Claims Consultant

Responsibilities

• Act as the primary claims liaison for assigned clients across multiple lines of coverage (e.g., casualty, property, workers' compensation, professional liability).
• Provide strategic guidance on claim reporting, claim development, settlement strategy, and resolution.
• Advocate for clients in complex, high‑severity, or disputed claims to achieve optimal outcomes.
• Ensure insurers, TPAs, and defense counsel adhere to best practices, service standards, and policy obligations.
• Analyze claim trends, loss drivers, and reserve adequacy; prepare recommendations to reduce total cost of risk.
• Conduct claims reviews and stewardship meetings with carriers and TPAs.
• Support renewal and placement efforts with claims insights, loss narratives, and benchmarking.
• Assist with coverage interpretation, claims negotiations, and escalation of issues when necessary.
• Manage/coordinate fee for service consulting projects
• Partner closely with producers, account executives, and risk management teams to align claims strategies with overall client goals.
• Prepare and present claims reports, dashboards, and client‑facing summaries.
• Educate clients on claims processes, coverage considerations, and emerging claims issues.
• Successful Candidate Will Have
• Bachelor's degree or equivalent professional experience.
• 5+ years of experience in claims management, brokerage claims consulting, carrier claims, TPA, or related roles.
• Experience handling complex or large‑loss claims strongly preferred.
• Deep understanding of insurance policy language and claims processes.
• Strong analytical, problem‑solving, and negotiation skills.
• Excellent written and verbal communication; able to present confidently to senior client stakeholders.
• High level of professionalism, discretion, and client‑service orientation.
• Ability to manage multiple priorities in a fast‑paced, consultative environment.
• Adjuster license (as applicable).
• Industry designations such as CPCU, ARM, AIC, SCLA, or similar.
• Pay Range:
• $100,000 - $130,000 Annual
• The pay range provided above is made in good faith and based on our lowest and highest annual salary or hourly rate paid for the role and takes into account years of experience required, geography, and/or budget for this role.
• Personal information submitted by California applicants in response to a job posting is subject to Risk Strategies' California Job Applicant Privacy Notice .
• Recruiting Vendor Disclosure Statement

Additional Information

The Claims Consultant serves as a trusted advocate for brokerage clients throughout the insurance claims lifecycle. Acting as the primary claims advisor, this role partners with clients, insurers, third‑party administrators (TPAs), and internal brokerage teams to deliver proactive claims management, improve outcomes, and ensure claims are handled fairly, efficiently, and in alignment with coverage terms and client objectives.

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