Strategic Claims Consultant
Location
Florida
Posted
26 days ago
Salary
Not specified
Seniority
Lead
Bachelor Degree10 yrs expExperience acceptedEnglish
Job Description
• Serve as a strategic partner to clients, guiding them through the claims process with proactive consultation and advocacy.
• Oversee and collaborate with TPAs to ensure timely, fair, and efficient claims resolution.
• Develop and implement claims service plans tailored to client needs and risk profiles.
• Utilize analytics tools to identify claims trends and recommend targeted review strategies.
• Advise clients on emergency response, documentation, and vendor selection (e.g., restoration firms, engineers).
• Advocate for early and partial payments to support client cash flow.
• Provide expert guidance on coverage positions and negotiate on behalf of clients when adverse determinations arise.
• Collaborate with internal teams to share insights, identify coverage concerns, and support placement strategies.
• Contribute to new business development efforts, including RFP responses and client presentations.
• Mentor junior team members and promote best practices across the claims advocacy function.
• Maintain strong relationships with clients, adjusters, and vendors.
• Stay current on industry trends, regulatory changes, and market developments.
Job Requirements
- Bachelor’s degree in Business, Risk Management, or related field, or equivalent experience (8–10+ years in insurance/claims).
- Prior experience in a TPA, brokerage, or carrier claims role with strategic oversight responsibilities.
- Ability to obtain and maintain appropriate state broker licenses.
- Strategic thinker with strong critical judgment, initiative, and a track record of driving innovation and process improvement.
- Exceptional interpersonal and communication skills, with the ability to collaborate effectively in team environments and influence stakeholders.
- Proven ability to lead client and market discussions, align cross-functional teams, and deliver measurable results.
- Experience working in a data-informed environment, with the ability to quantify and assess the impact of claims advocacy and program strategies.
- Familiarity with claims program performance analytics or actuarial principles is a plus.
- Excellent time management and organizational skills, with the ability to work independently and manage multiple priorities.
- Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint); experience with claims analytics tools is a plus.
Benefits
- Health Benefits : Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance
- Financial Benefits : ESPP; 401k; Student Loan Assistance; Tuition Reimbursement
- Mental Health & Wellness : Free Mental Health & Enhanced Advocacy Services
- Beyond Benefits : Paid Time Off, Holidays, Preferred Partner Discounts and more.
Related Guides
Related Categories
Related Job Pages
More Consultant Jobs
Consultant26 days ago
Full TimeRemoteTeam 1,001-5,000Since 1968H1B Sponsor
Expert Workfront Consultant designing Adobe Workfront solutions for project management
United States
Consultant26 days ago
Full TimeRemoteTeam 10,001+Since 1931
Leasing Senior Consultant I managing real estate transactions at Allstate
Consultant26 days ago
Full TimeRemoteTeam 11-50Since 2005H1B No Sponsor
Senior Consultant leveraging health data for state agencies' initiatives
Consultant26 days ago
Full TimeRemoteTeam 10,001+H1B Sponsor
Consultant role in environmental consulting for Ramboll in the Americas




