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Monitors claims activities and results, facilitating the resolutions of claims as needed
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Functions as liaison between Clients and insurance carriers, advocating for the best outcome for the Client while respecting Insurance Carrier
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Ensures the accuracy and completeness of claim forms
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Reviews claim status, action plans, and reserves by applying advanced problem solving skills
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Challenges adjusted as warranted, while advocating the best outcome for Client in accordance with Lockton Company service standard
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Coordinates and perform cost containment surveys to evaluate Client’s existing cost management programs
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Negotiates changes in reserves for a positive Client outcome
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Provides status reports to Clients, also ensuring internal Clients are well informed
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Analyzes data from claims carriers, generates reports with findings, and recommends a business plan and strategy for current and prospective Clients
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Evaluates Client’s existing claim program and Client needs
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Develops and implements Claims Management Programs, with periodical post-implement reviews
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Coordinates Client meetings to review claims programs
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Develops yearly service plans for each Client’s policy
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Coordinates and attends regularly scheduled claims review meetings with Clients
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Develops audit sheets, summarized findings and calculations with a writer report
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Leads wrap-up audit meetings
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Reviews loss history, providing recommendations to improve Client position
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Cultivates strong working relationships with stakeholders, including: Clients, Producers, Client service staff, and Carriers
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Researches industry trends and governmental regulations
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Performs other responsibilities and duties as needed
#LI-SS1
Bachelor of Arts or Sciences degree in business field, related field, or equivalent practical insurance claim management experience
Substantial knowledge of the practices and procedures of Third Party Administrators, and the skill to effectively develop long term partnerships that meet client expectations and needs
Proven experience in the evaluation of the accuracy of property and casualty claim reserving practices
Strong knowledge the evaluation, interpretation and communication of insurance claims and coverage
Strong knowledge of Microsoft Office Suite (Word, Outlook, Excel, and PowerPoint)
Strong verbal and interpersonal communication skills required
Understands industry trends and governmental regulations
Ability to complete continuing education requirements as needed
Ability to attend company, department, and team meetings as required, including industry training sessions
Ability to comply with all company policies and procedures, proactively protecting confidentiality of client and company information
Ability to efficiently organize work and manage time in order to meet deadlines
Ability to travel by automobile and aircraft
Ability to use office equipment such as a computer, keyboard, calculator, photocopier, and facsimile machine
Ability to work on a computer for a prolonged amount of time
Ability to work outside of normal business hours as needed
Legally able to work in the United States