4 claims consultant jobs found

   Position Summary: The Actuarial Consultant is responsible for working with the Major Account Unit and providing guidance on large account pricing and program structures. This position, at a macro level, will provide recommendations and actuarial support for line of business rate changes and associated actuarial state filings. The Actuarial Consultant will also provide counsel to the Company’s reinsurance team on various treaty program structures and pricing. This position will support the CEO and CFO in establishing and reviewing proper IBNR allocations. The ideal candidate must remain current in the actuarial field, including latest industry trends and developments. The successful pursuit of actuarial accreditations is mandatory. Essential Functions and Responsibilities: 1. Facilitate communication with key stakeholders and business partners within other functional areas (e.g. Claims, Underwriting, Regulatory, IT, Accounting) on actuarial matters to understand...

Foundation Risk Partners , one of the fastest growing insurance brokerage and consulting firm in the US, is adding a Commercial Lines Account Manager to their KMRD Partners  team in Warrington, PA.   Job Summary: As an Account Manager, you’ll manage client relationships, oversee policy renewals, and ensure coverage meets evolving business needs. This position is ideal for someone who thrives in a fast-paced environment, values client service, and enjoys collaborating with a team to provide tailored risk management strategies. Essential Functions: Serve as the primary liaison between clients, carriers, and producers for billing, policy changes, cancellations, claims, and general inquiries. Address and resolve client questions, service issues, and coverage or accounting concerns. Prepare marketing submissions and market accounts approximately 90 days prior to renewal. Negotiate pricing, terms, and coverage details with underwriters. Prepare proposals...

Job Responsibilities and Requirements Assume overall responsibility for managing undedicated client accounts ranging from 2 to 99 lives. This role serves as the main contact for the client for ongoing service and is the customer’s resource for consultative advice on contracts, plan structure, financial and renewal questions, escalation of claim issues, and other administrative aspects of their plan. Account Management Understand client business, issues, and needs thorough required proactive phone contact; Works with peers to build and maintain positive ongoing client relationships. Provides continual education to client on Reliance processes, policies, and procedures, including web-site services and navigation.  Working as team, responds to customer inquiries regarding coverage questions, billing issues, underwriting status updates, and other aspects of the benefit plans Works closely with resolution specialists in billing, underwriting, claims, and other...

Overview  WTW is launching a new Mid-Market ADML delivery model focused on clients in the 500 to 5,000 life segment. As part of this strategy, we are establishing a new Mid-Market Director role aligned to each of WTW’s six U.S. geographic regions.  Each Mid-Market Director will have primary responsibility for ADML delivery, market leadership, and client success within their assigned geography.  This is a new role that requires flexibility, comfort with ambiguity, and an entrepreneurial mindset to help build, scale, and refine a differentiated mid-market offering.  The Role Own ADML delivery for mid-market clients (500–5,000 lives) within an assigned U.S. geography  Serve as the senior day-to-day ADML leader for assigned relationships, ensuring high-quality delivery and client satisfaction  Lead projects involving the design and management of absence, disability, leave, life, and AD&D programs  Apply deep expertise across claims,...