Claims Advocacy Consultant

This is a fully remote position, open to applicants in District of Columbia, +3 more states.

📋 Description

• Analyze daily reports to assess whether claims are applicable to Owner Controlled Insurance Programs (OCIPs).

• Review and log pertinent automatic Central Reporting reports.

• Establish and manage email folders for incident-specific communications.

• Create and oversee shared claims folders for each incident.

• Provide assistance in setting up OCIP claims as necessary.

• Review and amend assigned projects and employers for claims within TPA RMIS.

• Develop and maintain documentation for the claims-handling process.

• Refresh OCIP incident logs by project for all types of incidents.

• Examine incidents not recorded in TPA RMIS to ensure that risk involvement loops are closed or that claims are reported and handled appropriately.

• Coordinate with projects and contractors to assist adjusters in gathering data for claim setup and management.

• Summarize claims activity for Risk Management and generate monthly reports.

• Ensure adherence to the FELA process.

• Input daily funding into the captive insurance company bank worksheet and prepare monthly funding requirements for Risk Management review.

• Consolidate captive and TPA accounts on a monthly basis.

• Review TPA invoices for accuracy and submit them to Risk Management.

• Assist in coordinating responses for severe incident defense related to OCIP claims.

• Conduct contract review work associated with OCIP projects.

⛳️ Requirements

• A minimum of 3-5 years of experience in insurance claims, specifically in workers compensation and liability.

• Preferably experience with Owner Controlled Insurance Programs (OCIPs), Contractor Controlled Insurance Programs (CCIPs), or construction insurance.

• Bachelor’s degree in accounting, finance, economics, risk management, or a related field.

• Exceptional communication, negotiation, and interpersonal abilities.

• Strong organizational, multitasking, relationship-building, and problem-solving skills.

• High integrity and a focus on teamwork.

• A willingness to learn.

• Experience in construction, transportation, or claims sectors is advantageous.

• FELA experience is a plus but not mandatory.

🏝️ Benefits

• Opportunities for professional development.

• Engaging work and supportive leadership.

• A vibrant and inclusive company culture.

• A flexible work environment.

• Comprehensive benefits and rewards aimed at enhancing well-being.