualty license preferred
Comfortable with internet-based programs and proficient in Microsoft Office products
Effective written and verbal communication skills
Ability to work well in a team environment
Multi-Lines Expertise = WC-EL / AL-APD / GL / PD-BI-EE-B&M.
Desired Additional Lines = Med-Mal / Cargo-STP / Inland Marine / Jones Act / USL&H / OCSLA / DOTHSA / M&E (as may be available).
Ability to submit FNOL on required lines, when appropriate
Detailed Policy Review and Analysis
CAT / Complex Claim Experience
Interface with Clients / Adjusters / Surveyors / TPA’s / Forensic Accountants / Attorneys / Carriers to progress and settle claims
Coordinate, Prepare & Conduct Claim Reviews with Client Representatives and Third-Party Providers
Perform TPA periodic evaluation, with contract review to optimize services to Client
Ability to evaluate Texas Non-Subscriber / Occupational Accident / Workers’ Compensation programs to advise Clients on best program to be implemented for their specific needs
Familiarity with usage and application of RMIS for Client applications
Proven Track Record with Broker / TPA / Independent Adjuster / Carrier or combination
Solid and Supported Industry Reputation
Strong Problem Solving / Communication / Negotiation Skills
Ability to work in a Producer / Account Service Team / Collaborative Claims Team Environment
Why USI? With approximately $3 billion in revenue and over 10,500 associates across approximately 200 offices nationwide, USI is one of the largest insurance brokerage and consulting firms in the world. At USI, we have created one of the most dynamic personal and professional development cultures in the industry. We invest heavily in our associates, and we take pride in celebrating their growth and success through our one-of-a-kind employee reward and recognition programs.
Unrivaled Resources and Support What truly distinguishes USI as a premier insurance brokerage and consulting firm is the
USI ONE Advantage®
, a game-changing value proposition that delivers to clients a robust set of risk management and benefit solutions with bottom-line financial impact. USI ONE® represents Omni, Network, Enterprise—the three key elements that set USI apart from the competition. Through USI ONE, we develop strategic, timely, and effective risk management and benefit programs in terms that are easy to understand, and we demonstrate how the solutions can have a positive economic impact.
Industry-Leading Programs, Rewards, and Recognition In addition to competitive pay, incentives, and benefits, USI recognizes associates through our Summit Awards program, rewarding excellence in those who build our brand each day. USI offers
employee programs
that recognize outstanding achievement and help our associates lead healthy, productive lives. We turn care into action with our award-winning wellness program, college scholarships for associates' children, and financial help in times of need.
Deep Community Engagement We are committed to giving back to our local communities and supporting a culture of environmental sustainability. From sharing our time, talent, and resources to support local non-profit organizations, animal shelters, and environmental beautification and restoration projects – to partnering with eco-conscious vendors and taking steps to reduce our own environmental footprint – we’re working
together as ONE
to build a better future.
Committed to a Diverse and Inclusive Workplace Our award-winning
I’m With U
diversity and inclusion program educates our associates to help them better understand and serve our clients, prospects, fellow team members, and local communities through curated education and training resources, employee support programs, and community outreach initiatives to build a more diverse, equitable, and inclusive culture.
Nationally Recognized as a Top Insurance Employer
Recognized as one of Insurance Business America’s Top Insurance Employers eight consecutive years (2018-2025).
Named to Business Insurance’s annual list of the Best Places to Work in Insurance six years in a row (2020-2025).
Named to Fortune’s Best Workplaces in Financial Services & Insurance list for the last two years (2024-2025).
Certified as a Great Place To Work two years in a row (2024-2025).
USI is committed to providing a full-suite of competitive benefits for our growing population and its diverse needs. We offer a wide range of health, welfare and financial benefits including medical, wellness, dental and vision, 401(k), flexible spending and health savings accounts, short and long-term disability, life insurance and other unique employer-sponsored and voluntary programs. USI also offers a generous paid time off policy, paid family leave benefit as well as paid holiday time.
#J-18808-Ljbffr