Willis Towers Watson

Casualty Claims Consultant

Posted on Apr 28 New York, NY 444 views

The Casualty Claims Consultant provides claim strategy, consulting, and advocacy services to clients. The Consultant will be responsible for maintaining relationships with both internal and external clients while providing high level, strategic claim consulting. They also help support growth, innovation, and ensure execution of the claim consulting services.

Note that visa employment-based non-immigrant visa sponsorship and/or assistance is not offered for this specific job opportunity.

The Role

  • Manage designated clients as primary consultant to provide strategy claim consulting

  • Advocate for clients for prompt, optimal recovery on claims

  • Ensure quality and consistency in executing high level claim services to our clients

  • Engage our global network of professionals as needed

  • Appropriate utilization of all systems as required

  • Work with others as necessary to continually improve quality and innovation

  • Monitor the performance of vendor partner’s services

  • Directly handle complex cases or special requests from internal and external clients

  • Evaluate data to assess claim programs and identity solutions to improve quality and performance

  • Promote collaboration and teamwork to produce comprehensive solutions to clients

  • Ability to prepare comprehensive coverage analysis

  • Support new business with sales presentations and RFP

  • Promote identification and sales of claim and risk control consulting projects and initiatives

  • Participate in strategic large client team meetings as required

  • Manage the quality and appropriateness of client service agreements

  • Ensure practice strategy alignment with Willis Towers Watson business plans

  • Regularly meet with Willis Towers Watson brokerage executives to ensure delivery alignment

  • Maintain direct relationships with key clients

  • Ensure appropriate program design and documentation including service scope alignment

  • Help develop and execute the strategies of the practice

  • Promote and foster Willis Towers Watson culture

  • Manage the appropriate level of resources for your clients

  • Be a visible sign of professionalism and direction for the practice

  • Maintain local relationships with all major trading partners

  • Provide ideas and strategies that strengthen the practice

The Requirements

  • 4 year college degree preferred; a Business related field is highly preferred. Additional level(s) of education are a plus.

  • Minimum of 5 years’ experience in a Claim and/or Risk Control related position with some prior experience working at an insurance carrier or third party administrator preferred

  • CPCU, AIC, or ARM within 3 years of obtaining this position or 5 years or more insurance industry experience exempt

  • Worker’s Compensation or Liability experience required, both preferred

  • Must have appropriate licenses in their resident state

  • Knowledge of Claim Handling & Claim processes and procedures

  • Understand medical case management and cost containment programs

  • Knowledge of laws, legal codes, procedures and processes involving insurance

  • Analyze data and provide concise conclusions; communicate orally and in writing, and display versatility in working with different personalities

  • Evaluate information against a set of standards to verify compliance; handle complaints, arbitrate disputes and negotiate settlements, and handle multiple tasks simultaneously

  • Obtain relevant information; analyze and report financial data, and communicate technical information orally and in writing

  • Effectively communicate with senior management; evaluate information against a set of standards to verify correctness, and handle complaints, arbitrate disputes, and negotiate alternative solutions

  • Handle multiple tasks simultaneously; obtain relevant technical information to support decision making or selling risk improvement programs, and work independently

  • Computer skills relevant to Microsoft Office, Outlook, and web-based applications

  • Interpersonal relationship skills with internal and external executives

  • Project management skills

  • Understand company products, services, global network, and industry practices

  • Understand the process and value of basic data analytics and benchmarking

  • Travel required

EOE, including disability/vets

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