Claims Consultant

About This Claims Consultant Role

Risk Strategies (Brown & Brown) is hiring for a Claims Consultant position connected to Remote – United States. This Bellencia Career Hub summary translates the original job posting into a structured, easier-to-scan career lead for job seekers comparing remote, hybrid, back-office, healthcare, billing, and administrative opportunities.

Risk Strategies is seeking a remote Claims Consultant to serve as a trusted advocate for clients throughout the insurance claims lifecycle. This role acts as the primary claims advisor and collaborates with clients, insurers, third-party administrators (TPAs), and internal teams to improve claim outcomes and ensure claims are handled efficiently and in accordance with policy terms.

Key Responsibilities

Daily Work You May Handle

• Serve as primary claims liaison for assigned clients across multiple lines of coverage
• Provide strategic guidance on claim reporting, development, settlement strategy, and resolution
• Advocate for clients during complex or disputed claims
• Analyze claim trends, loss drivers, and reserve adequacy
• Conduct claims reviews and stewardship meetings
• Support policy renewals with claims insights and reporting
• Assist with claims negotiations and coverage interpretation
• Prepare client-facing reports and presentations
• Educate clients on claims processes and emerging claims issues
• Requirements:

The core workflow centers on accuracy, research, and keeping accounts or records moving through the correct process. A strong applicant should be comfortable reviewing details, comparing information across systems, updating records, and documenting outcomes in a way that supports clean handoffs between departments.

Minimum Requirements

Education, Experience, and Technical Knowledge

• Bachelor’s degree or equivalent experience
• 5+ years of claims management, carrier claims, TPA, or brokerage claims consulting experience
• Experience with large-loss or complex claims preferred
• Strong understanding of insurance policy language
• Excellent analytical and communication skills
• Ability to manage multiple priorities in a fast-paced environment
• Adjuster license preferred
• CPCU, ARM, AIC, SCLA, or similar designation preferred

For this type of role, employers often look for a mix of practical experience, system confidence, and the ability to understand payer, billing, account, or documentation rules. Even when the role is not heavily phone-based, communication still matters because the work may involve coordination with internal teams, management, or partner departments.

Phone Level and Work Style

Bellencia phone-level estimate: Low Phone. This classification is based on the wording in the pasted posting. Because this is an estimate, applicants who need non-phone or low-phone work should confirm phone expectations during the interview. The posting reads most strongly as Claims Management work with a focus on written records, account review, payer details, research, and follow-up.

Pay, Schedule, and Location Details

Pay: $100,000 – $130,000. Schedule: Full-Time. Job type: Full-time. Location or work arrangement: Remote – United States. Applicants should verify the official application page for the most current pay range, benefits, shift expectations, equipment rules, and state eligibility requirements.

Best-Fit Applicant Profile

This role may be a good match for someone who enjoys detailed, process-driven work and can stay consistent with repetitive but important tasks. It may fit job seekers with experience in medical billing, revenue cycle, accounts receivable, claims, refunds, charge capture, payer research, payment posting, documentation review, insurance eligibility, or healthcare administrative support.

• You are comfortable researching account details and correcting issues before they become larger problems.
• You can follow written procedures and keep documentation clean, accurate, and audit-ready.
• You prefer structured back-office work over sales-driven or heavy call-center duties.
• You can manage confidential information professionally and escalate unclear issues when needed.

Resume Keywords to Consider

Relevant resume keywords may include Claims Consultant, Insurance, Claims Management, documentation, account research, workflow queues, Excel, payer requirements, reconciliation. Use only the keywords that honestly match your experience. The strongest applications usually connect past duties directly to the employer’s listed responsibilities.

How to Apply

Use the official application link for this job posting when you are ready to apply. Before submitting, review the required experience, confirm the schedule, and tailor your resume summary and bullet points toward the highest-priority duties in this listing.

Bellencia adds this expanded review so job seekers do not have to decode a long employer posting from scratch. The goal is to make the role easier to compare against your preferred work style, phone tolerance, schedule needs, and long-term career direction.