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Full-time
associate degree, professional certificate
11 Paid holidays, Paid vacation, Medical insurance, Vision insurance, Dental insurance, 401K with generous match
Posted 54d ago
Apply by Jun 15
~40 hrs/week
Responsibilities
Acts as a strategic advisor to clients by delivering data-driven workers compensation claims management solutions to reduce the total cost of risk. Collaborates with carriers and TPAs to influence claim outcomes and implement proactive risk mitigation strategies.
Requirements
Requires 5+ years of workers' compensation experience and preferably an Associate Degree or AIC designation. Strong skills in statistical analysis, interpersonal communication, and familiarity with NYS & NCCI experience rating are essential.
Full job description
Overview
OneGroup is a team of more than 200 insurance and risk management professionals who are ONE company acting as ONE team, with ONE focus and ONE mission: To serve each client as our ONE client.
OneGroup is one of the fastest growing independent insurance and risk management organizations in the northeast. With team members in 18 locations, OneGroup can provide best in class client resources while maintaining an entrepreneurial, friendly and fun environment. A subsidiary of Community Bank, NA (NYSE: CBU), OneGroup is headquartered in Syracuse, NY.
OneGroup’s company culture sets us apart from the rest. Our core values, what we call “The OneGroup Way” consists of the following:
Knowledge Development - Professional growth but also understanding the company, workflow processes, and the right people to get the job done. Adopting a growth mindset in everything we do.
Big Picture – How your individual contributions connect to the bigger things around us that can make a difference to the client. How do you utilize your talents and the attributes of those around you to create a unique solution for the client.
Acknowledgement – Recognize others contributions, appreciate what others do and their strengths.
Transparency – An environment that encourages open communication and feedback.
Bigger Purpose – How do we become more than just an insurance company to our clients? We seek to enhance our client’s businesses, support their mission, and understand their challenges.
Responsibilities
The Workers Compensation Claims Consultant serves as a strategic advisor to clients, delivering proactive, data-driven claims management solutions that reduce total cost of risk and improve claim outcomes. This role collaborates with clients, carriers, and internal teams to anticipate trends, identify cost drivers, and implement forward-looking claim strategies for workers compensation claims.
The consultant partners closely with clients to translate claims data into actionable insights, provides ongoing guidance on risk mitigation and claim resolution strategies, and ensures alignment between claims handling practices and each client’s broader risk management objectives.
Essential Duties & Responsibilities
Serve as a trusted claims advisor, partnering with clients to develop and execute proactive claims management strategies aligned to their risk profile and business objectives.
Analyze claims trends, loss data, and reserve development to identify emerging risks and recommend cost-containment strategies before further escalation occurs.
Lead consultative claim reviews with clients, providing insight-driven recommendations, benchmarking data, and strategic action plans.
Collaborate with carriers and TPAs to influence claim outcomes, including reserving strategy, settlement approach, and closure timelines.
Proactively monitor key performance indicators (KPIs) such as reserve movement, closure rates, and experience modification factors, and advise clients on performance improvement opportunities.
Evaluate claim handling processes and recommend enhancements to improve efficiency, and optimize claim lifecycle outcomes.
Provide ongoing client education on claim best practices, regulatory considerations, and risk mitigation strategies, positioning OneGroup as a consultative partner rather than a transactional service provider.
Support sales and retention efforts by articulating the value of proactive claims management and demonstrating measurable client impact.
Facilitate development and implementation of targeted service plans that integrate claims strategy into overall risk management and client experience frameworks.
Serve as a central point of coordination while driving accountability among stakeholders (clients, carriers, vendors) to ensure execution of agreed-upon strategies.
Communicate with internal customers concerning client concerns and performance
Qualifications
Education:
Associate Degree or other equal experience preferred
Professional Certifications/Licenses:
AIC Designation or equivalent insurance designation
Property/Casualty License preferred
Experience/Skills:
5+ years’ of workers’ compensation.
Multi line claims handling experience (commercial property, general liability, auto, professional liability) preferred.
Exceptional risk management and claims management skills related to Workers Compensation
NYS & NCCI Experience Rating experience
Excellent interpersonal communication and relationship building skills to include strong negotiation skills
Working knowledge of Agency Management Systems
Experience in the Applied Epic system is a plus, but not required.
Solid statistical analysis skills
Ability to work independently
Excellent writing skills
Proficiency in Microsoft Word, Excel and PowerPoint
Other Job Information
Compensation: Commensurate with experience plus potential for annual merit increase. In addition to your competitive salary, you will be rewarded benefits including: 11 paid holidays, paid vacation, Medical, Vision & Dental insurance, 401K with generous match, Pension, Tuition Reimbursement, Banking discounts and the list goes on!
Physical Requirements:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee may be required to stand, walk or sit. Use hands and fingers, handle or feel, reach with hands or arms, and speak and hear. The employee may occasionally be required to lift and or move up to 25 pounds. Specific vision abilities required by this job include close vision, and the ability to focus.
The Company is an Affirmative Action, Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, sexual orientation and gender identity), national origin, citizenship status, age, disability, genetic information, veteran status, or any other characteristic protected by applicable federal, state or local law.
The Company will make reasonable accommodations for qualified individuals with a disability. If you have a physical or mental impairment and would like to request an accommodation with respect to the application process, please contact the Human Resources Department.
Community Financial System, Inc. is a diversified financial services company based in DeWitt, NY that is focused on four main business lines – banking, benefits administration, insurance services and wealth management with total assets over $15 billion.
Its banking subsidiary, Community Bank, N.A. is among the country’s 100 largest banking institutions and operates more than 200 customer facilities across Upstate New York, Northeastern Pennsylvania, Vermont, and Western Massachusetts.
In addition to a full range of retail, business, and municipal banking services, the Company offers comprehensive financial planning, trust administration and wealth management services through its Community Bank Wealth Management, operating unit.
The Company’s Benefit Plans Administrative Services, Inc. subsidiary is a leading provider of employee benefits administration, trust services, collective investment fund administration and actuarial consulting services to customers on a national scale.
The Company’s OneGroup NY, Inc. subsidiary is a top 100 U.S. insurance agency and provides personal and commercial lines of insurance and other risk management services.
Community Bank System, Inc. is listed on the New York Stock Exchange and the Company's stock trades under the symbol CBU.
Offices: 5790 Widewaters Pkwy, DeWitt, New York 13214, US
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