Senior Group Claims Consultant

Job Summary

To support the growth and persistency of Group Claims, the full-time Senior Group Claims Consultant will act as a liaison between the Claims organization and Sales/Brokers, providing comprehensive service and solutions while developing strong relationships with clients and stakeholders in a remote environment.

Key responsibilities

• Manage relationships with Brokers and clients, ensuring high-quality service and issue resolution for all claims-related concerns
• Consult with regional managers and sales associates to address insurance coverage needs and plan design, participating in pre/post-sale communications
• Identify trends in claims processes and propose enhancements to improve customer experience and satisfaction

Required qualifications

• 2-5 years of direct group benefits claims experience, preferably with adjudication expertise
• Strong skills in diplomacy, negotiation, and relationship-building
• Proven ability to provide excellent customer service and manage claim escalations effectively
• Excellent communication and presentation skills for articulating complex ideas
• Ability to work independently and collaboratively in a remote setting with a reliable internet connection