Claims Business Consulting - Senior

Claims Business Consulting - Senior

EY is a leader in serving the global financial services marketplace and the only professional services firm with a separate business unit dedicated to the financial services industry – the Financial Services Organization (FSO). Our focused model and bold ambition have put us at the center of the events that continue to reshape and redefine our industry, working side by side with a range of clients from our most venerable institutions to dynamic new entrants across Banking and Capital Markets, Wealth and Asset Management, Insurance, and Real Estate, Hospitality and Construction. Our purpose is to help build a financial services industry in which financial institutions are trusted and flourish, and the global economy is healthy, growing and secure. If you have a passion for rallying together to solve complex challenges, then come join our dynamic FSO team!

The opportunity

EY currently has an exciting career opportunity for a Claims Consultant to help strengthen and grow our Claims Business Consulting Services practice, which is a part of EY’s Global Insurance practice. This practice area covers a range of claims consulting services for insurers, third party administrators (TPA’s), key industry vendors as well as loss sensitive self-insured organizations. Primary services include:

• Digital claims transformation
• Operational and process improvement
• Leakage analysis and technical claims quality assessments
• Emerging technology and predictive analytics implementation
• Vendor and expense management
• Process and controls assessments

Your key responsibilities

As a member of the EY Claims Consulting team, you’ll be challenged to participate on engagement teams, focusing on complex and specialized claims management issues across several of the following areas:

• Development and implementation of digital claim strategies, and associated business cases and roadmap development to improve claim program performance
• Analysis of historical claims data to identify critical trends impacting claims program performance
• Claims operational assessments, including target operating model design, claims process optimization, staffing models, segmentation strategies, internal process and controls and vendor strategy
• Technical claims audits to assess process compliance, adherence to industry quality standards, quantify claim leakage and determine reserve adequacy
• Assist with implementation of claims technology strategies
• Maintain ongoing knowledge of evolving insurance claims industry trends and challenges
• Help clients develop strategies to address emerging industry challenges and opportunities, including litigation management and Generative AI

Skills and attributes for success

• Understand EY's service offerings and actively assess/present opportunities to bring value to clients
• Develop long-term client and industry relationships and networks
• Work with your colleagues to generate future business opportunities with existing and new clients
• Collaborate with colleagues and clients to determine an engagement strategy and implementation plans
• Communicate effectively with the client and the engagement team
• Develop and maintain productive relationships with clients and EY colleagues 
• Successfully manage project budget and engagement performance metrics.
• Stay informed of general business/economic developments and their impact to the client
• Develop people and delegate work effectively while fostering teamwork and innovative thinking
• Contribute to on-the-job feedback/training and conduct performance reviews
• Commit to developing knowledge and using technology to continually learn, share knowledge with team members, and enhance service delivery
• Respect and protect confidential client information
• Develop formal reports and deliverables in a concise and consumable way

To qualify for the role, you must have

• Bachelor's degree
• Claim management or related experience gained from employment at a broker, insurer or TPA
• 5+ years across any of the following lines of insurance: Auto, Property, General Liability, Workers’ Compensation, and/or Disability
• 3+ years of claims adjusting, claims process excellence/strategy and/or supervisory/management experience
• Excellent business, communication and presentation skills
• The ability to translate complex information into non-technical, easy to understand language
• Strong writing, presentation, conceptual, analytical, and interpersonal skills
• Comfortable with speaking to larger audiences and executive level professionals
• Demonstrated proficiency with PowerPoint and Excel
• Willingness to travel up to 50% to meet client needs, as needed

Ideally, you’ll also have

• 3 years of project management experience
• Completion or significant progress towards the completion of an advanced, recognized insurance industry designation (e.g., AIC, ARe, ARM, CPCU), or an advanced degree (e.g., MBA, JD)  
• Consulting experience pertaining to claims transformation

What we look for

We’re looking for well-rounded, technical, and intellectually curious individuals with an entrepreneurial spirit and a genuine desire to influence entire industries. You’ll need great analytical, written and verbal communication skills, the ability to handle new responsibilities and challenges, and to thrive in a fast-paced environment.

• Continuous learning: You’ll develop the mindset and skills to navigate whatever comes next.
• Success as defined by you: We’ll provide the tools and flexibility, so you can make a meaningful impact, your way.
• Transformative leadership: We’ll give you the insights, coaching and confidence to be the leader the world needs.
• Diverse and inclusive culture: You’ll be embraced for who you are and empowered to use your voice to help others find theirs.