Claims Consultant

Full job description About Us The DeHayes Group was founded in 1982 as a commercial property and casualty insurance agency with three employees. Organic growth, acquisitions and development of new product lines enabled The DeHayes Group to become the largest locally owned insurance agency in Northeast Indiana. We are pleased to offer commercial property and casualty, group benefits, personal lines, senior benefits, wellness and financial services. The DeHayes Group represents more than 40 insurance carriers, insures over 1,300 business and 1,800 households and is responsible for the health insurance needs of more than 19,000 lives. Our mission is exceeding expectations beyond insurance. The DeHayes Group proactively delivers the outstanding service and expertise that our clients have come to expect and appreciate for over 30 years. We do this by developing a deep relationship with our clients. This is what guides us to provide you with a tailored solution for your business and personal needs, whether it be property and casualty insurance, employee benefits, personal insurance or financial services. Claims Consultant Primary Role: The Claims Consultant will provide multi-peril claims advocacy and consulting services to clients. This position reports to the Claims Manager. Duties: Develop and maintain excellent rapport with agency staff, clients, and carrier representatives. Review insurance policies, reservation of rights, coverage denials and provide coverage analysis to Claims Manager. Claims investigation, evaluation, and settlement negotiations with adjusters. Proactively follow up with adjusters to ensure effective and efficient claims resolution. Provide claims status reports to Claims Manager, agency staff and clients. Coordinate and schedule claims reviews with clients (monthly, quarterly, semi-annual, annual, and/or as needed). Develop and format reports for claim reviews, presentations, loss trend analysis, WC Experience Modification Rating projections and other reports as needed. Perform other various claims related duties and projects as assigned by Claims Manager. Qualifications: Bachelor’s degree preferred, but not required Active Indiana Property & Casualty License required Minimum of 5 years of insurance industry experience, including multiline claims handling, broker operations, agency management systems and claims management systems Proficiency in Microsoft Office Suite (Outlook, Word, Excel, and Teams) Ability to quickly resolve claims issues in a timely, courteous, and professional manner Excellent communication, organizational and customer service skills Detailed oriented with strong multi-tasking, analytical and problem-solving skills Ability to take initiative and work independently, but also work well in a team environment Strong interpersonal skills, must be able to handle frequent interruptions and stressful situations in a positive and productive manner Effective time management skills with ability to balance and prioritize daily responsibilities and project work to meet deadlines in a fast-paced environment Hours: Monday – Friday, 8:00am to 4:30pm (hours could vary occasionally) Office Location: 11118 Coldwater Road, Fort Wayne, IN 46845 (Hybrid Work Options Available) Benefits: Competitive Compensation Health Insurance Plans (PPO, HSA, Copay Options) Dental Insurance Vision Insurance Company Paid Disability Insurance Supplemental Insurance including Critical Illness, Accident, Legal, Pet Insurance 401(k) with Safe Harbor Match Paid Time Off Paid Holidays No Solicitation Notification to Agencies: Please note that Keystone Agency Partners and our Partner Agencies do not accept unsolicited resumes or calls from third-party recruiters or employment agencies. In the absence of a signed Master Service Agreement and approval from HR to submit resumes for a specific requisition, Keystone Agency Partners will not consider or approve payment to any third parties for hires made.