Claims Advocate

SUMMARY

Responsible for providing customer service and supporting Producers by servicing existing accounts and soliciting new business.

Independent responsibility for managing medium and complex claims of assigned clients.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Acts as an advocate and claims specialist to provide support to clients, claimants, Producers, and carriers;
• Provides initial and on-going advocacy on claims including detailed analysis, interpretation, consultation and negotiation of coverage and reserves;
• Provides assistance on complex, large claims issues;
• Reports to carriers on property, liability, litigated, high exposure and specialty claims;
• Maintains claim diaries and reviews reservations of rights of denials;
• Travels to loss sites to assist clients with the claim process;
• Meets with clients and internal staff to provide analysis, interpretation and recommendations regarding client loss information;
• Responds to clients and Producers regarding coverage, exposure, and settlement questions;
• Manages subrogation and recovery situations by working closely with client;
• Prepares coverage arguments for client advocacy and form coverage positions as client advocate;
• Works with client legal counsel on coverage, claims and strategy for settlement;
• Assists client with case preparation and support as needed, using negotiation skills to provide best possible outcome for clients;
• Provides value added services to Producers, focusing on account retention and obtaining new business;
• Develops training materials with a client and service team perspective for coverage reviews, loss reporting procedures, and claims guidelines in handling various situations;
• Conducts quarterly claims review meetings with employer representatives;
• Complies with agency management system data standards and data integrity (enters and maintains complete and accurate information);
• Other duties as assigned.

QUALIFICATIONS

EDUCATION / EXPERIENCE

Bachelor’s degree or equivalent combination of education and experience

Six (6) or more years related work experience, brokerage or insurance carrier experience preferred

Possession of CPCU, AIC and / or ARM preferred

Valid Fire and Casualty Broker Agent license

In depth knowledge of all commonly encountered P&C insurance coverage and Risk Management concepts and techniques

SKILLS

Excellent verbal and written communication skills

Ability to work within a team and to foster teamwork

Excellent customer service skills, including telephone and listening skills

Great leadership, problem solving and time management skills

Advanced analytical skills

Ability to interface with internal and external executives

Proficient in Microsoft Office Suite