Claims Advocacy Manager

ManagerManagerFull TimeRemoteTeam 1,001-5,000Since 2010H1B SponsorCompany SiteLinkedIn

Location

United States

Posted

89 days ago

Salary

$116K - $145K / year

Bachelor Degree3 yrs expEnglish

Job Description

• Develops and implements advanced strategies for generating claims insights and advocacy, leveraging industry expertise and insights to optimize claim resolution outcomes. • Serves as a subject matter expert on complex claims issues, providing guidance and support to the team and assisting with the resolution of challenging cases. • Represents the company in negotiations with insurance carriers, clients, and other stakeholders, ensuring the protection of the organization’s interests and achievement of favorable outcomes. • Monitors industry trends, regulatory developments, and emerging risks to proactively identify opportunities for improvement and adapt claims advocacy strategies accordingly. • Conducts regular reviews, audits, and performance evaluations to assess the effectiveness of claims advocacy processes and identify areas for enhancement. • Drives initiatives to enhance operational efficiency, streamlines claims handling processes, and optimizes resource allocation within the claim’s advocacy team. • Collaborates with underwriters, legal counsel, and senior management, to develop innovative solutions for claims management and risk mitigation. • Supports the team of Claims Advocacy Specialists, providing guidance, coaching, and mentorship to enhance their performance and professional development. • Fosters strong relationships with key clients, insurance carriers, and industry stakeholders, serving as a trusted advisor and advocate for the company's interests. • Collaborates with management to develop and implement strategic initiatives aimed at achieving organizational goals and maintaining a competitive edge in the specialty insurance market.

Job Requirements

  • Minimum of 3 years of experience in the Insurance Claims processing or claims management.
  • Bachelor’s degree required, Master’s degree preferred; Finance, Legal, Business Administration preferred. Any other related discipline or commensurate work experience considered.
  • State specific Adjusting/Appraising/Examining/ Investigating Licenses is preferred.
  • Associate in Claims (AIC), or Certified Claims Professional (CCP) is plus.

Benefits

  • Paid time off for company holidays
  • Vacation
  • Sick and personal days
  • Paid parental leave
  • Mental health services and more

Related Job Pages

More Manager Jobs

Senior Manager – Retention

Fitt City

Find the best healthy eats 🥗, sweat spots 💪, and outdoor adventures ☀️ in 30 cities across the US, UK, CAN, & AUS

Manager89 days ago
Full TimeRemoteTeam 51-200H1B No Sponsor

Senior Manager of Retention for a real-food nutrition company

United States
Full TimeRemoteTeam 10,001+

Market Development Manager developing customer relationships in life sciences

California + 4 moreAll locations: California, Illinois, Ohio, Minnesota, Texas
$95K - $100K / year

Annual Giving Manager

Burrell Behavioral Health

Leading the conversation on advancing, expanding and improving behavioral health in our communities.

Manager89 days ago
Full TimeRemoteTeam 1,001-5,000Since 1977H1B Sponsor

Annual Giving Manager driving donor growth at Brightli

Missouri

Service Team Manager

OneMarketData

Tick Analytics, Market Data in the Cloud, Trade & Market Surveillance, BestEx & TCA

Manager89 days ago
Full TimeRemoteTeam 201-500H1B No Sponsor

Service Team Manager leading customer support at OneMarketData

United States