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Insurance Claims Consultant Jobs (NOW HIRING)

Guardian Life Insurance Company

LTD Claims Consultant

$58K - $96K/yr

The LTD Claims Consultant is responsible for day to day execution to drive delivery of key metric results while increasing claim management accuracy and service delivery. The LTD Claims Consultant ...

The MJ Companies

Claims Consultant

Nashville, TN

... consultation and monitoring of open complex claims. Support and guide clients through the carrier ... Excel, Word, Outlook + High level knowledge of property/casualty insurance including coverage forms ...

Berkley

Claims Consultant

Boston, MA · On-site

$50 - $70/hr

Gemini Transportation Underwriters is a leading provider of excess liability insurance for ... The company is an equal opportunity employee The Claims Consultant handles high-exposure ...

The MJ Companies

Claims Consultant

Nashville, TN · On-site

... consultation and monitoring of open complex claims. Support and guide clients through the carrier ... Excel, Word, Outlook + High level knowledge of property/casualty insurance including coverage forms ...

The MJ Companies

Claims Consultant

Phoenix, AZ · On-site

... consultation and monitoring of open complex claims. Support and guide clients through the carrier ... Excel, Word, Outlook + High level knowledge of property/casualty insurance including coverage forms ...

Main Street Renewal

Senior Claims Consultant

Position Summary The Senior Claims Consultant serves as a subject matter expert across property ... Minimum 8 years of progressive insurance claims experience. * Demonstrated experience handling ...

Main Street Renewal

Senior Claims Consultant

Austin, TX · On-site +1

Position Summary The Senior Claims Consultant serves as a subject matter expert across property ... Minimum 8 years of progressive insurance claims experience. * Demonstrated experience handling ...

The MJ Companies

Claims Consultant

Carmel, IN · On-site

... consultation and monitoring of open complex claims. Support and guide clients through the carrier ... Excel, Word, Outlook + High level knowledge of property/casualty insurance including coverage forms ...

The Amherst Group LLC

Senior Claims Consultant

Austin, TX · On-site

$65K - $84K/yr

Position Summary The Senior Claims Consultant serves as a subject matter expert across property ... Minimum 8 years of progressive insurance claims experience. * Demonstrated experience handling ...

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Insurance Claims Consultant information

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$14

$49

$79

How much do insurance claims consultant jobs pay per hour?

As of Sep 11, 2026, the average hourly pay for insurance claims consultant in the United States is $49.12, according to ZipRecruiter salary data. Most workers in this role earn between $32.69 and $67.31 per hour, depending on experience, location, and employer.

What does an insurance claims consultant do?

An Insurance Claims Consultant helps clients navigate the claims process after an incident or loss covered by insurance. They assess the situation, review policy details, gather documentation, and advocate for the client to ensure they receive the maximum entitled compensation. Consultants also provide advice on the best way to present a claim and may negotiate with insurance companies on the client's behalf. Their expertise ensures claims are processed efficiently and fairly.

What are the key skills and qualifications needed to thrive as an insurance claims consultant?

To thrive as an Insurance Claims Consultant, you need a strong knowledge of insurance policies, claims processes, and investigative techniques, typically supported by a bachelor's degree and relevant industry experience. Familiarity with claims management systems, regulatory compliance software, and occasionally certifications like AIC (Associate in Claims) are highly valuable. Excellent communication, negotiation, and analytical skills help consultants explain complex details to clients and resolve disputes efficiently. These skills are essential to ensure accurate claims processing, client satisfaction, and compliance with industry standards.

What are some common challenges faced by insurance claims consultants, and how can they be managed effectively?

Insurance Claims Consultants often encounter challenges such as handling complex or disputed claims, managing high caseloads, and navigating evolving regulatory requirements. Staying organized, maintaining clear communication with clients and stakeholders, and keeping up-to-date with industry standards are essential for overcoming these hurdles. Building strong relationships with underwriters, adjusters, and legal teams also helps ensure smooth claim resolution and professional growth within the field.

What is the difference between Insurance Claims Consultant vs Insurance Adjuster?

AspectInsurance Claims ConsultantInsurance Adjuster
CredentialsMay require industry certifications (e.g., CPCU, ARM)Often licensed and certified depending on state
Work EnvironmentConsults with clients, insurance companies, and legal teamsInvestigates and assesses claims directly for insurance companies
Employer & Industry UsageUsed by consulting firms, insurance companies, and legal firmsPrimarily employed by insurance carriers and third-party administrators
Search & Comparison IntentPeople compare roles related to claims evaluation and consultingPeople compare roles involving claim investigation and settlement

The main difference is that Insurance Claims Consultants provide expert advice and guidance on claims processes, often working independently or for consulting firms, while Insurance Adjusters investigate and settle claims directly for insurance companies. Both roles require knowledge of insurance policies and claims procedures but differ in their focus and work environment.

What is an insurance claims consultant?

An insurance claims consultant is a professional who evaluates insurance claims to determine their validity and appropriate compensation. They often review documentation, assess damages, and provide recommendations to insurance companies or clients, requiring knowledge of insurance policies and claims processes.

What is the role of an insurance claims consultant?

An insurance claims consultant evaluates insurance claims to determine their validity and the appropriate payout. They review policy coverage, assess damages, and provide guidance to clients and insurance companies, often using industry software and requiring knowledge of insurance policies and regulations.
More about Insurance Claims Consultant jobs

What states have the most Insurance Claims Consultant jobs?

States with the most job openings for Insurance Claims Consultant jobs include:

What are popular job titles related to Insurance Claims Consultant jobs?

For Insurance Claims Consultant jobs, the most frequently searched job titles are:

Insurance Claims Consultant jobs near you
Infographic showing various Insurance Claims Consultant job openings in the United States as of September 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $102,175 per year, or $49.1 per hour.

Senior Claims Consultant

Media, PA • On-site, Remote

Patriot Growth Insurance Services, LLC
Insurance Services • 201 - 500 employees
Learn more about Patriot Growth Insurance Services, LLCexternal

$65K - $85K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 26 days ago

Key responsibilities

  • Lead strategy for catastrophic, litigated, and high-severity claims, driving resolution efforts and negotiating favorable outcomes for clients.

  • Analyze insurance policy language, carrier positions, and claim developments to develop effective advocacy and coverage strategies.

  • Collaborate with attorneys, adjusters, carriers, producers, and internal teams to resolve complex claim matters and remove barriers to resolution.

Patriot Growth Insurance Services rating

7.5

Company rating: 7.5 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

Job description

Senior Claims Consultant
Patriot Growth Insurance Services | Media, PA | Hybrid | Full-Time
Why This Role Matters
As a Senior Claims Consultant, you'll serve as a trusted advisor to clients navigating complex and high-stakes claims challenges. This role combines deep technical claims expertise with strategic consulting, helping clients achieve favorable claim outcomes while strengthening their long-term risk management strategies.
 
You'll partner closely with clients, carriers, legal counsel, and internal teams to manage sophisticated claim portfolios, resolve complex coverage issues, and deliver insights that support business decisions. In addition to leading claims advocacy efforts, you'll play an important role in mentoring team members and contributing to the continued growth and excellence of the Claims Department.
How You'll Make an Impact
  • Lead strategy for catastrophic, litigated, and high-severity claims, driving resolution efforts and negotiating favorable outcomes for clients.
  • Analyze insurance policy language, carrier positions, and claim developments to develop effective advocacy and coverage strategies.
  • Collaborate with attorneys, adjusters, carriers, producers, and internal teams to resolve complex claim matters and remove barriers to resolution.
  • Conduct loss trend analysis, benchmarking, and root-cause assessments that help clients reduce future exposures and improve risk management outcomes.
  • Prepare and present claims reviews, performance metrics, and loss analyses to executive-level client stakeholders and leadership teams.
  • Develop underwriting narratives, claim summaries, and strategic recommendations that support renewal negotiations and underwriting discussions.
  • Mentor Claims Consultants by providing technical guidance, training, and support for process improvement initiatives.
  • Oversee workload distribution and account assignments within the Claims Department to help ensure efficient service delivery and team success.
Who You Are
  • A strategic thinker who can evaluate complex situations and develop practical solutions.
  • A confident communicator who builds credibility with clients, carrier representatives, attorneys, and internal stakeholders.
  • Detail-oriented and analytical, with the ability to interpret policy language and assess claims from multiple perspectives.
  • Comfortable navigating challenging conversations and advocating for clients in high-pressure situations.
  • A collaborative partner who works effectively across teams to achieve shared objectives.
  • A coach and mentor who enjoys helping others develop their technical knowledge and professional skills.
  • Organized and adaptable, with the ability to manage multiple priorities while maintaining exceptional service standards.
What You BringDay One:
  • Bachelor's degree or equivalent professional experience.
  • Insurance licensing or the ability to obtain required licensing within 60 days of hire.
  • Strong knowledge of commercial insurance policy language and claims processes.
  • Experience managing complex, high-severity, or litigated claims and developing claim resolution strategies.
  • Strong analytical, negotiation, and problem-solving skills.
  • Excellent written, verbal, and presentation skills, including experience working with executive-level client contacts.
  • Ability to collaborate effectively with clients, carriers, attorneys, and internal teams.
Valuable Additions:
  • CPCU or CIC designation.
  • AIC or CRIS designation.
  • Experience working with an Agency Management System such as EPIC or AMS360.
  • Proficiency with Microsoft Office applications, including Outlook, Excel, Word, and PowerPoint.
  • Experience preparing loss analyses, benchmarking reports, underwriting narratives, or renewal strategy recommendations.
  • Prior experience mentoring team members or leading claims-related process improvement initiatives.
Real Benefits for Real Life
At Patriot, great benefits mean more than coverage; they mean being there through every stage of life: your health, your family, your financial future, or simply time to recharge. Whether you're working or not, life doesn't stop. Neither should your benefits.
 
Highlights Include:
  • Multiple medical plan options, with preventive care covered at 100%
  • Free virtual medical and mental healthcare for employees and their families, plus a dedicated healthcare concierge to help you navigate benefits, compare prescription costs, and make more confident, personalized care decisions
  • Employer-paid short-term and long-term disability coverage
  • Paid parental leave
  • Personalized PTO that lets you take time away when you need it, without traditional accruals, plus separate sick leave
  • Competitive 401(k) company match to help you build your financial future
  • Comprehensive dental and vision coverage
  • Employee Assistance Program with confidential mental health, legal, financial, and work-life support
About Patriot Growth Insurance Services
At Patriot, we build our teams around a simple idea: people do their best work when they feel supported as whole people, not just managed as employees. We're invested in your growth, not just your output, and we back that up with a competitive salary and a comprehensive health and welfare program that extends to your family and domestic partners too, because who you're building a life with matters to us as much as the work you do.
 
Founded in 2019, Patriot is a growth-focused national insurance services firm that partners with employee benefits and property and casualty agencies across the United States. We're currently ranked the 25th-largest broker in the U.S. by Business Insurance and were named to the 2025 Inc. 5000 list of fastest-growing companies. With over 2,100 employees operating in 150+ locations across more than 45 states, our collaborative model gives every person and every agency the resources and support they need to grow, while each agency keeps its own identity, culture, and way of doing business. That growth has never been about numbers alone, it's about the people behind them.
 
Patriot Growth Insurance Services is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, citizenship or immigration status, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.
 
This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, leave of absence, compensation, benefits, and training. Patriot makes hiring decisions based solely on qualifications, merit, and business needs at the time. For more information, read through our EEO and DE&I Policy located on our website at www.patriotgis.com.

Pay Range: Posted below*
*Any job offer is based upon a salary analysis to comply with applicable state pay transparency laws, considering relevant experience, education, certifications, and seniority as compared to others doing substantially similar work. There is no guarantee an offer will be at the top of the posted range based on the salary analysis. Roles may also be eligible for a supplemental compensation, such as performance-based bonus, commission, or equity. Specific eligibility will be discussed with Talent Acquisition team. 

Patriot Growth Insurance Services offers a comprehensive benefits package, including medical, dental, and vision insurance; a 401(k) with company match; personalized time off and company paid holidays.

Pay Range
$85,000—$110,000 USD

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