Senior Group Claim Consultant - Remote

We are hiring a Group Claims Consultant in our Workplace Solutions division. You will play a critical role in the growth and persistency of Group Claims by collaborating with and acting as a liaison between the Claims organization and Sales/Brokers while providing responsive, comprehensive service and solutions through email and phone calls (proactive or otherwise). You will develop and maintain relationships at varying levels to include front line employee’s, Team Leaders, Senior Leadership, Sales and Brokers. The impact you will make in this role will be based on the strength of these relationships and an ability to utilize independent judgement, critical thinking and solution-oriented creativity to meet the clients needs. You will play a critical role in the growth and persistency of Group Claims by collaborating with and acting as a liaison between the Claims organization and Sales/Brokers while providing responsive, comprehensive service and solutions through email and phone calls (proactive or otherwise). You will develop and maintain relationships at varying levels to include front line employee’s, Team Leaders, Senior Leadership, Sales and Brokers. - Estimated Salary: (Levels have variable responsibilities and qualifications) - Group Claims Consultant: $60,000 - $70,000, plus annual bonus opportunity - Senior Group Claims Consultant: $75,000 -$80,000 plus annual bonus opportunity | **WHAT YOU'LL DO:** Has and/or acquires product knowledge in all areas of the business: Disability (STD/LTD), Life, Ancillary offerings, Dental, Vision, PFL and FML/Absence Management. With this knowledge, acts as a liaison for Claims and manages relationships with the Field, Brokers and clients to ensure the scope and quality of services are met. Delve into customer concerns and complaints regarding Claims and our entire range of products, providing complete ownership of the issue at hand for our Brokers and Clients. Take the lead in orchestrating and driving issue resolution from start to finish. You will provide high quality and thorough customer service and provides excellent service recovery, to include investigating service complaints and turning complaint/error situations into an advantage, owning the responses to questions and concerns while delivering service from a total need level and using every contact as an opportunity to provide a positive customer experience. Services and/or assists in servicing complex client issues and requests. When necessary, will partner with Claims and/or other internal business partners and create specific action plans for service recovery and improved customer satisfaction. Consult with regional managers, sales associates, internal business partners and external vendor partners to assist clients regarding insurance coverage needs and plan design. This includes but is not limited to pre/post sale communications, participation in sales meetings, and ongoing service needs. Proficient problem resolution skills. Identifies trends amongst the claim team and/or field offices and proposes recommended enhancements and/or solutions that can positively impact the customer experience. Involved in all aspects of customer life cycle: Pre-Sale, Implementation, Post Sale, Customer Education, Service Follow ups for both National Accounts and Core Customers for all WS Products and Vendors including LTD, STD, Life, LTC, VB, Vision, Dental, PFL, FML/Absence Management. | | --- | | **WHAT YOU’LL BRING:** 2-5 years of direct group benefits claims experience (recent adjudication preferred), including expertise in claims management, adjudication, contract provisions, and the ability to communicate complex terms effectively. Proactive problem-solving for enhanced customer and broker claims experience. You've mastered the art of diplomacy, negotiation, and relationship-building. Every interaction is a chance to shine. Your ability to connect with others is second to none. You're not just a claims expert; you're a people perso…