Claims Consultant - Workers Compensation

Claims Consultant

The Claims Consultant provides escalated client advocacy and expertise for complex and/or multiple lines of coverage claims issues. This position will interact with clients, internal and external stakeholders to support claims advocacy and resolution.

In This Role You Will Execute On:

• Apply experience of specialized property & casualty knowledge by providing consultative interpretation of policy language, coverage analysis, advocacy, policy coverage and dispute resolution.
• In collaboration with internal stakeholders, negotiate with insurance adjustors and external legal counsel to facilitate and expedite a fair settlement of client claims.
• Provide a second or third level of defense for claims denials or reservation of rights (ROR). Perform legal research and provide guidance for any claim where a non-standard ROR) is not resolved at a lower level or where coverage is declined by the carrier.
• Represent Hylant claims capabilities to existing and prospective clients by actively participating in meetings and presentations and collaborating with client executives and client management to promote opportunities for revenue growth.
• Consult with clients and internal stakeholders to understand client coverage needs and intentions; provide knowledge and guidance on claims processes, policy coverage, terms, and conditions. Review and recommend solutions to coverage and loss management issues where appropriate.
• Mentor claims advocates, identifying areas of strength and opportunities. Coach and guide advocates to enhance their knowledge and development.
• Lead communications relative to changes & initiatives affecting claims operations. Serve as a brand ambassador within the operation, promoting brand awareness and excellence. Assist in development and management of claims related communication including, but not limited to, newsletter, internal and external email, intranet and website content, webinars, seminars and summits.
• Monitor legal and industry trends or other relevant information in the Property & Casualty space providing insight and guidance internally and externally.
• Participate in presentations and meetings with current and prospective clients; provide claims expertise to support client retention and new business efforts.
• Perform other duties and special projects as requested.

In This Role You Will Need:

• Bachelor's degree plus a minimum of ten (10) years property and casualty insurance experience including a minimum of five (5) years' experience managing claims or equivalent combination of education and experience.
• Specific knowledge and experience with Workers Compensation coverage required.
• Active Property and Casualty insurance license.
• Insurance designation such as CPCU, AIC, CIC, and/or ARM are encouraged.
• Excellent written and verbal communication skills; proactive in sharing information.
• Ability to effectively problem solve; research, analyze, decision making, dependability.
• Ability and willingness to travel by car or airplane for meetings, conferences, or other business-related functions.
• Must be legally authorized to work in the United States.

Why Hylant?

A multi-year recipient of Best Places to Work in Insurance, Hylant is a full-service insurance brokerage with 21 offices in eight states. And since the founding of our family-owned business over 85 years ago, we made a promise to strengthen and protect the businesses, employees and communities of our client family by embracing them as our own. We're more than an insurance brokerage firm and you're more than a client, employee or neighbor. You're family. And that's just the way we treat you.

Hylant is proud to be an equal opportunity workplace. All qualified applicants will receive consideration for employment without regard to race, marital status, sex, age, color, religion, national origin, veteran status, disability or any other characteristic protected by law. If you have a disability or special need that requires accommodation, please let us know. Hylant participates in E-Verify.