Claims Consultant
WTW
**Description**
**The Company**
Willis Towers Watson (NASDAQ: WLTW) is a leading global advisory, broking and solutions company that helps clients around the world turn risk into a path for growth. With roots dating to 1828, Willis Towers Watson has 40,000 employees in more than 140 countries. We design and deliver solutions that manage risk, optimize benefits, cultivate talent, and expand the power of capital to protect and strengthen institutions and individuals. Our unique perspective allows us to see the critical intersections between talent, assets and ideas – the dynamic formula that drives business performance. Together, we unlock potential. Learn more at willistowerswatson.com.
**The Business**
**Corporate Risk and Broking**
We know how companies can unlock potential through effective risk management. Our clients rely on us to craft strategies to quantify, mitigate, and transfer risk, taking advantage of our specialist industry experience and unparalleled market know-how. The result is a new way of embracing risk that drives superior results.
The Claims Consultant is responsible for timely and professional assistance and support including analysis and advocacy of claims. This position acts as an advocate for clients and partners with the carriers and TPAs to focus on aggressive claim closure of aged claims. The claims consultant maintains positive relations with adjusters, clients, co-workers, claimants, producers, Account Executives, Account Managers, and carriers. This position works on large accounts/projects with national exposure. This is a remote position with minimal travel for training and meetings.
Note: Employment-based non-immigrant visa sponsorship and/or assistance is not offered for this specific job opportunity.
**The Role**
+ Audit project files to project expected closure dates, review reserve adequacy, suggest alternative cost containment measures, MSA protocol and narcotic pharmacy review, develop and outline detailed strategic action plans for claim closure.
+ Partner with claim adjusters, legal counsel and clients to implement action plans and pursue closure.
+ Communicate with various personnel regarding the ongoing claim process and assist field personnel with any follow-up issues.
+ Develop and grow relationships with clients, carriers and third party claims administrators.
+ Participate in quarterly claim strategy meetings. Partner with team & client to create/achieve strategic goals.
+ Assist on special team and/or individual projects/audits as needed.
**Qualifications**
**The Requirements**
+ Bachelor’s degree preferred
+ 8 years relevant experience preferably in insurance claims examination, investigation, adjudication or advocacy, including auto, general liability or worker’s compensation injuries and claims.
+ Multi-jurisdictional experience is required, preferred is Northeast and Mid-Atlantic US.
+ Professional designations a plus. If no professional designation the ability/desire to obtain one after hire.
+ Experience with managed care preferred
+ Ability to work independently with minimal oversight.
+ Ability to communicate professionally in both written and spoken forms
+ Ability to problem solve & think outside the box
+ Ability to professionally resolve and disperse grievances
+ Significant computer skills, including, but not limited to, Microsoft Office Suite to include Excel, Word and PowerPoint
This position will remain posted for a minimum of three business days from the date posted or until sufficient/appropriate candidate slate has been identified.
**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 base 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.
**Compensation**
The base salary compensation range being offered for this role is $100,000-$120,000 USD per year.
This role is also eligible for an annual short-term incentive bonus.
**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), Paid Time Off (https://cdn-static.findly.com/wp-content/uploads/sites/1862/2023/01/31091722/Washington-State-Time-Off.pdf) ( _Washington State only_ )
+ **Retirement Benefits:** Contributory Pension Plan and Savings Plan (401k).
Pursuant to the San Francisco Fair Chance Ordinance and Los Angeles County Fair Chance Ordinance for Employers, we will consider for employment qualified applicants with arrest and conviction records.
At WTW, we trust you to know your work and the people, tools and environment you need to be successful. The majority of our colleagues work in a ”hybrid” style, with a mix of remote, in-person and in-office interactions dependent on the needs of the team, role and clients. Our flexibility is rooted in trust and “hybrid” is not a one-size-fits-all solution.
We understand flexibility is key to supporting an inclusive and diverse workforce and so we encourage requests for all types of flexible working as well as location-based arrangements. Please speak to your recruiter to discuss more.
EOE, including disability/vets
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