Claims Advocate

The Jonus Group; St. Louis (MO); On-site; USD 52,000 - 65,000; Full time

Job summary

The Jonus Group seeks a dedicated Claims Advocate to serve as the primary point of contact for clients needing help with claims and insurance-related matters. This role acts as a liaison between clients, carriers, and other stakeholders to ensure claims are processed efficiently and equitably.

Ideal candidates have 2–4 years in agency claims, strong policy knowledge, excellent interpersonal skills, and proficiency with claims management software and Microsoft Office.

Qualifications

• 2–4 years of agency claims experience.
• Strong knowledge of insurance policies and claims procedures.
• Excellent interpersonal and communication skills.
• Proven organizational and prioritization abilities.
• Proficiency with claims management systems and Microsoft Office.
• State insurance license or ability to obtain one.

Responsibilities

• Support clients in initiating, managing, and resolving claims.
• Serve as subject matter expert on agency claims.
• Liaise between clients, carriers, adjusters and stakeholders.
• Monitor claim statuses and provide updates.
• Educate clients on policies and claim processes.
• Collaborate with internal teams to resolve inquiries.
• Build and maintain strong client relationships.
• Maintain accurate documentation of communications and activities.
• Stay updated on changes in insurance regulations and trends.

Skills

Claims experience

Client communication

Organizational skills

Policy knowledge

Proficiency with MS Office

Claims systems

Tools

Claims management software

Microsoft Office

Job description

Job Summary

Seeking a dedicated and customer-focused Claims Advocate

Job Description

Claims Advocate

Job Summary

Seeking a dedicated and customer-focused Claims Advocate to serve as the primary point of contact for clients requiring assistance with claims and insurance-related matters. This role involves acting as a liaison between clients, insurance carriers, and other stakeholders to ensure claims are processed efficiently and equitably. The ideal candidate will possess a strong understanding of agency claims processes and a commitment to providing excellent service.

Responsibilities

• Support clients in initiating, managing, and resolving claims, ensuring a seamless and positive experience.
• Serve as a subject matter expert on agency claims, navigating policies and coverage to effectively advocate for client needs.
• Liaise between clients, insurance carriers, adjusters, and other key stakeholders to facilitate timely and fair claim resolutions.
• Monitor claim statuses and provide regular updates to clients, addressing potential issues or delays promptly and professionally.
• Educate clients on policies, coverage options, and claim processes to empower informed decision-making.
• Collaborate with internal teams to ensure client inquiries and issues are resolved in alignment with company policies.
• Build and maintain strong client relationships, fostering trust and loyalty.
• Maintain accurate documentation of client communications, claims statuses, and related activities per compliance requirements.
• Stay updated on changes in insurance regulations, policies, and industry trends to better serve clients.

Qualifications / Requirements

• 2-4 years of experience in agency claims or a related role with a proven track record of effective claims handling.
• Strong knowledge of insurance policies, practices, and procedures, particularly related to claims advocacy and resolution.
• Exceptional interpersonal and communication skills with the ability to empathize with clients and deliver clear, concise information.
• Proven organizational and prioritization skills with the ability to manage multiple claims and tasks in a fast-paced environment.
• High attention to detail and problem-solving abilities to ensure accurate and timely claim resolutions.
• Proficiency with relevant software and technology, including claims management systems and Microsoft Office Suite.
• Insurance license (state-specific, if required) or ability to obtain one within a designated time frame.

Disclaimer: Please note that this job description may not cover all duties, responsibilities, or aspects of the role, and it is subject to modification at the employer's discretion.