Claims Specialist

Job Summary

Seeking a highly skilled and experienced Claims Specialist to join a team. This role is pivotal in managing the claims process from initial notice to resolution, ensuring a seamless experience for our customers. The ideal candidate will have prior experience managing claims at an agency level, not at a carrier, and will possess a strong understanding of commercial property and casualty insurance.

Compensation Package

• Salary: $80,000 - $100,000 annually, commensurate with experience.
• Benefits:
  • Comprehensive health, vision, dental, and life insurance.
  • Opportunities for professional growth in a collaborative and casual office environment.

Responsibilities

• Review and process incoming claims promptly and accurately, adhering to regulatory and company standards.
• Request and track necessary information from customers for accurate claim submissions.
• Investigate and resolve complex claim issues.
• Maintain detailed records of all claims activity, including correspondence and findings.
• Communicate regularly with customers and carriers to provide updates on claim status and next steps.
• Monitor and manage large claims, ensuring continuous communication with insured parties from notification to closure.
• Notify senior leadership of any large claim concerns or issues.
• Provide exceptional customer service by addressing customer concerns and complaints.
• Analyze and investigate claims to identify and prevent potential fraud.
• Generate monthly, quarterly, and annual loss run reports for internal and external stakeholders.
• Perform additional duties as assigned.

Qualifications/Requirements

Required Skills/Abilities:

• Valid resident Property & Casualty insurance license, or the ability to obtain and maintain one (assistance may be provided).
• Proficiency in Microsoft Office Suite.
• Familiarity with AMS360 and ImageRight, or the ability to quickly learn these systems.
• Strong analytical skills and attention to detail.
• Excellent communication skills, both written and verbal, with the ability to interact effectively with leadership, coworkers, insureds, and carriers.
• Ability to work independently with minimal supervision.
• Professional and tactful interpersonal skills to engage with diverse personalities.
• Strong organizational skills and the ability to manage multiple tasks efficiently.
• Team-oriented mindset with a willingness to seek and provide feedback.

#LI-CS1

Commercial Lines Claims Advocate - Agency

Job Summary

Seeking a highly skilled and experienced Commercial Lines Claims Advocate to join a dynamic and growing team. The role may require minimal travel. As a key member of team, you will handle complex, high-severity, disputed, or coverage-sensitive claims, ensuring exceptional service and advocacy for the clients.

Compensation Package

• Salary Range: $80,000 - $85,000 annually
• Benefits Offered:
  • Competitive benefits package, 401(k), paid time off, professional development opportunities, etc.
• Work Arrangement: Fully remote
• Travel Requirements: Minimal

Responsibilities

• Manage and advocate for commercial lines claims, including complex, high-severity, disputed, or coverage-sensitive cases.
• Serve as a liaison between clients and insurance carriers to ensure timely and accurate resolution of claims.
• Provide expert guidance and support to clients throughout the claims process.
• Collaborate with internal teams, including marketing and account management, to deliver exceptional client service.
• Maintain accurate and detailed records of claims activities in the AMS360 system.
• Stay updated on industry trends, regulations, and best practices to provide informed advice and solutions.

Qualifications/Requirements

• Licensure/Certifications: Property & Casualty (P&C) license and/or Adjuster license required.
• Experience: Minimum of 7 years of experience handling commercial lines claims, with significant exposure to complex and high-severity cases.
• Technical Skills: Proficiency in AMS360 software is preferred.
• Skills and Attributes:
  • Strong analytical and problem-solving skills.
  • Excellent communication and interpersonal abilities.
  • Detail-oriented with a commitment to accuracy and thoroughness.
  • Ability to work independently in a remote environment while maintaining high productivity.

#LI-DR1

Commercial Insurance Agency Claims Consultant

Job Summary

Seeking a detail-oriented and customer-focused Commercial Insurance Agency Claims Consultant to join the team. This role involves acting as a trusted advocate for clients, providing expert guidance and support throughout the claims process. Knowledge and experience in agency claims will be essential in delivering exceptional service, ensuring clients stay informed and confident during every step of the process.

The Claims Consultant will be responsible for managing claims, addressing potential coverage issues, and advocating on behalf of clients to carriers. This position requires someone who excels in a fast-paced, collaborative environment and is committed to fostering client satisfaction and trust.

Responsibilities

• Serve as the primary advocate for clients, managing commercial insurance claims from initiation through resolution.
• Assist clients in understanding policy coverage, conditions, exclusions, and the claims process.
• Collaborate with insurance carriers and adjusters to ensure accurate and timely claim resolution while protecting clients' interests.
• Provide proactive communication to clients and stakeholders regarding claim status, updates, and key developments.
• Assess coverage issues and escalate to subject-matter experts or additional resources when necessary.
• Review and evaluate claims documentation, including estimates, invoices, and adjuster reports, to ensure fairness and accuracy.
• Identify trends and offer claims mitigation and risk management recommendations to clients and agency leadership.
• Build and maintain strong client relationships through integrity, trust, and professional service.
• Maintain organized and accurate records of all claim-related activities and correspondence in the agency’s CRM or claims management system.
• Stay up-to-date on industry regulations, changes, and best practices to enhance service delivery.

Qualifications/Requirements

• Bachelor’s degree in Business, Insurance, Risk Management, or a related field, or equivalent work experience.
• A minimum of 3 years of experience in commercial insurance claims handling, agency claims advocacy, or a similar role.
• Expertise in commercial insurance policies, including liability, property, and workers' compensation.
• Excellent communication and interpersonal skills with a strong client-focused approach.
• Advanced analytical and problem-solving skills to handle complex claims effectively.
• Proficiency in claims management software and Microsoft Office Suite (Excel, Word, Outlook).
• Ability to manage multiple priorities and meet deadlines in a fast-paced setting.
• Strong negotiation and conflict resolution abilities.
• Exceptional attention to detail and professional integrity.
• Licensed Property and Casualty Agent.
• Claims Adjuster License or industry designations such as AIC, CPCU, or ARM.

Disclaimer: Please note that this job description may not cover all duties, responsibilities, or aspects of the role, and it is subject to modification at the employer's discretion.

#LI-DR1

Agency Claims Specialist

Job Summary

Seeking a dedicated and detail-oriented Agency Claims Specialist to join a dynamic team. This role involves working closely with customers, agencies, and internal teams to process and manage claims efficiently while delivering an outstanding customer experience. The ideal candidate is a problem solver with excellent communication and organizational skills and thrives in a collaborative and fast-paced environment.

Responsibilities

• Review, evaluate, and process agency claims in accordance with company policies, procedures, and standards.
• Serve as the primary point of contact for claims-related inquiries, ensuring timely and accurate communication with clients and stakeholders.
• Conduct detailed assessments of claims documentation to determine accuracy, compliance, and validity.
• Collaborate with internal teams such as underwriting, legal, and customer service in resolving disputes or escalations.
• Maintain thorough and up-to-date records of claim activity using internal systems and tools.
• Identify trends and potential areas of process improvement to enhance efficiency and service quality.
• Provide support and guidance to clients during the claims process, ensuring transparency and professionalism throughout.
• Stay informed on industry regulations, best practices, and emerging trends related to claims management.

Qualifications/Requirements

• Bachelor's degree in business, insurance, finance, or related field, or equivalent experience.
• Proven experience as a Claims Specialist, Agency Claims Manager, or similar role in the claims/insurance industry.
• Strong analytical and decision-making skills with a meticulous attention to detail.
• Excellent verbal and written communication skills with the ability to explain complex processes to clients and stakeholders.
• Proficiency in claims management software and systems; familiarity with industry-specific tools is a plus.
• Exceptional organizational and multitasking abilities to manage competing priorities and tight deadlines.
• Ability to work independently as well as collaboratively as part of a team in a fast-paced environment.
• Certification in claims handling or related areas is a bonus (e.g., AIC, CPCU).

Disclaimer: Please note that this job description may not cover all duties, responsibilities, or aspects of the role, and it is subject to modification at the employer's discretion.

#LI-DD3

Senior Claims Advocate

Job Summary

Seeking a highly skilled and experienced Senior Claims Advocate to provide strategic claims support and advocacy for a clients. This role focuses on managing complex claims, improving claims performance, and delivering actionable insights to clients. As a key advisor, you will lead client-facing claims reviews, influence carrier decisions, and drive optimal claims outcomes.

Compensation Package

We offer a competitive compensation package that reflects your skills, experience, and expertise. The annual salary range for this position is $87,550.00 - $124,755.00 USD, commensurate with job-related qualifications and geographic location. This range includes base pay earnings. Additional benefits include:

• Comprehensive health, dental, and vision insurance
• Paid time off and holidays
• Professional development opportunities

Responsibilities

As a Senior Claims Advocate, your primary responsibilities will include:

• Overseeing the strategy and resolution of complex, high-exposure, and multi-line claims to align with client financial and risk management objectives.
• Serving as the primary advocate for clients with carriers, influencing reserves, coverage positions, and claim outcomes.
• Directing claim strategy and engagement with adjusters to ensure timely and effective claim progression.
• Identifying opportunities to reduce total cost of risk through strategic claim oversight and early intervention.
• Leading the development and delivery of quarterly claims reviews, including advanced trend analysis and actionable insights.
• Presenting claims reviews to clients, providing clear recommendations to improve outcomes and inform risk management decisions.
• Managing and resolving complex or escalated claim issues, serving as a senior escalation point for clients and internal stakeholders.
• Collaborating with carrier leadership, legal partners, and internal teams to resolve challenging claims.
• Mentoring and developing Claims Advocates, providing technical guidance and oversight of claim strategies.

Qualifications/Requirements

Required Education & Experience:

• A minimum of 5 years of experience in commercial insurance claims or claims advocacy.
• Strong understanding of claims handling, reserving, and coverage.

Preferred Education & Experience:

• Advanced designations such as AIC, SCLA, CPCU, ARM, or equivalent.
• Experience managing large and complex commercial claims.

Planning/Organizing/Managerial Knowledge:

• Proven ability to manage complex workloads and integrate claims strategy with client risk profiles and renewal impacts.

Communicating & Influencing Skills:

• Strong leadership in client discussions and presentations.
• Demonstrated ability to influence carrier decisions on reserves, settlements, and claim handling strategies.

#LI-CS1

Claims Advocate

Job Summary

Seeking a dedicated and detail-oriented Claims Advocate to support clients through the claims process. In this role, you will be responsible for reporting, monitoring, and facilitating communication between clients and insurance carriers. The ideal candidate will ensure timely claim handling, track claim statuses, and assist with claims analysis and reporting. This position requires a proactive approach to managing claims, providing strategic advice, and delivering exceptional client service.

Compensation Package

Salary that reflects your skills, experience, and education. The annual compensation range for this position is $72,950.00 - $103,955.00 USD for full-time employees.

Responsibilities

• Independently evaluate and triage claims to determine appropriate handling strategies and align with client risk management objectives.
• Analyze claims data, loss trends, and exposure factors to identify patterns and provide actionable recommendations.
• Serve as a strategic advisor to clients on claims processes, coverage interpretation, and best practices for mitigating future risks.
• Coordinate claim resolution strategies with carriers, legal partners, and internal teams to address cost, liability, and operational impacts.
• Lead claims review discussions with clients, presenting insights, advising on reserve challenges, and influencing claim outcomes.
• Interpret and apply policy provisions and carrier practices to guide clients through complex or escalated claims scenarios.
• Manage carrier relationships and advocate on behalf of clients to ensure appropriate handling, responsiveness, and equitable resolution of claims.
• Develop and deliver claims reporting and analysis, including loss runs, KPIs, and trend summaries, tailored to support client decision-making.
• Establish and refine claims handling procedures and workflows to improve efficiency, compliance, and overall client service delivery.
• Provide consultative guidance to clients and internal partners on claims-related risks, process improvements, and operational impacts.

Qualifications/Requirements

Required Education & Experience

• 1–3+ years of commercial insurance or claims-related experience.
• Basic understanding of claims handling and coverage.

Preferred Education & Experience

• Carrier or agency claims experience.
• Insurance designation (e.g., CISR or similar).

Planning/Organizing/Managerial Knowledge

• Ability to manage multiple claims and follow-ups within defined processes.

Communicating & Influencing Skills

• Strong communication skills to obtain updates from clients and carriers and provide clear status updates.
• Ability to explain claims processes and timelines effectively.

#LI-CS1

Agency Claims Consultant

Job Summary

Seeking a dedicated and detail-oriented Agency Claims Consultant to join a leading full-service insurance brokerage and risk management consulting firm. This role is responsible for managing the claims process, ensuring timely and accurate communication with clients and carriers, and providing exceptional support throughout the claims lifecycle. The ideal candidate is highly organized, customer focused, and able to manage multiple priorities in a collaborative environment.

Responsibilities

• Manage claim intake and reporting processes from initial notice through carrier submission.

• Maintain accurate claim documentation, agency management system notes, and carrier communications.

• Utilize proper activity logging, suspense tracking, and documentation procedures within the agency management system.

• Assist with loss run requests, data validation, and preparation of basic loss summaries.

• Monitor claim status and follow up with adjusters to ensure timely assignments and updates.

• Coordinate claim-related information with Account Management and Risk Control teams.

• Provide professional and empathetic client service by explaining claims processes and setting expectations.

• Assist with scheduling claim reviews and client meetings.

• Maintain strong organization and time management while managing multiple priorities.

Qualifications/Requirements

• Associate's or Bachelor's degree preferred.

• Holds an active P&C (Property and Casualty) insurance license, or is willing to obtain one.

• Interest in pursuing the Associate in Claims (AIC) designation preferred.

• Experience with Microsoft Office applications, including Outlook, Excel, Word, and PowerPoint.

• Experience using an agency management system such as EPIC or AMS360 preferred.

• Strong organizational skills and attention to detail.

• Ability to manage multiple tasks and priorities effectively.

• Excellent communication and client service skills.

• Minimum of 2 years of relevant experience preferred.

Compensation Package

• Salary Range: $50,000 - $80,000 (commensurate with experience)

• Benefits: Comprehensive benefits package.

• Work Arrangement: Hybrid.

Disclaimer: Please note that this job description may not cover all duties, responsibilities, or aspects of the role, and it is subject to modification at the employer's discretion.

#LI-MB6

Senior Agency Claims Consultant

Job Summary

Seeking a highly skilled and experienced Senior Agency Claims Consultant to join a team. This role is pivotal in managing complex claims, developing strategic solutions, and providing exceptional service to clients. The ideal candidate will have a strong background in commercial insurance claims, excellent analytical and negotiation skills, and the ability to collaborate effectively with internal and external stakeholders.

Compensation Package

• Salary: $100,000 - $120,000 annually, based on experience
• Benefits: Comprehensive benefits package

Responsibilities

• Manage catastrophic, litigated, and high-severity claims while leading strategy and negotiating settlements
• Analyze policy language and carrier coverage positions to develop claim strategies and support advocacy efforts
• Collaborate with attorneys, adjusters, and internal teams to resolve complex claims issues
• Conduct root-cause analysis and coordinate risk control initiatives to mitigate future losses
• Prepare and present claim reviews, loss trends, and performance analysis to senior client leadership
• Lead multi-year loss analysis and benchmarking to support renewal strategy and underwriting discussions
• Develop underwriting narratives and claims summaries to assist with renewal negotiations and pricing discussions
• Maintain strong relationships with key client contacts, carrier representatives, legal counsel, and other service partners
• Mentor and support Claims Consultants through technical guidance, training, and process improvement initiatives
• Oversee assignment of accounts within the Claims Department to ensure proper workload distribution
• Represent the organization in professional associations, industry forums, and events

Qualifications/Requirements

• Bachelor’s Degree or equivalent professional experience
• Insurance licensing or ability to obtain within 60 days
• Strong knowledge of commercial insurance policy language and claims processes
• Experience managing complex or litigated claims and developing claim resolution strategies
• Strong analytical, negotiation, and problem-solving skills
• Excellent communication and presentation skills, including experience working with executive-level clients
• Ability to collaborate effectively across internal teams and external partners
• CPCU or CIC designation (strongly preferred)
• AIC or CRIS designation (preferred)
• Experience working with an Agency Management System such as EPIC or AMS360 (preferred)
• Proficiency with Microsoft Office applications including Outlook, Excel, Word, and PowerPoint (preferred)
• Minimum of 6+ years of relevant experience

#LI-MB6

Claims Account Executive

Job Summary

Seeking a dedicated and detail-oriented Claims Account Executive to join a dynamic team. In this role, you will be responsible for managing claims related to workers' compensation, property, and general liability. The ideal candidate will possess strong organizational skills, the ability to work collaboratively in a team environment, and a proactive approach to handling claims. This is an excellent opportunity to join a company with a strong culture, competitive compensation, and the backing of a reputable organization.

Compensation Package

• Salary Range: $65,000 - $90,000 per year
• Benefits: Comprehensive benefits package offered
• Travel: Occasional travel (<15%) for off-site team meetings, client meetings, site visits, and conferences

Responsibilities

• Handle general claim reporting for auto, property, general liability, and workers' compensation claims
• Conduct investigations and participate in reserve discussions
• Collaborate with team members to ensure efficient claims processing
• Maintain accurate and organized records of claims
• Provide exceptional service to clients and stakeholders

Qualifications/Requirements

• Education: Bachelor’s degree preferred
• Experience:
  • 1-3 years of experience in workers' compensation, property, and general liability claims (2+ years preferred)
  • Familiarity with Applied EPIC software is a plus
• Skills:
  • Strong organizational skills and attention to detail
  • Ability to take direction and work collaboratively as part of a team
  • Excellent communication and problem-solving abilities
• Other Requirements:
  • Open to candidates with agency experience; carrier experience will be considered if relevant to property and casualty claims

#LI-KD1

Senior Claims Consultant

Compensation Package

• Base Salary: $90,000 – $110,000 annually (based on experience)
• Competitive benefits package, paid time off, professional development opportunities, etc.
• Must have P&C License
• At least 5 years of experience adjusting claims

Position Summary
Our National retail client is seeking a Senior Claims Consultant to oversee claims handling and client advocacy. This role requires independent judgment, strong technical expertise, and the ability to serve as a key liaison among clients, carriers, Account Executives, and Producers. Candidates must hold an active P&C (Property and Casualty) insurance license.

Key Responsibilities

• Oversee a portfolio of Commercial and, as applicable, Personal Lines claims
• Act as liaison between clients, carriers, and internal teams on claim-related issues
• Attend strategy meetings and renewal meetings with Producers and Account Executives
• Advocate for clients in interactions with carriers on claims matters
• Maintain strong relationships and communications with carriers and clients
• Prepare and present claim reviews and action plans to clients
• Review and process new claim reports and court decisions
• Provide claims support through research, expertise, and communication
• Participate in trainings and educational presentations on claims handling and coverage issues
• Provide guidance to Claims Administrators on submission of claims and applicable lines of business

Qualifications

• Bachelor’s degree preferred
• Minimum 5 years of insurance industry experience adjusting claims
• Holds an active P&C (Property and Casualty) insurance license
• Strong knowledge of insurance coverages, claims processes, and regulations
• Proficiency with Microsoft Office Suite and agency management software
• Excellent communication, strategic planning, and problem-solving skills
• Highly organized with ability to manage multiple priorities independently and in a team environment

#LI-JL1