Claims Advocate

Claims Manager

Job Summary

Seeking a dedicated and experienced Claims Manager to join a team. In this pivotal role, you will oversee the entire claims process, ensuring efficiency, accuracy, and a client-focused approach. You will evaluate, manage, and resolve insurance claims while collaborating with clients and carriers to deliver optimal outcomes. This position requires strong analytical skills, a deep understanding of insurance policies, and a proactive approach to problem-solving.

Compensation Package

• Competitive salary commensurate with experience
• Comprehensive benefits package, including health insurance, and paid time off

Responsibilities

• Manage the claims process autonomously from initiation to resolution, ensuring seamless operations.
• Conduct thorough assessments of claims, including property, commercial auto, general liability, and worker’s compensation, and provide strategic recommendations for resolution.
• Ensure accurate and comprehensive claim settlements, utilizing legal reviews and investigations as necessary.
• Facilitate client meetings, claim reviews, and vendor interactions to foster productive communication and swift resolutions.
• Monitor claim statuses, develop action plans, and establish reserves with a focus on minimizing client costs.
• Proactively analyze reserves and negotiate adjustments to optimize outcomes for clients.
• Provide expert claims support through detailed review, research, investigation, negotiation, and processing.
• Maintain accurate records by inputting claim data into the agency management system.
• Collaborate with the Risk Manager to identify trends and patterns, contributing to proactive risk mitigation strategies.
• Assist with additional projects as assigned, demonstrating flexibility and a team-oriented mindset.

Qualifications/Requirements

• Proven experience in claims management, preferably within the insurance industry.
• Strong knowledge of insurance policies and claims processes, including property, commercial auto, general liability, and worker’s compensation.
• Exceptional analytical and problem-solving skills with a proactive approach to resolving complex issues.
• Excellent communication and negotiation skills, with the ability to foster positive relationships with clients and carriers.
• Proficiency in using agency management systems and maintaining accurate records.
• Ability to work independently while collaborating effectively with team members and stakeholders.
• Strong organizational skills and attention to detail to ensure timely and accurate claim processing.

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