
Senior Captive Claims Advocate
Posted 2 days ago

Posted 2 days ago
This is a fully remote position, open to applicants in Louisiana.
• Supervise and manage designated claims
• Facilitate communication, documentation, and comprehension among insured parties, adjusters, and other stakeholders
• Maintain a diary for assigned claims
• Utilize Applied EPIC to assess claim status
• Cultivate relationships with clients to enhance claims management
• Assist in resolving disputed claims when necessary
• Ensure prompt follow-up on inquiries
• Communicate with designated adjusters to advance claims towards resolution
• Educate insured individuals on state-specific regulations and mitigation initiatives
• Prepare and deliver claim-tracking information
• Identify trends or gaps in coverage and communicate them to the Account Management team
• Engage in claims reviews with producers, clients, and service department staff
• Provide educational resources on the claims process to agency and client personnel
• Recognize opportunities for process improvements and workflow enhancements and suggest modifications
• Review insurance company documents for accuracy
• Stay updated on state-specific workers’ compensation regulations
• Research and support mitigation programs for workers’ compensation claims when applicable
• Mentor less experienced Advocates by offering guidance, training, and technical support
• High School Diploma or equivalent is required
• Bachelor’s degree is preferred
• A minimum of 5 years in an insurance role with relevant claims coverage experience
• Understanding of Property & Casualty forms and pertinent coverages for accurate claims reporting and analysis
• Experience in handling worker’s compensation claims is required (when applicable)
• Active Property and Casualty license is required; the company will assist the candidate in obtaining licensure if necessary
• Proficient in Microsoft Excel, Word, PowerPoint, and Outlook
• Experience with Applied Epic is preferred, or familiarity with a similar Account Management System (AMS) is acceptable
• Capability to lift 25 pounds
• Frequent use of vision to read documents and computer screens
• Regular use of hearing and speech to communicate via telephone and in person
• Repetitive hand movements, including keyboarding, writing, and using a 10-key
• Ability to walk, bend, sit, reach, and stretch in all directions
• Medical coverage
• Dental coverage
• Vision coverage
• Prescription drug coverage
• 401(k)
• Equity incentive plan
• Various supplemental benefits for physical, emotional, and financial wellbeing
• Employee Wellness Program
• Company-paid holidays
• Paid Time Off (PTO)
Sprinter Health
Ventra Health
Get handpicked remote jobs straight to your inbox weekly.