Claims Advocacy Specialist

The Senior Claims Consultant provides claim strategy, consulting, and advocacy services to dedicated client. The Consultant will be responsible for maintaining relationships with internal & external contacts while providing high level, strategic claim consulting. They also help support growth, innovation, and ensure execution of the claim consulting services.

• Manage designated real estate client as primary consultant to provide strategy claim consulting


• Advocate for client for prompt, optimal recovery on claims


• Ensure quality and consistency in executing high level claim services to our client


• Engage our global network of professionals as needed


• Appropriate utilization of all systems as required


• Work with others as necessary to continually improve quality and innovation


• Monitor the performance of vendor partner’s services


• Directly handle complex cases or special requests from client


• Evaluate data to assess claim programs and identity solutions to improve quality and performance


• Promote collaboration and teamwork to produce comprehensive solutions to client


• Ability to prepare comprehensive coverage analysis


• Participate in strategic large client team meetings as required


• Manage the quality and appropriateness of client service agreements


• Regularly meet with Willis Towers Watson brokerage executives to ensure delivery alignment


• Maintain direct relationships with key client


• Ensure appropriate program design and documentation including service scope alignment


• Manage the appropriate level of resources for your client


• Be a visible sign of professionalism and direction for the practice


• Maintain local relationships with all major trading partners

Qualifications/Requirements:

• 4-year college degree required; a Business-related field is highly preferred. Additional level(s) of education are a plus.
• Minimum of 5 years’ experience in a Claim and/or Risk Control related position with some prior experience working at an insurance carrier or third-party administrator preferred
• CPCU, AIC, or ARM within 3 years of obtaining this position or 5 years or more insurance industry experience exempt
• WC and Liability experience within real estate and hospitality required
• Must have appropriate licenses in their resident state
• Knowledge of Claim Handling & Claim processes and procedures
• Understand medical case management and cost containment programs
• Knowledge of laws, legal codes, procedures and processes involving insurance
• Analyze data and provide concise conclusions; communicate orally and in writing, and display versatility in working with different personalities
• Evaluate information against a set of standards to verify compliance; handle complaints, arbitrate disputes and negotiate settlements, and handle multiple tasks simultaneously
• Obtain relevant information; analyze and report financial data, and communicate technical information orally and in writing
• Effectively communicate with senior management; evaluate information against a set of standards to verify correctness, and handle complaints, arbitrate disputes, and negotiate alternative solutions
• Handle multiple tasks simultaneously; obtain relevant technical information to support decision making or selling risk improvement programs, and work independently
• Computer skills relevant to Microsoft Office, Outlook, and web-based applications
• Interpersonal relationship skills with internal and external executives
• Project management skills
• Understand company products, services, global network, and industry practices
• Understand the process and value of basic data analytics and benchmarking
• Travel may be required EOE, including disability/vets

Compensation and Benefits

Base salary range and benefits information for this position are being included in accordance with requirements of various state/local pay transparency legislation. Please note that salaries may vary for different individuals in the same role based on several factors, including but not limited to location of the role, individual competencies, education/professional certifications, qualifications/experience, performance in the role and potential for revenue generation (Producer roles only).

Compensation

The base salary compensation range being offered for this role is $150,000 - $175,000.

Company Benefits

WTW provides a competitive benefit package which includes the following (eligibility requirements apply):

Health and Welfare Benefits: Medical (including prescription coverage), Dental, Vision, Health Savings Account, Commuter Account, Health Care and Dependent Care Flexible Spending Accounts, Group Accident, Group Critical Illness, Life Insurance, AD&D, Group Legal, Identify Theft Protection, Wellbeing Program and Work/Life Resources (including Employee Assistance Program)
Leave Benefits: Paid Holidays, Annual Paid Time Off (includes paid state/local paid leave where required), Short-Term Disability, Long-Term Disability, Other Leaves (e.g., Bereavement, FMLA, ADA, Jury Duty, Military Leave, and Parental and Adoption Leave)
Retirement Benefits: Contributory Pension Plan and Savings Plan (401k). Certain senior level roles may also be eligible for non-qualified Deferred Compensation and Deferred Savings Plans.

WTW may be subject to employment-related COVID-19 vaccination mandates from time to time in certain jurisdictions that may require certifying and providing documentation of vaccination against COVID-19 to work in a WTW office.

EOE, including disability/vets