Claims Representative

Claims Advocate

We seek a highly-organized Claims Advocate to guide our clients through the claims process. The ideal candidate will possess a strong understanding of insurance policies and procedures, with a focus on Workers Compensation and General Liability. Your goal is to ensure a smooth and efficient claims experience, offering exceptional support that builds client confidence and loyalty.

Responsibilities

*Commercial Claims Reporting-Responsible for the reporting of incoming claims and lawsuits to the insurance carrier

*Workers Compensation Mod Reviews- Will work with the Mod Analysis Application in order to do projections for our customers WC Mods. Loss Data information is reviewed and input as well as updated payroll information.

*Claims Advocacy/Review of Coverages-Provides Claims Counseling and pre-claims counseling as needed to our customers. Review of coverages prior to putting in a claim as well as for reviewing denials to make sure there is not coverage on the claim. Working as a liaison between the customer and the adjuster through more difficult claims.

*Follow Up on Existing Claims to monitor progress, payments and timely handling.

*In person meeting with customers for Claims Reviews as well as review up claim trends that may have an impact on the customers policy.

*Performs other related duties and projects as assigned.

Qualifications

*10 or more years of claim experience required within multiple lines of business.

*A strong general claim background is ideal with stronger Workers Compensation experience preferred.

*Experience dealing with more sophisticated clients

*Some Claim leadership preferred.

*Experience partnering with loss prevention preferred.

Compensation and Benefits:

* Competitive salary commensurate with experience

* Comprehensive benefits package (health, dental, vision, 401k, etc.)