Claims Advocacy Manager
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
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