[Remote] Claims Consultant

Note: The job is a remote job and is open to candidates in USA. Risk Strategies Company is a trusted advocate for brokerage clients throughout the insurance claims lifecycle. The Claims Consultant serves as the primary claims advisor, partnering with clients and various stakeholders to deliver proactive claims management and improve outcomes.

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

Skills

• Bachelor's degree or equivalent professional experience
• 5+ years of experience in claims management, brokerage claims consulting, carrier claims, TPA, or related roles
• 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
• Experience handling complex or large-loss claims strongly preferred

Company Overview