CrawlJobs Logo

Claims Consultant

United States, Seattle 75000.00 - 90000.00 USD / Year · Job Posted February 20, 2026
Apply Position
Job Link Share

Job Description

The Claims Consultant is responsible for utilizing insurance expertise to provide prompt, accurate, and courteous claims resolution and customer service to Personal & Commercial clients and teammates.

Job Responsibility

  • Document Agency Automation System – Applied via Claims Detail Screen and Activities for loss reported, awaiting confirmation from carrier, and claim follow-up adhering to the Claims Procedures
  • Keep the customers informed of the status of their claim
  • Assist the insured with organizing, documenting and presenting small and large property loss claims
  • Assist insured with negotiating with total loss on autos to their carrier
  • Research and conduct coverage analysis on claims
  • Review Reservation of Rights letters and offers response to insured
  • Review and offer rebuttals as necessary to coverage disclaimers
  • Gather supportive documentation to include with any rebuttal
  • Review accounts with claims for adequate coverage
  • recommends appropriate coverage/changes to AM or insured and documents
  • Deal promptly and with full disclosure with all carrier personnel
  • Track and look for any sizeable reserves or reserve changes and notify appropriate parties as needed
  • Record all activities in claims files in the agency automation system as defined in the Claims Procedures
  • Inform appropriate personnel of claims issues involving clients
  • Promptly handle Summons & Complaints, informing appropriate personnel adhering to the Claims Procedures
  • Create and Present Claims training of staff
  • Visit Clients and Carriers as agreed with Producers and other account management staff
  • Consistently meet all Brown & Brown established Quality Control Practices & Timelines
  • Follow the established guidelines for workflow & system documentation as outlined in Claims Procedures
  • Manage & maintain individual Washington Producer’s License by attending appropriate CE classes
  • Stay current on company insurance products and offerings
  • Keep abreast of developments in the marketplace, including product line offerings, changing insurance consumer trends and needs

Requirements

  • High school diploma or equivalent
  • 5 years’ experience in either Personal & Commercial Lines
  • Washington State Producer License
  • Valid Drivers’ License
  • Working knowledge of MS Office (Word, Excel, & Outlook)

Nice to have

  • Working knowledge of carrier websites
  • Professional designations (ARM, CRM, CIC, CPCU, AIC, AAI)
  • Experience with Applied Agency Management System

What we offer

  • Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance
  • ESPP
  • 401k
  • Student Loan Assistance
  • Tuition Reimbursement
  • Free Mental Health & Enhanced Advocacy Services
  • Paid Time Off, Holidays, Preferred Partner Discounts

Looking for more opportunities?

Search for other job offers that match your skills and interests.

Similar Jobs for

Claims Consultant

8 matching positions

Senior Claims Consultant

Alera Group is looking for a Senior Claims Consultant. We are seeking highly mot...
Location
Location
United States , Tacoma; Seattle; Portland
Salary
Salary:
110000.00 - 130000.00 USD / Year
aleragroup.com Logo
Alera Group
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Minimum 5 years claims experience to include Commercial, Personal Multiline and Work Comp
  • Expertise in coverage interpretation
  • Proficient in complex loss analysis
  • Familiarity with and experience in claims litigation
  • Mastery of Claims Consultant duties and responsibilities
  • Strong & professional oral & written communication skills
  • Follow through and attention to detail
  • Dependability and Initiative
  • Ability to demonstrate good judgement
  • Proficiency in Sagitta and ImageRight as applicable
Job Responsibility
Job Responsibility
  • Contact with clients, carriers & internal customers on a regular basis to serve as advocate, liaison, mediator and resource
  • Coordinates with client/insured to assist with coverage issues
  • Participate in presentations with clients and prospects as requested
  • Documentation in ImageRight as required
  • Function as back-up for Claims Team members and Claims Manager
  • Be available on rotation for afterhours escalation calls
  • Identify and notify Risk Manager/Producers of claims trends to help facilitate a resolution
  • Assists team with high complex losses and questions related to such
  • Training and mentoring team members
  • Participation and leading claims roundtables mandatory
What we offer
What we offer
  • medical, dental, life and disability insurance, 401k, generous paid time off
  • Fulltime
Read More
Arrow Right

R&D Claiming and Tax Expertise

EmpowerRD is a fast-growing start-up fintech business based in London, UK. We ar...
Location
Location
United Kingdom , London
Salary
Salary:
Not provided
empowerrd.com Logo
EmpowerRD
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • A range of experience in R&D, accounting, and tax
  • A couple of years of experience up to senior professional level
  • High potential and a desire to grow and do things differently than your everyday R&D consultancy
Job Responsibility
Job Responsibility
  • Supporting client claims
  • Inputting into the product development process to help us continuously evolve
  • Fulltime
Read More
Arrow Right
New

Claims Consultant - Pet Insurance

Are you a Qualified Vet Nurse and looking for a change of pace? If you love the ...
Location
Location
Australia , Brisbane
Salary
Salary:
74500.00 - 76800.00 AUD / Year
https://www.randstad.com Logo
Randstad
Expiration Date
June 18, 2026
Flip Icon
Requirements
Requirements
  • Certificate IV in Veterinary Nursing
  • clinical savvy to know your TPLOs from your IVDDs and understand common pet illnesses and medications
  • knack for breaking down medical jargon so customers feel informed and supported throughout their claim
  • sharp eye for detail and actually enjoy the detective work of piecing together a medical history
  • tech-confident and happy picking up new systems and software quickly
Job Responsibility
Job Responsibility
  • Deep-diving into medical histories and reviewing SOAP notes to see the full story of a patient's care
  • Using your technical knowledge to assess complex cases involving surgeries, chronic illnesses, and pharmaceutical protocols
  • Talking Vet to Vet with clinics to clarify treatments and gather the clinical info you need
  • Supporting pet owners by helping them navigate their claims with the empathy and clarity they need during a stressful time
What we offer
What we offer
  • onsite parking
  • extra leave days
  • great staff discounts
Read More
Arrow Right

Claims Consultant - Pet Insurance

Are you a Qualified Vet Nurse and looking for a change of pace? If you love the ...
Location
Location
Australia , Brisbane
Salary
Salary:
76800.00 AUD / Year
https://www.randstad.com Logo
Randstad
Expiration Date
June 11, 2026
Flip Icon
Requirements
Requirements
  • Certificate IV in Veterinary Nursing
  • Clinical knowledge of pet illnesses and medications
  • Ability to explain medical jargon to customers
  • Attention to detail
  • Tech-savvy
Job Responsibility
Job Responsibility
  • Deep-diving into medical histories and reviewing SOAP notes
  • Using technical knowledge to assess complex cases involving surgeries, chronic illnesses, and pharmaceutical protocols
  • Talking 'Vet to Vet' with clinics to clarify treatments
  • Supporting pet owners by helping them navigate their claims
What we offer
What we offer
  • Onsite parking
  • Extra leave days
  • Great staff discounts
  • No weekend work
  • True Monday to Friday schedule
  • Fulltime
Read More
Arrow Right

Consultant, Claims - Indemnity Specialty

Our team handles some of the most unique and interesting insurance claims at Nat...
Location
Location
United States
Salary
Salary:
97000.00 - 180000.00 USD / Year
nationwide.com Logo
Nationwide
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Demonstrated experience handling toxic tort with emphasis on asbestos and/or silica bodily injury claims, including evaluation, negotiation, and resolution
  • Proven ability to manage toxic tort bodily injury litigated files, including collaboration with defense counsel, strategy development, and oversight of litigation budgets and outcomes
  • Undergraduate degree in related field preferred
  • Post-graduate studies preferred
  • State licensing where required
  • Relevant professional designations or certifications desirable (CPCU, CLU, IIA, AEI, etc.)
  • Eight years of specialty claims experience preferred
  • Proven superior knowledge of the best claims practices used to resolve the most sever and technically complex claims
  • Demonstrated knowledge of insurance contracts and legal aspects affecting regulatory and liability issues that relate to environmental and other specialty claims
  • Proven ability to meet customer needs and provide outstanding service by informing customers of the claims process and ensuring a positive customer experience
Job Responsibility
Job Responsibility
  • Completes detailed review and analysis of claims
  • Investigates liability and damages
  • Brings files to closure, either by voluntary dismissals or by negotiation of settlements
  • Resolves amount of appropriate settlements or grounds for denial
  • Assists in the drafting of settlement documents
  • Provides reserve analysis to ensure timely and accurate case reserves in according to optimal claims practices
  • Negotiates cost sharing agreements between other insurance carriers and policyholders
  • Maintains current knowledge of assigned insurance lines, court decisions which may impact the claims function, current guidelines and policy changes and modifications
  • Creates and analyzes severe incident reports, reinsurance reports and other information to corporate office, Claims Management and Underwriting
  • Performs continuous review of claims inventory
What we offer
What we offer
  • medical/dental/vision
  • life insurance
  • short and long term disability coverage
  • paid time off with newly hired associates receiving a minimum of 18 days paid time off each full calendar year pro-rated quarterly based on hire date
  • nine paid holidays
  • 8 hours of Lifetime paid time off
  • 8 hours of Unity Day paid time off
  • 401(k) with company match
  • company-paid pension plan
  • business casual attire
  • Fulltime
Read More
Arrow Right

Claims Consultant

Berkshire Hathaway Specialty Insurance (BHSI) has an exciting opportunity for a ...
Location
Location
Australia , Sydney
Salary
Salary:
Not provided
bhspecialty.com Logo
Berkshire Hathaway Specialty Insurance
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Minimum 3 years claims, or legal practice, experience handling Executive & Professional claims, or in legal practice
  • Relevant tertiary qualifications
  • A high level of professionalism and personal responsibility
  • Strong customer service and interpersonal skills
  • Ability to work both autonomously and in a team environment
  • A growth and learning mindset
Job Responsibility
Job Responsibility
  • Managing a portfolio of claims to resolution across all Executive & Professional lines including Professional Indemnity, Directors’ and Officers’ Liability, Cyber and Financial Institutions, Construction, Management Liability, Crime, Statutory Liability and Employment Practices Liability
  • Providing exceptional customer service and claims management with a proactive approach to achieving strong results for our customers and broking partners
  • Investigating and managing claims which includes close cooperation with the insured and broker, determination of policy coverage, claim defence and resolution strategy, reserve adequacy and identification of risk management opportunities whilst working towards timely claims outcomes and identification of recoveries where appropriate
  • Supplementing in-house claims handling expertise with appropriate engagement of legal providers where required
  • Working closely with underwriters, actuaries and other areas of the business to report on claim developments and portfolio trends to support the development of products and delivery of the Executive & Professional line of business’ goals and objectives
  • Occasional interstate travel to client / broker meetings, mediations, conferences and other industry events
What we offer
What we offer
  • A competitive package and exciting growth opportunities for career-oriented teammates
  • A dynamic, action oriented, and thoughtful environment centered on always doing the right thing for our customers, teammates and our other stakeholders
  • A purposely non-bureaucratic organization that embraces simplicity over complexity and emphasizes individual excellence in a team framework
  • Fulltime
Read More
Arrow Right

HCHB Support Representative

The HCHB Support Representative is responsible for handling software support cal...
Location
Location
United States , Frisco
Salary
Salary:
Not provided
arcadiahomecare.com Logo
Arcadia Home Care and Staffing - an Addus family company
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • High school diploma or GED equivalent, some college preferred
  • No less than 2 years of recent HCHB software experience
  • Excellent written and oral communication skills
  • Excellent customer service skills
  • Computer proficiency required: including intermediate level knowledge in Microsoft Suite
  • Ability to analyze and interpret situations to complete tasks or duties assigned
  • Detail oriented, strong organizational skills
  • Team players who are passionate about their work and will actively contribute to a positive and collaborative environment
  • Quick learners with strong problem solving and creative thinking abilities
  • Driven individuals who remain engaged in their own professional growth
Job Responsibility
Job Responsibility
  • Managing a service desk (ServiceNow) ticket queue which includes triaging incoming requests, managing escalations to Addus team members, building out new worker login profiles, device buildout, user errors, and assisting branches in clearing claims or preventing ineligible claims
  • Consult with HCHB’s Customer Experience team as needed to provide solutions to HCHB errors
  • Submit and follow up on HCHB Support Tickets
  • Assist in project tasks related to new agency acquisitions
  • Communicate with branches via phone, email, and live chat in a timely fashion to identify and resolve reported issues
  • Identifying trending issues and providing thorough research and documentation of findings
  • Effectively provide consultation and education on the appropriate use of all products within the HCHB Suite
  • Ability to take assigned projects to successful completion
  • The role may also include training staff during HCHB rollouts, assisting in HCHB quarterly release testing, assist in audit reviews, and develop and conduct training programs to support team members on HCHB applications
What we offer
What we offer
  • Medical, Dental and Vision Benefits
  • Continued Education
  • PTO Plan
  • Retirement Planning
  • Life Insurance
  • Employee discounts
  • Fulltime
Read More
Arrow Right

Claims Fraud Consultant

Are you looking for a new challenge? Fancy helping us shape the future of motor ...
Location
Location
United Kingdom , Manchester
Salary
Salary:
Not provided
prima.it Logo
Prima
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Proven experience in managing Claims Fraud
  • Aware of current market strategies
  • High level of technical competency, which can be demonstrated in case handling and through case discussion
  • High level of knowledge of market-leading Fraud tools such as SIRA
  • Ability to utilise data to interpret performance trends and translate insights into actionable commercial strategies
  • Highly effective communicator and influencer with strong influencing skills, capable of building credibility and managing relationships with both internal senior leaders and external partners
Job Responsibility
Job Responsibility
  • TPA Oversight & Relationship Management: Supervise and manage the Third Party Administrator, conduct case reviews and audits, identify leakage or process gaps, and maintain a strong, constructive working relationship
  • Technical Expertise & Complex Claims Support: Provide fraud expertise, supporting the UK Claims Manager with large or complex cases and presentations to reinsurers and internal stakeholders
  • Fraud Claims Handling & Team Development: Initially manage fraud claims directly, later supporting leadership as the team grows, and contribute to the design and delivery of technical training to strengthen fraud capability
  • Platform & System Development: Contribute to the development of the Global Claims Platform, shaping efficient processes and driving its evolution to become market-leading
  • Strategy, Governance & Compliance: Support the long-term fraud strategy, establish robust governance and performance frameworks, and ensure adherence to protocols and case strategies
  • Process Improvement & Escalation Management: Lead change initiatives to improve efficiency, digital adoption, and customer experience, while acting as the final escalation point for complex or high-value fraud cases
What we offer
What we offer
  • Hybrid working, with a mix of home and office days
  • Access to learning resources, mentorship and a growth plan tailored to you
  • Private healthcare, gym discounts, wellbeing programs and mental health support
  • Fulltime
Read More
Arrow Right