Claims Advocate

Jonus Group; St. Louis (MO); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Health insurance

Paid time off

Job summary

Jonus Group in St. Louis, MO seeks a seasoned Claims Manager to oversee the end-to-end claims process, ensuring efficiency, accuracy, and client-focused outcomes. You will evaluate, manage, and resolve claims across property, auto, GL, and workers’ compensation, collaborating with clients and carriers to drive swift resolutions. Strong analytics and negotiation skills are essential.

This role requires independence and proactive problem solving in a fast-paced environment.

Qualifications

• Proven experience in claims management, ideally in insurance.
• Strong knowledge of property, commercial auto, GL, and workers’ comp.
• Analytical, proactive problem-solving and negotiation skills.
• Excellent communication with clients and carriers.
• Experience with agency management systems and accurate record-keeping.
• Ability to work independently and with a team.
• Strong organizational skills and attention to detail.

Responsibilities

• Oversee end-to-end claims process from initiation to resolution.
• Assess claims in property, commercial auto, GL, and workers’ comp.
• Utilize legal reviews and investigations as needed.
• Lead client meetings, claim reviews, and vendor communications.
• Monitor statuses, develop action plans, and establish reserves.
• Proactively analyze reserves and negotiate adjustments.
• Provide expert claims support through review, research, and negotiation.
• Maintain accurate claim data in the agency management system.
• Collaborate with Risk Manager to identify trends.
• Support additional projects as needed.

Skills

Analytical skills

Negotiation skills

Communication

Problem-solving

Attention to detail

Independent work

Team collaboration

Agency management systems

Tools

Agency management system

Job description

Claims Manager

Job Summary

Seeking a dedicated and experienced Claims Manager to join a team. In this pivotal role, you will oversee the entire claims process, ensuring efficiency, accuracy, and a client-focused approach. You will evaluate, manage, and resolve insurance claims while collaborating with clients and carriers to deliver optimal outcomes. This position requires strong analytical skills, a deep understanding of insurance policies, and a proactive approach to problem-solving.

Compensation Package

• Competitive salary commensurate with experience
• Comprehensive benefits package, including health insurance, and paid time off

Responsibilities

• Manage the claims process autonomously from initiation to resolution, ensuring seamless operations.
• Conduct thorough assessments of claims, including property, commercial auto, general liability, and worker’s compensation, and provide strategic recommendations for resolution.
• Ensure accurate and comprehensive claim settlements, utilizing legal reviews and investigations as necessary.
• Facilitate client meetings, claim reviews, and vendor interactions to foster productive communication and swift resolutions.
• Monitor claim statuses, develop action plans, and establish reserves with a focus on minimizing client costs.
• Proactively analyze reserves and negotiate adjustments to optimize outcomes for clients.
• Provide expert claims support through detailed review, research, investigation, negotiation, and processing.
• Maintain accurate records by inputting claim data into the agency management system.
• Collaborate with the Risk Manager to identify trends and patterns, contributing to proactive risk mitigation strategies.
• Assist with additional projects as assigned, demonstrating flexibility and a team-oriented mindset.

Qualifications/Requirements

• Proven experience in claims management, preferably within the insurance industry.
• Strong knowledge of insurance policies and claims processes, including property, commercial auto, general liability, and worker’s compensation.
• Exceptional analytical and problem-solving skills with a proactive approach to resolving complex issues.
• Excellent communication and negotiation skills, with the ability to foster positive relationships with clients and carriers.
• Proficiency in using agency management systems and maintaining accurate records.
• Ability to work independently while collaborating effectively with team members and stakeholders.
• Strong organizational skills and attention to detail to ensure timely and accurate claim processing.

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