Claims Advocate - Risk Services

Insurance Office of America; Washington (District of Columbia); Remote; USD 75,000 - 95,000; Full time

Job summary

A leading company in the insurance industry is seeking a Claims Advocate to manage claims, advocate for clients, and ensure timely resolutions. The role includes data analysis, claims reviews, and client education, while requiring 5+ years of claims handling experience. Join a supportive team that values professional growth and provides competitive salaries.

Benefits

Competitive salaries and bonus potential

Company-paid health insurance

401K with employer match

Employee stock plan participation

Professional growth opportunities

Qualifications

• 5+ years of claims handling experience; preferred agency advocate or liaison role.
• Exceptional customer service and communication skills.
• Ability to handle large work volumes with high accuracy.

Responsibilities

• Manage complex claims to ensure timely outcomes.
• Deliver outstanding service by anticipating client needs.
• Conduct claims reviews and audits.

Skills

Customer service

Communication

Multi-tasking

Organization

Decision-making

Education

High School Diploma or equivalent

Licensed Insurance Adjuster or state equivalent

Tools

MS Office

Job description

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Pay found in job post

Retrieved from the description.

Base pay range

$75,000.00/yr - $95,000.00/yr

Job Description

Title: Claims Advocate – Risk Services

Fully remote out of the West Coast

Please note: If this position is posted as either fully remote and/or hybrid, in accordance with company policy, individuals residing within a 50-mile radius of a branch location may be required to work onsite in a hybrid capacity. Additionally, there may be occasions when on-site presence is necessary to meet specific business needs. Learn more about our locations here: ioausa.com/locations

About the Role:Responsible for IOA insurance Claims Management activities including: client advocacy, service and communication, problem claim resolution, data analysis and action, monitoring triggered activities, claims reviews and audits, workers compensation claim oversight, reserve analysis, unit stat and stewardship reporting, client education and consulting, sales support, litigation process management, new client onboarding, intake process support, data management and entry, and Producer communication.

Key Responsibilities

• Performance Standards: Meet all production, quality, and service expectations.
• Client Service Excellence: Deliver outstanding service by anticipating client needs and responding promptly.
• Client Advocacy: Serve as a dedicated advocate, providing high levels of ongoing support and consultation.
• Problem Claim Resolution: Manage complex or delayed claims to ensure timely and favorable outcomes.
• Loss Report Analysis: Review aggravated inequity loss reports and take appropriate corrective actions.
• Activity Monitoring: Track triggered claim activities and implement necessary follow-up actions.
• Claims Review & Auditing: Conduct and participate in formal claims reviews and audits.
• Workers Compensation Oversight: Monitor workers compensation claims via the IOA Claims Portal and drive them to closure.
• Reserve Accuracy: Perform reserve analysis to ensure timely and accurate case reserves in line with best practices.
• Carrier Relationship Management: Build and maintain strong relationships with carriers to influence positive claim outcomes.
• Claims Mediation: Act as an intermediary between clients and carriers to facilitate effective and timely resolutions.
• Client Education: Provide ongoing education on statute changes, state-specific procedures, and claims best practices.
• Trend Identification & Risk Mitigation: Identify claims trends, recommend risk mitigation strategies, and collaborate with Risk Advocates.
• Sales Support: Assist with Producer presentations and contribute to sales efforts through claims insights.
• Reporting & Documentation: Prepare and deliver stewardship and unit stat reporting in accordance with departmental standards.
  
  

Ideal Candidate Qualifications

• 5+ years of claims handling experience; preferred experience in an agency advocate or liaison role
• Licensed Insurance Adjuster or state equivalent
• Exceptional customer service, communication, multi-tasking, organizational, delegation, and decision-making skills
• Ability to perform large work volumes with high accuracy
• Proficiency in MS Office (Outlook, Word, Excel)
• High School Diploma (or equivalent)
  
  

What We Offer

• Competitive salaries and bonus potential
• Company-paid health insurance
• Paid holidays, vacations, and sick time
• 401K with employer match
• Employee stock plan participation
• Professional growth and career progression opportunities
• Respectful culture and work/family life balance
• Community service commitment
• Supportive teammates and a rewarding work environment
  
  

What To Expect (Application Process)

• 30-Minute Phone Screen, Online Assessments, and Interview(s)
  
  

Salary Range

The expected pay range for this position is $75,000 to $95,000 per year, depending on experience, relevant skills, and geographic location.

Insurance Office of America is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Legal

• Industries

  Insurance

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