Senior Claim Consultant

Willis Towers Watson (NASDAQ: WLTW) is a leading global advisory, broking and solutions company that helps clients around the world turn risk into a path for growth. With roots dating to 1828, Willis Towers Watson has 40,000 employees in more than 140 countries. We design and deliver solutions that manage risk, optimize benefits, cultivate talent, and expand the power of capital to protect and strengthen institutions and individuals. Our unique perspective allows us to see the critical intersections between talent, assets and ideas – the dynamic formula that drives business performance. Together, we unlock potential. Learn more at willistowerswatson.com.
 
The Business
Corporate risk and broking
We know how companies can unlock potential through effective risk management.  Our clients rely on us to craft strategies to quantify, mitigate, and transfer risk, taking advantage of our specialist industry experience and unparalleled market know-how. The result is a new way of embracing risk that drives superior results. 
 

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

The Role
The Claims Consultant is responsible for timely and professional assistance and support including analysis and advocacy of claims.  This position acts as an advocate for clients and partners with the carriers and TPAs to focus on the review and auditing of worker’s compensation, general liability, and auto liability claims.  The claims consultant maintains positive relations with adjusters, clients, co-workers, claimants, producers, Account Executives, Account Managers, and carriers.  This position works on large accounts/projects with national exposure: 

• Audit claim files to project expected closure dates, review reserve adequacy, suggest alternative cost containment measures, MSA protocol and narcotic pharmacy review, develop and outline detailed strategic action plans for claim closure.
• Partner with claim adjusters, legal counsel and clients to implement action plans and pursue settlement and closure.
• Communicate with various personnel regarding the ongoing claim process and assist field personnel with any follow-up issues.  
• Develop and grow relationships with clients, carriers and third-party claims administrators.
• Participate in monthly/quarterly claim strategy meetings. Partner with team & client to create/achieve strategic goals.
• Assist on special team and/or individual projects/audits as needed.

The Requirements

• Bachelor’s degree preferred
• 8 years relevant experience preferably in insurance claims examination, investigation, adjudication or advocacy, including auto, general liability or worker’s compensation injuries and claims.  
• Multi-jurisdictional experience is required.
• Professional designations a plus.  If no professional designation the ability/desire to obtain one after hire.
• Experience with managed care preferred
• Ability to work independently with minimal oversight.
• Ability to communicate professionally in both written and spoken forms
• Ability to problem solve & think outside the box
• Ability to professionally resolve and disperse grievances 
• Significant computer skills, including, but not limited to, Microsoft Office Suite to include: Excel, Word and PowerPoint

EOE, including disability/vets