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Senior Claims Consultant

Company: INSURICA
Location: Oklahoma City
Posted on: August 5, 2022

Job Description:

We have a business with purpose and are looking for passionate, innovative people like you to join our team! INSURICA has built a rewarding environment for Colleagues and continues to uphold our solid customer pledge by "Specializing in You".INSURICA has over 650 employees across 4 time zones, 9 states, and 30+ locations nationwide. We are among the 50 largest insurance brokers in the US and are currently the 23rd largest privately held independent agency in the country.We take pride in our welcoming and diverse culture, internal growth opportunity, and robust compensation and benefit package. INSURICA provides our Colleagues with cutting edge resources, tools, and support so that we can be the best at what we do. SUMMARY: The Senior Claims Consultant will provide claim advocacy and oversight services for Tier 1, 2 & 3 clients for property and casualty and worker s compensation losses. Services include, but are not limited to, assuring complete and sound claim settlements, legal reviews and investigation, providing clients and/or carrier adjusters with leadership, direction, and problem resolution, as well as reviewing and monitoring files to ensure adjusters are achieving desired quality and service levels and functions. ESSENTIAL FUNCTIONS : Work directly with the Claims Manager to develop performance and service standards. Assist in the preparation, implementation and monitoring of the Risk Management Services department s claims management plans and client service responsibilities Provide management reports as required by senior management to monitor performance Works independently and has authority to make decisions based on experience and business need Trains and mentors junior claim colleagues as needed Will undergo training and mentorship from Director of Risk Management Services as needed Update EPIC with new & ongoing claims information, as needed Respond to phone calls to handle difficult customers or claims situations with adjusters where needed. Answer inquiries and questions from insureds, 3rd Party claimants and colleagues. Prepare Quarterly, Semi-annual or Annual Loss Summaries Assist Claims Manager in creating Special Claims Service Plans for VIP customers Review all loss details for clarification of expenses versus indemnity on loss runs or closing notices; analyze claims for financial impact to client and company Follow up for subrogation, depending on type of claim Review of time lapsed from date of loss to date reported and indicate lapse times to producer and customer Rectify with carriers the status of all open claims Review client lawsuits, larger losses (large reserves) and more complex claims and coverage scenarios Compare prior year loss runs to current year loss runs (reserve analysis for Work Comp loss runs) to determine if reserves are higher/lower and referring to type of injury Review and prepare analysis of new Work Comp laws applicable to Texas and/or Oklahoma. Engages in field inspections for claims resolutions as needed Periodic meetings with producers and carrier claims representatives to solve issues or potential concerns regarding current customers acting as liaison between client and carrier (including client claim reviews). Accompany Team members on prospect calls when necessary Seeks assistance from Loss Control & Risk Management Services to solve high-level claims issues. Involve Loss Control whenever hazards are found during the course of a claim in effort to reduce future claim occurrences Assist Producers with those Tier level customers enrolled in the INSURICA Work Comp Experience including, but not limited to, reviewing NCCI Worksheets and Mod-Master reports Advise producers/account managers of large claims settlements/reserves per established guidelines. Inform producers on status of large or complex claims Maintain and distribute Agency Claims Log, Large Loss Reports and Litigated Claims Reports. Maintain working knowledge of all company change procedures. Review all activities relating to the public, customers and companies to avoid issues involving potential errors and omissions. Participate in seminars and other training to maintain required licenses and for knowledge and skill development. Conduct claims training seminars for clients and colleagues. Stays current on developing legislative & regulatory changes that will impact INSURICA claims advocacy efforts and to educate client & colleagues of these changes. ADDITIONAL RESPONSIBILITIES: This job description is intended to describe the level of work required of the person performing the job. Essential functions are outlined. Other duties may be assigned as needs arise or as required to support the essential functions of the risk management department. Specific performance objectives may be developed each year to measure performance of the tasks and functions listed in this job description. KNOWLEDGE, SKILLS AND ABILITIES: Imaginative and creative with excellent negotiation and problem solving skills Creative and analytical, with the ability to influence others Excellent computer skills including the Microsoft Office suite of products (Word, Excel, PowerPoint, Outlook, Teams, etc.) with the ability to create spreadsheets, graphics, charts, diagrams and other illustrations for presentations and reports, as well as be able to effectively utilize the agency management systems Ability to work within a fast paced, changing priority environment Self-motivated, with the initiative to prioritize and be self-directed Regular and punctual attendance is required Ability to listen to a question, analyze and work through the problem and explain the solution to the inquiring person so that he/she is confident in his/her ability to complete the task on their own. Ability to thoroughly understand written and oral communication and interpret abstract information Attentive to details and have a good understanding of the claims workflow, systems and processes. Ability to communicate effectively, both verbally, and in writing, and across all levels Excellent interpersonal skills, with the ability to interact effectively with both colleagues, and managers, across all levels Ability to promote, and maintain a team environment, willing to find accommodating solutions for our customers, companies and the Agency Ability to successfully adhere to company policies and procedures, as well as maintain strict confidentiality JOB REQUIREMENTS: 10+ Years workers compensation and/or casualty claims experience preferred Bachelor s degree (business, accounting, marketing) preferred Professional insurance related designations highly desirable Must possess all licenses, as required by the appropriate State Department of Insurance, as applicable WORKING CONDITIONS AND REASONABLE ACCOMMODATIONS: Fast-paced, multi-tasking, office environment with periodic high disruption and changing priorities Ability to perform approximately 80% sedentary work, exerting up to 10 pounds of force occasionally, and negligible force frequently Ability to lift up to 20 pounds occasionally Requires operation of a computer workstation, including keyboard and video display _All requirements may be modified to reasonably accommodate physical or mental impairment_Job Type: Full-timeBenefits: 401(k) 401(k) matching Dental insurance Employee assistance program Employee discount Flexible schedule Flexible spending account Health insurance Health savings account Life insurance Paid time off Parental leave Professional development assistance Referral program Tuition reimbursement Vision insuranceSchedule: 8 hour shift Monday to FridaySupplemental Pay: Commission payEducation: Bachelor's (Preferred)Experience: Workers' compensation: 10 years (Preferred) Casualty claims: 10 years (Preferred)Work Location: One location

Keywords: INSURICA, Oklahoma City , Senior Claims Consultant, Accounting, Auditing , Oklahoma City, Oklahoma

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