RESPONSIBILITIES:
Serves as an advocate for Lockton clients through the claim process, while respecting the client's and Lockton's relationship with the insurance carrier. Claim issues subject to advocacy may include:
Coverage
Investigation
Loss valuation
Reserving
Settlement
Communication
Serves as a consultant to assigned clients in managing all aspects of their liability claims program to include but not limited to:
Managing the claims relationship with the client and Lockton.
Assisting client in developing the structure and procedures for their internal claim management processes.
Evaluating and managing the quality of claim services provided by the insurance carrier or third party administrator (TPA).
Coordinating the TPA RFP process including the written and oral presentation process, transition from incumbent to newly selected TPA, assisting in creating claim handling instructions, and advocating on behalf of the client with any service issues that may arise.
Evaluating claim trends through loss history and use of data.
Coordinating, participating, and presenting in client meetings.
Coordinates and participates in client/insurance carrier claim reviews.
Coordinates and participates in client claim quality audits.
Develops service plans as appropriate.
Attends staff meetings, unit meetings, educational workshops, carrier functions, and social functions as needed.
Plans and administers peer coaching.