Claims Advocate

This is a fully remote position, open to applicants in United States.

📋 Description

• Serves as an advocate and claims expert to deliver support to clients, claimants, Producers, and carriers;

• Offers initial and continuous advocacy on claims including thorough analysis, interpretation, consultation, and negotiation of coverage and reserves;

• Provides assistance with complex, large claims issues;

• Reports to carriers concerning property, liability, litigated, high exposure, and specialty claims;

• Maintains claim diaries and reviews reservations of rights and denials;

• Travels to loss sites to aid clients in navigating the claim process;

• Engages with clients and internal staff to deliver analysis, interpretation, and recommendations related to client loss information;

• Addresses inquiries from clients and Producers regarding coverage, exposure, and settlement matters;

• Oversees subrogation and recovery situations by collaborating closely with clients;

• Develops coverage arguments for client advocacy and establishes coverage positions as a client advocate;

• Collaborates with client legal counsel on coverage, claims, and settlement strategies;

• Assists clients with case preparation and support as necessary, utilizing negotiation skills to achieve the best possible outcomes for clients;

• Delivers value-added services to Producers, emphasizing account retention and acquiring new business;

• Creates training materials from a client and service team perspective for coverage reviews, loss reporting procedures, and claims guidelines in managing various situations;

• Conducts quarterly claims review meetings with employer representatives;

• Adheres to agency management system data standards and data integrity by entering and maintaining comprehensive and accurate information;

• Performs other duties as assigned.

⛳️ Requirements

• Bachelor’s degree or a suitable combination of education and experience

• Six (6) or more years of relevant work experience, preferably in brokerage or insurance carrier roles

• Possession of CPCU, AIC, and/or ARM designations is preferred

• Valid Fire and Casualty Broker – Agent license

• Comprehensive understanding of all commonly encountered P&C insurance coverage and Risk Management concepts and techniques

🏝️ Benefits

• Employee assistance program

• Professional development opportunities