Claims Advocacy Consultant

This is a fully remote position, open to applicants in Florida, +2 more states.

📋 Description

• Cultivate strong relationships with customers and ensure retention by advising them on various products and services.

• Collaborate with both internal and external business partners to address customer concerns and improve their experience along with coverage options.

• Analyze daily reports for claims pertinent to OCIP.

• Review and document associated automatic Central Reporting reports.

• Establish and maintain email and shared claims folders for information related to incidents.

• Assist in the setup of OCIP claims as required.

• Examine and correct assigned projects and employers for claims within the TPA RMIS.

• Create and sustain documentation for the claims-handling process.

• Update OCIP incident logs by project.

• Review incidents not recorded in TPA RMIS and ensure proper reporting and handling.

• Follow up with projects and contractors to gather data necessary for claim setup and management.

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

• Ensure adherence to the FELA process.

• Input daily funding into the captive insurance company bank worksheet and prepare monthly funding needs.

• Consolidate captive and TPA accounts on a monthly basis.

• Assess TPA invoices for accuracy and forward them to Risk Management.

• Assist in coordinating defensive responses for severe incidents related to OCIP claims.

• Conduct contract reviews pertinent to OCIP projects.

⛳️ Requirements

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

• Preferably possess 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 skills, adept at multitasking, building relationships, and problem-solving.

• High integrity, a focus on teamwork, and a willingness to learn.

• Experience in construction, transportation, or claims fields is beneficial.

• FELA experience is advantageous but not mandatory.

🏝️ Benefits

• Opportunities for professional development.

• Engaging work with supportive leadership.

• A vibrant and inclusive workplace culture.

• Flexible working environment.

• A variety of career advancement options.

• Comprehensive benefits and rewards to promote well-being.