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Years of Experience
Date Last Verified
ProfileClaims Advocate The candidate will provide quality claims consulting and advocacy services to MMA clients. Will assist producers in the sales process by explaining claims advocacy service, providing suggestions and recommendations to adjusters to assist with claim resolutions, developing claims management strategies with clients and documenting activity. Services help clients reduce the cost of claims and provide clients with the necessary information to determine the best claims management approach for organizations. Duties include training, acting as an educational resource, public speaking, prospecting, partnering with HR/Safety/etc. to develop best client outcomes. Respond to customer questions and concerns on claims issues. Act as a liaison and client advocate to our carrier partners. Perform assigned key client work and consistently meet the monthly key client deadline. Prepare and coordinate in-person and telephonic claims reviews with the carriers, producers and clients. Perform special claim coverage research as needed. Check for coverage gaps or inadequate coverage on each claim. Notify Claims Manager and Producers and Account Executives of large claims with anticipated reserves greater than $100,000 or typically defined as fatalities, extensive fire or water claims. Negotiate claims matters with the adjuster, adjuster’s supervisor, or the claims manager. Identify and request reserve reductions from claims adjusters when appropriate to do so. Track reductions in appropriate team spreadsheet. Understand and Explain cost analysis for claim decisions. Coordinate, conduct and participate in appropriate meetings to ensure proper activities are being performed to meet goals. Communicate and build relationships with key legal partners to our client base to maintain high level of trust and communication. Keep team informed of vendor and carrier personnel changes. Communicate with insurance carriers to develop special handling instructions for clients. Work with carrier to achieve best communication between all parties. Participate in prospect and client calls/meetings as required. Provide Claims Management expertise to producers on client specific issues, meeting directly with the client in support of the producer when needed. Provide direct customer service to the client on accounts where it is required. Participate in speaking engagements and other opportunities to improve MMA brand awareness. Assist in training as needed for newly hired team members and provide ongoing training, coaching and personal development to existing team members. Provide leadership in practice group and team interactions. Create learning opportunities for team mates and provide ongoing constructive feedback.
Qualification and Experience
The candidate should have 10+ years of claims experience including strong knowledge of insurance carrier claims services. Bachelor’s degree in related field is required, law degree is preferred. Must be detailed with excellent organizational and time management skills. Good interpersonal skill is essential. Excellent written and verbal communication is essential. Must have prior success and experience operating in a fast-paced environment. Strong interpersonal and customer-service related skill is essential. Proficiency in MS office applications is required. Property and Casualty License or willingness to obtain required.
1166 Avenue of The Americas
New York City, NY 10036