Claims Service Consultant jobs in Franklin, TN
Recently Added Claims Service Consultant jobs
Claims Consultant (Remote)
- Missouri Employers Mutual
-
Nashville, TN
FULL_TIME
-
Are you driven to keep people safe? That’s what we do every day at Missouri Employers Mutual.
We’ve created a casual, values-driven work culture that’s making a positive impact on the way people live and work. This is a place where you can grow with confidence — because that’s what safety and success really mean to us.
ABOUT THE COMPANY
At MEM, we’ve created a casual, values-driven work culture that’s making a
positive impact on the way people live and work. We offer a hybrid work model,
with positions to accommodate the changing needs of today’s employees. Our
team enjoys a variety of different work environments, which allows for more
flexibility, less time spent commuting, and greater ability to address personal and
family needs. This is a place where you can grow with confidence – because
that’s what safety and success really mean to us.
MEM is headquartered in Columbia, MO, and our virtual team serves our
policyholders and partners from across the U.S.
JOB PURPOSE
The Claims Consultant role is responsible for the oversight of high exposure and
complex workers compensation claims. This role conducts claim POA (plan of
action) meetings in accordance with our implemented POA Program. Conduct
CARE Reviews (Audits) to identify ‘best practices’, adverse trends and ‘just-in-time’
training needs. Based on the findings, provide coaching and mentoring of
the field claim staff to ensure their continued technical and professional growth
and development. Work closely with the Manager, Claims Consulting, and claim
management to ensure MEM’s Claim Department provides strong case
management direction on claims via appropriate reserving, investigations,
evaluations, and settlement. Provide claim technical oversight and consultative
services regarding questionable coverage cases. Investigate and manage
Employers Liability claims and lawsuits. Work closely with senior claim
management to ensure timely and appropriate policies, practices and procedures
are written and placed in our claim manual.
LICENSES AND CERTIFICATIONS
AIC (Associate in Claims) preferred
SCLA (Senior Law Associate) preferred
CSRP (Certified Subrogation Recovery Professional) preferred
Claims Adjusting License-preferred
RESPONSIBILITIES
Promote leadership and technical development for the field claim technical and
management personnel. Ensure that areas of development are identified and
timely training and/or feedback is given to the appropriate parties. Participate as
a member of the claims training team to help develop and facilitate training
modules for the claim department.
Conduct monthly Plan of Action meetings/file reviews on high exposure claims
that generally have exposure greater than $500,000. Provide corporate oversight
with respect to reserve adequacy, appropriate plan of actions and other critical
claims factors. Provide technical coaching and mentoring to the field claim
operations staff regarding workers compensation coverage, compensability
determination issues and litigation issues. Provide claim-handling
recommendations to field claim staff members and, when necessary, ensure
appropriate communication are sent to appropriate parties.
Conduct CARE reviews to maintain accountability of staff that monitors and
supports operational progress toward favorable results. Provide ongoing
feedback to field claim management and analysis of trends in branch operations.
Evaluate areas of opportunity for development and recommend plan of actions
for changing behaviors/improving results. Submit written reports to the Manager,
Claims Consulting.
Conduct thorough claim reviews and corporate oversight for claims with incurred
values greater than $250,000. Provide corporate oversight with respect to
reserve adequacy, appropriate plan of actions and other critical claims factors.
Investigate and manage questionable and potential “no coverage” claims.
Investigate and manage Employers Liability claims and lawsuits. Works closely
with Manager, Claims Consultant and/or coverage counsel to resolve complex
coverage claims and lawsuits.
Provide claims technical oversight of Argonaut Insurance claims. This may
include reserve and settlement authority approvals, CARE Reviews, and special
claim projects. Conduct research and develop and implement jurisdictional
training for new states in which MEM expects to operate. Conduct Burn Rate
Reviews on open, high exposure claims ($500,00 or more).
Validate new or existing complex test methods and procedures; identify issues
and recommend improvements to contribute to further development.
Organize and prepare complex documents using a variety of applications for
technology devices, such as standard office software. Also responsible for
gathering and summarizing data for special reports.
Design own monthly schedule and, if necessary, assign work to others in order
to speed up office workflow and ensure high-priority tasks get done.
EXPERIENCE
Ten plus years' related and progressively responsible experience with a solid
commercial liability claims background. Prefer extensive experience managing
civil litigation
Our home office is located in vibrant Columbia, Missouri — #6 in Livability’s 2019 Best Places to Live. - 2 Months Ago
Claims Service Advocate
- Commercial Insurance Associates
-
Brentwood, TN
FULL_TIME
- Summary of Position: Set-up new claims in CIA's agency management system (EPIC) in a timely manner. Act as a liaison between CIA, carriers, claimants, clients and various third parties seeking coverag...
- 1 Month Ago
Loss Control Consultant Commercial Insurance – Independent Contractor- Nashville, TN.
- EXL Service
-
Nashville, TN
FULL_TIME
- EXL Risk Control is a leading provider of risk assessments and loss control surveys to commercial lines insurance carriers. We are seeking candidates who possess 10 years of experience with a major in...
- 4 Days Ago
3rd Shift Customer Service Claims Intake Specialist
- Quality Resource Management
-
White, TN
FULL_TIME
- Looking to jump start your career in a thriving industry? Insurance is one of the top ten most thriving industries. Quality Resource Management, LLC. (QRM) is an inbound call center focused on custome...
- 13 Days Ago
Transformer Service Consultant
- Hitachi Energy
-
Nashville, TN
FULL_TIME
- Transformer Service Consultants (TSC) role is a primary point of contact between Hitachi Energy Sales teams and our customer base and will be expected to travel throughout the USA. Working with Hitach...
- 25 Days Ago
Field Technician
- Hancock Claims Consultants
-
Nashville, TN
CONTRACTOR
- CLIMB to New Heights… And live the_ American Dream. _Become part of something bigger by contracting with the nation’s top provider of roof and property inspection services working with insurance carri...
- 2 Months Ago
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0 Claims Service Consultant jobs found in Franklin, TN area
Underwriter (Wholesale)
- Acrisure
-
Brentwood, TN
- About Acrisure: Acrisure is a global Fintech leader that combines the best of humans and high tech to offer multiple fin...
- 6/12/2024 12:00:00 AM
National Sales Manager
- PR Financial
-
Brentwood, TN
- P. R. Financial is an independent marketing organization (IMO) in the financial services industry; specifically in the i...
- 6/11/2024 12:00:00 AM
Business Office Manager
- Ovation Healthcare
-
Brentwood, TN
- Welcome to Ovation Healthcare! At Ovation Healthcare, we've been making local healthcare better for more than 40 years. ...
- 6/10/2024 12:00:00 AM
Entry Level Workers' Compensation Claims Adjuster
- Johnston & Associates
-
Thompsons Station, TN
- Johnston & Associates is a family-owned safety and risk management consulting company located in Thompson Station, TN. W...
- 6/9/2024 12:00:00 AM
Employee Benefits Account Manager
- Brown & Brown, Inc.
-
Brentwood, TN
- Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best...
- 6/9/2024 12:00:00 AM
Nurse Consultant - Chattanooga
- Gallagher
-
Nashville, TN
- About Us: Join our growing team of dedicated professionals at Gallagher Bassett, who guide those in need to the best pos...
- 6/9/2024 12:00:00 AM
Claims Manager
- Martin & Zerfoss, Inc.
-
Nashville, TN
- About Us Martin & Zerfoss, Inc. is an independent insurance firm in Nashville, TN. We specialize in all areas of Persona...
- 6/8/2024 12:00:00 AM
Outside Sales Representative
- AmeriPro Roofing
-
Franklin, TN
- AmeriPro Roofing, one of the largest residential roofing contractors in the nation is immediately Hiring Outside Sales R...
- 8/29/2023 12:00:00 AM
About Franklin, Tennessee
Franklin is a city in, and the county seat of, Williamson County, Tennessee, United States. About 21 miles (34 km) south of Nashville, it is one of the principal cities of the Nashville metropolitan area and Middle Tennessee. As of 2017, its estimated population was 78,321, and it is the seventh-largest city in Tennessee.
Williamson County was primarily rural into the late 20th century, with an economy based on traditional commodity crops and livestock. In the 19th century, part of its economy (especially the cultivation of tobacco and hemp) depended on slavery, and after the American Civil Wa...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Service Consultant jobs
$77,911 to $113,663
Franklin, Tennessee area prices
were up 1.3% from a year ago
were up 1.3% from a year ago