Midwest Employers Casualty (MEC) is a member of the W. R. Berkley Corporation, a fortune 500 company, rated A+ (Superior) by A.M. Best Company, based in Chesterfield, MO. We improve the quality of life for employees severely injured on the job and help companies understand and mitigate their risk for workers’ compensation injuries. MEC has a friendly, results-focused work environment. We seek employees who take initiative, are quick to adapt, are dependable, and like working as part of a team.
Company URL: https://www.mecasualty.com/
The company is an equal opportunity employer.
ResponsibilitiesMEC is committed to Best-In-Class Claims Management. In this role, you will be tasked to articulate the MEC claims value prop to MEC customers. The responsibility of the Client Consult Manager is proactive relationship with MEC’s active clients. The position requires in person or online meetings to discuss, explain and demonstrate the MEC claims’ value prop. This role is a single point of contact for MEC’s active clients to facilitate strategy sessions (known as Client Consults) with MEC’s multidisciplinary team of claim analysts, attorneys, CMO, and MMCs, the TPA, and any other involved parties.
Strong communication and claim skills required to share MEC best practices, insights, and expertise to collaborate on finding a proactive solution to complicated claims through proactive support. Be a resource the MEC active clients, their associates, and the TPA who service them.
Key functions include but are not limited to:
TPA Relationship Management
Interact and develop relationships with Third Party Administrators (TPAs) at a senior/executive management level.Utilize consultative approach to sell TPA’s on the value of MEC services. Introduce Service/Partnership Agreement to TPA’s as reference and guide for TPA’s to utilize in understanding requirements and MEC Preferred Vendors. Lead, manage and educate TPAs on the data exchange on-boarding process with MEC Data Services, including set-up, protocols, and maintenanceInteract and assist TPAs in integrating predictive analytics into their claim handling process to ensure optimum utilization of predictive analytics by our customers and ensure coordination between the TPA and MECIntroduce and educate TPA’s on MEC Predictive Analytic tool. Continue monitoring and training as necessary.Consistent communication with all internal departments – underwriting, claims, data services and actuarial to understand TPA’s business model, traits and method of service delivery as well as importance of the TPA to MEC.Intervene with TPA management if/as problems may develop in business process or on an individual claim.Customer Consults
Identify claims that are appropriate for customer consults and work with TPAs to engage and deliver claim consults to active customers. Engage in communication with the Account Executives, ISI Underwriters, and ISI Claims Analyst for the execution of the MEC Claims Value Prop on active accounts to ensure seamless interaction with MEC customers and TPAs. Interact and communicate with internal Claim resources to identify loss mitigation and settlement opportunities on claims identified through claim reviews, onboarding/post renewal calls, or other sources. Ensure the TPA and ultimately client understands that MEC services and products will help bring their program to a best-practice level.Consistently demonstrate knowledge and utilization of MEC’s Value proposition and services. Provide informational updates internally and externally pertaining to: success stories, MEC initiatives, roundtable discussions, webinarsBusiness Acumen
Ability to understand how various TPA’s operate – their communication and interfaces with clients, how they charge for services.Collaborate with the TPA to secure customer authorizations (when required) to exchange data with MEC.Ability to understand MEC claims handling approach and how data is received and utilized for Predictive Analytics to be able to educate on all aspects of tool. Ability to understand the TPA relationship and data exchange with cost containment vendors needed to supply data for MEC analytics Conduct meetings as a way to build credibility, understanding and empathy.Aid in any issue resolutions as needed.Strategic Planning
Formulate or update Service/Partnership Agreement to be forwarded to the TPA and insure all members of TPA’s Claims organization understands and has access to document. Support data services and predictive analytic departments by encouraging TPA’s to provide electronic data if at all possible to create Predictive Analytic reports. Encourage TPA’s and customers to seek consultative assistance on claims from MECShare articles, industry information to demonstrate MEC value QualificationsWhat we require:
Problem solving—able to understand the underlying opportunity and quickly deliver quality solutions.Knowledge of workers’ compensation regulations and applicable law, preferable in multiple jurisdictions.Workers’ compensation claims handling experience Strong organizational skills and detail orientedSkills in coordinating project activities across multiple business organizationsCapable of influencing parties to action in an environment without explicit authorityAbility to work independently and handle multiple tasks simultaneouslyProven experience in working collaboratively in an environment involving multiple stakeholdersCapability to collaborate with decision makers at highest levelsAccountability—willing to take ownership of tasks and hold team members accountable for their commitments.Attitude—positive, team-oriented, approachable, welcomes feedback.Willingness to travel for business purposes – travel less than 50%Including but not limited to industry conferences, broker meetings, In person meetings.Education:
Bachelor’s degree preferred but not mandatory. Or 10 or more years of workers’ compensation claims handlingCompany Perks:
Tuition/training reimbursement.Flextime with core hours.Bonus structure.401(k) savings plan with profit sharing.Insurance plan which includes portable HSA plan Additional Company Details We do not accept any unsolicited resumes from external recruiting agencies or firms.The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. Sponsorship Details Sponsorship not Offered for this Role Connect With Us! Not ready to apply? Connect with us for general consideration.