1. Claim Adjudication and Compliance

Manage claims specialists, ensuring proper evaluation of claims by guidelines.  

Prepare correspondence to customer; claim approved or denied.

Work closely with clients through the claims process, providing assistance with coverage, investigation, loss valuation, settlement, and communication with carriers and TPA’s.

Prepare narrative for Program Executives, Underwriters, and other parties, as necessary, describing status of all our selected claims, routinely and upon request.

Route large loss notices and underwriting alerts to Underwriters and Program Executives

Coordinate requests for policy information from claims TPA and carriers.

Coordinate and manage external carrier insurance company audits.

2. Loss Control

Prepare quarterly premium and loss reports for specified programs, which may include getting loss reports out of carriers’ system and reviewing notes in carrier system.

Review, analyze and make recommendations on the overall claim trends for the book of business.

Prepare quarterly Stewardship report for specified programs.

Field loss control questions from clients or internally, work with carrier and client to establish annual loss control goals.

Partner with carriers to effectively manage on-line training courses and other safety material (on the website, in handouts, templates, checklists, etc.)

Review of new loss notices and carrier coverage position letters prior to issuance, provide insurance coverage verification, consult with client on large/severe losses and adjusters on large reserves/settlements or lawsuits. 

Coordinate quarterly claim reviews with client and insurance company.

Speak at client seminars and develop webinars regarding claims handling, claim trends and discuss ways to reduce or mitigate claims.

Coordinate with carrier regarding the clients who should receive on site loss control visits and then review all safety reports from those visits and ensure compliance with any recommendations  

Bachelor’s degree in insurance, business, finance, accounting, economics or related program or equivalent education and/or experience.

Strong understanding of commercial property/casualty claims handling

Ability to compile, analyze and interpret file information.

Ability to professionally interact with businesspersons of all levels and succinctly communicate information and strategies.

Proficient in Microsoft Office software. 

Excellent verbal, written and interpersonal skills.    

Customer Service Focused 

Loss Control or Risk Analysis Experience preferred.         

Ability to work independently and with minimal instruction and little direct oversight.

Demonstrated professional, tactful negotiation and persuasion skills to achieve objectives.

Organizational and time management skills to prioritize heavy workload to meet time sensitive deadlines.

Project management ability, analytical mindset, solution oriented, self-motivated, and likes to take initiative to find new and better ways of doing things.

Some travel required

This role is predominately based in our Overland Park office but is eligible for the company’s hybrid remote program.