Claims Advocate - Employers Professional Liability

Job description

Job Summary Description:

- Gathers claims activities and results, facilitating the resolutions of claims as needed

- Functions as liaison between Clients and insurance carriers, advocating for the best outcome for the Client while respecting Insurance Carrier

- Ensures the accuracy and completeness of claim forms

- Reviews claim status, action plans, and reserves by applying advanced problem solving skills

- Challenges adjusted as warranted, while advocating the best outcome for Client in accordance with Lockton Company service standard

- Coordinates and perform cost containment surveys to evaluate Client’s existing cost management programs

- Provides status reports to Clients, also ensuring internal Clients are well informed

- Develops yearly service plans for each Client’s policy

- Coordinates and attends regularly scheduled claims review meetings with Clients

- Develops audit sheets, summarized findings and calculations with a writer report

- Reviews loss history, providing recommendations to improve Client position

- Researches industry trends and governmental regulations

- Performs other responsibilities and duties as needed

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Requirements Qualifications:

- Bachelor of Arts or Sciences degree in business field, related field, or equivalent practical insurance claim management experience

- Substantial knowledge of the practices and procedures of Third Party Administrators, and the skill to effectively develop long term partnerships that meet client expectations and needs

- Proven experience in the evaluation of the accuracy of property and casualty claim reserving practices

- Strong knowledge the evaluation, interpretation and communication of insurance claims and coverage

- Strong knowledge of Microsoft Office Suite (Word, Outlook, Excel, and PowerPoint)

- Strong verbal and interpersonal communication skills required

- Understands industry trends and governmental regulations

- Ability to complete continuing education requirements as needed

- Ability to attend company, department, and team meetings as required, including industry training sessions

- Ability to comply with all company policies and procedures, proactively protecting confidentiality of client and company information

- Ability to efficiently organize work and manage time in order to meet deadlines

- Ability to travel by automobile and aircraft

- Ability to use office equipment such as a computer, keyboard, calculator, photocopier, and facsimile machine

- Ability to work on a computer for a prolonged amount of time

- Ability to work outside of normal business hours as needed

- Legally able to work in the United States