General Description: Provide claim advocacy and claim consulting services for Commercial Lines Clients.

Responsibilities:

Monitor and measure financial impact of USI reviews and communicate results to Client.Dialogue / negotiate with Carriers to develop special account handling 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 P&C Analytics / Placement Team to identify loss trends and develop a comprehensive program focused on reducing Total Cost Of Risk (TCOR).Contribute insights and Client solutions in USI Team huddle meetings.

Knowledge, Skills and Abilities:

Possess an advanced understanding of at least one Property & Casualty coverage line (WC / Auto / GL / and / or PD).Licensed Adjuster (preferred, but not required).Property & Casualty license preferred.Bachelor’s degree strongly preferred.Minimum 10 Years direct claims experience.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.Carrier ROR / Denial Letter Response.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 (prefer no Attorneys).Solid and Supported Industry Reputation.Strong Problem Solving / Communication / Negotiation Skills.Ability to work in a Producer / Account Service Team / Collaborative Claims Team Environment.

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