Workers Compensation Claims Consultant

Your Responsibilities Position Summary The Workers' Compensation Claims Consultant will consult with Lockton Healthcare clients to successfully evaluate, manage, and influence client compensation claim management programs, enhancing Lockton's ability to attract and retain business.

Key Responsibilities

• Client Relationships & Advocacy: Build and maintain effective relationships with all Lockton clients in order to attract and retain business and demonstrate measured improvement over time. Advocate on behalf of clients in all respects while nurturing and maintaining positive working relationships with insurance carriers and other vendors.
• Claim Program Management: Consult with clients in the overall management of claim program goals and objectives to positively impact overall results. Ensure all parties involved meet their obligations in a timely and accurate manner. Facilitate the resolution of claims on assigned accounts by acting as liaison between clients, insurance carriers, and other vendors involved in the claim management process.
• Coverage & Legal Analysis: Demonstrate a clear understanding of coverage and legal issues, and communicate these effectively to influence the outcome of claim matters. Utilize technical skills to ensure appropriate reserves are in place on files meeting the criteria for review.
• Data Analysis & Reporting: Analyze data to identify claim trends and measure program performance. Write reports that assess programs and make recommendations for the implementation of program improvements.
• TPA & Carrier Oversight: Review Third Party Administrator and carrier workers' compensation services, contracts, and best practices, aligning them with client workers' compensation claim programs. Conduct TPA/Carrier RFP reviews and comparisons, and advise as marketing and change requirements dictate.
• Cross-Departmental Coordination: Coordinate with Loss Prevention and other departments to provide unified assessments and recommendations to clients. Provide team support for consultants through client audits, Lockton training seminars, and backup coverage as needed.
• Communication & Presentations: Communicate complex issues concisely and make effective, strategic recommendations to clients with the highest professional acumen. Exhibit a high level of competence in written and verbal communications — timely, concise, and accurate. Utilize public speaking skills to participate effectively in formal presentations to prospective and current clients alongside other Lockton associates.
• Client Service Excellence: Make positive contributions to client satisfaction and constantly strive to improve service. Provide the highest level of service possible to all customers, internal and external. Fully support Lockton's business strategies, goals, and initiatives set for the Claims Team. Embrace the principle of 'We Live Service' to assist team members, Risk Solutions, or other associates and clients — whether assigned to that client or not.
• Professional Development & Collaboration: Embrace change and growth by continuously enhancing skill sets and abilities. Contribute by communicating strategies and ideas to team members, listening and evaluating other points of view, and reaching consensus on unresolved issues. Participate in ongoing education that enhances the ability to perform job duties and deliver the highest level of service. Attend team and department meetings, educational workshops, vendor functions, and social functions.
• Travel & Expense Management: Travel to client, carrier, vendor, or Lockton locations as required, including overnight stays. Timely and accurately account for business expenses in a fiduciary-responsible manner.
• Confidentiality: Protect the confidentiality of all information learned in the performance of job duties.

Qualifications Qualifications & Desire Qualifications

• Bachelor of Arts or Sciences degree in a business or related field, or equivalent practical insurance claim management experience.
• Proficiency in the evaluation, interpretation, and communication of property and casualty insurance coverage to clients.
• Ability to professionally interact with businesspersons at all levels and succinctly communicate information and strategies.
• Substantial knowledge of the practices and procedures of Third Party Administrators, with the skill to develop long-term partnerships that meet client expectations and needs.
• Proven experience in evaluating the accuracy of property and casualty claim reserving practices.
• Strong organizational and time management skills that enable successful prioritization of a demanding workload to meet time-sensitive deadlines with limited oversight.
• Ability to work effectively with current computer software and hardware technology with minimal instruction.
• Proven leadership and critical thinking skills, with the ability to resolve unusual and complex issues.
• A keen ability to negotiate with all parties involved in the claim management process and effectively influence positive outcomes.
• Compliance with established Lockton ethical business standards.
• The ability to keep all parties timely informed of critical issues, and to clearly communicate progress and achievement.
• Ability to use standard office equipment including computer terminals, keyboards, calculators, copiers, and fax machines.
• Fluency in the English language, including the ability to communicate by phone, teleconference, or Webex, as well as in writing and in person.
• Legal right to work in the United States.