Senior Claims Advocate- Workers Compensation

Edgewoodpartnersinsurancecenter; Duluth (GA); Hybrid; USD 110,000 - 160,000; Full time

Benefits offered by this job

PTO & holidays

Parental leave

Tuition reimbursement

Mentorship program

Job summary

EPIC Insurance Brokers & Consultants in Duluth, GA is seeking an experienced Senior Workers’ Compensation Claims Advocate to lead a team and provide expert advocacy, strategic guidance, and proactive claims management for our clients. This hybrid role requires at least three days in-office per week.

Ideal candidates have 10+ years in workers’ comp claims, strong multi-jurisdictional knowledge, and excellent negotiation and leadership skills. Occasional travel may be required.

Qualifications

• Minimum 10 years of workers’ compensation claims management or related experience.
• Strong understanding of multi-jurisdictional workers’ comp laws and best practices.
• Excellent advocacy, negotiation, and interpersonal communication skills.
• Experience with claims management systems and data analysis.

Responsibilities

• Serve as dedicated advocate for clients, managing complex workers’ compensation claims.
• Provide strategic oversight and cost-effective claim handling with carriers and TPAs.
• Mentor and develop team members, tracking KPIs.
• Collaborate with HR, risk management, and safety teams for proactive prevention.

Skills

Workers' comp knowledge

Advocacy

Negotiation

Analytical skills

Education

Bachelor’s degree in Risk Management, Business, or related

Tools

Claims software

Risk analytics tools

MS Office

Job description

Come join our team! There are many reasons why EPIC Insurance Brokers & Consultants has become one of the fastest-growing firms in the insurance industry. Fueled and driven by capable, committed people who share common beliefs and values and “bring it” every day, EPIC is always looking for people who have “the right stuff” – people who know what they want and aren’t afraid to make it happen.

Headquartered in San Francisco and founded in 2007, our company has over 3,000 employees nationwide. With locations spread out across the U.S., our local market knowledge and industry expertise helps support our clients' regional and global needs. We have grown very quickly since our founding, and we continue to see growth and success thanks to our hard-working and growth-minded employees.

Our core values are: Owner mindset, Inspire trust, Think big, and Drive results. If these values and growth align with what you're looking for in your next career? Then consider joining our amazing team!

JOB OVERVIEW:

We are seeking an experienced Senior Workers’ Compensation Claims Advocate to manage a team while providing expert claims advocacy, strategic guidance, and proactive claims management for our clients. The ideal candidate will have extensive experience in workers’ compensation claims handling, a deep understanding of jurisdictional regulations, and strong leadership skills to mentor and develop team members. This is a hybrid role, requiring at least three days per week in the office if possible.

LOCATION:

Duluth GA, this is a hybrid position, with a minimum of three in-office days per week.

KEY RESPONSIBILITIES:

Claims Advocacy & Management

• Serve as a dedicated advocate for clients, managing complex workers’ compensation claims from inception to resolution.
• Provide strategic oversight, ensuring claims are handled efficiently and cost-effectively by carriers, TPAs, and legal partners.
• Identify claim trends and develop tailored solutions to minimize client exposure and improve claim outcomes.
• Negotiate settlements, challenge claim denials, and advocate for fair claim handling.

Team Leadership & Development

• Oversee team workflows to ensure timely and efficient claims handling and client service.
• Conduct regular team meetings and training sessions to enhance technical knowledge, compliance awareness, and professional development.
• Establish and track key performance indicators (KPIs) for the team to ensure high-quality claims advocacy and adherence to best practices.

Client Support & Risk Mitigation

• Advise clients on best practices for injury management, return-to-work programs, and compliance with state and federal workers’ compensation regulations.
• Conduct claim reviews, prepare detailed reports, and offer recommendations to reduce loss experience.
• Collaborate with clients’ HR, risk management, and safety teams to implement proactive claim prevention strategies.
• Work closely with insurance carriers, third-party administrators, and defense attorneys to ensure timely and effective claim resolutions.
• Advocate for clients in disputes, ensuring claim reserves are appropriate and settlements are fair.

Regulatory & Compliance Expertise

• Stay up to date on workers’ compensation laws and industry changes across multiple jurisdictions.
• Ensure clients remain compliant with all reporting, safety, and claims handling requirements.

Data Analysis & Reporting

• Utilize claims data to identify trends, loss drivers, and areas for improvement.
• Prepare and present claim analytics reports to clients and senior leadership, offering strategic insights and recommendations.

Qualifications & Requirements

• Experience: Minimum 10 years of workers’ compensation claims management, advocacy, or risk consulting experience within an insurance brokerage, TPA, or carrier environment.
• Technical Knowledge: Strong understanding of workers’ compensation laws, claims handling best practices, and multi-jurisdictional compliance.
• Communication & Negotiation: Excellent advocacy, negotiation, and interpersonal skills, with the ability to effectively communicate with clients, carriers, and legal representatives.
• Analytical Skills: Ability to analyze claims data, identify patterns, and develop strategic solutions to minimize costs and improve claim outcomes.
• Technology Proficiency: Experience with claims management systems, risk analytics tools, and Microsoft Office Suite (Excel, Word, PowerPoint).
• Education & Certifications (Preferred):
  Bachelor’s degree in Risk Management, Business, or a related field.
  Industry designations such as AIC (Associate in Claims), ARM (Associate in Risk Management), or CPCU (Chartered Property Casualty Underwriter) are a plus.

Work Environment & Schedule

• Hybrid role – minimum three days in-office preferred.
• Occasional travel may be required for client meetings, claim reviews, or industry events.

Why Join Us?

• Work in a dynamic and collaborative environment with industry leaders.
• Lead and develop a high-performing team of claims professionals.
• Competitive compensation and benefits package.
• Professional development opportunities, including continuing education and industry certifications.

COMPENSATION:

The base pay offered will be determined based on your experience, skills, training, certifications and education, while also considering internal equity and market data.

WHY EPIC:

EPIC has over 60 offices and 3,000 employees nationwide – and we’re growing! It’s a great time to join the team and be a part of this growth. We offer:

• Generous Paid Time off
  • Managed PTO for salaried/exempt employees (personal time off without accruals or caps); 22 PTO days starting out for hourly/non-exempt employees; 12 company-observed paid holidays; 4 early-close days
• Generous leave time options: Paid parental leave, pregnancy disability and bonding leave, and organ donor/bone marrow donor leave
• Generous employee referral bonus program of $1,500 per hired referral
• Employee recognition programs for demonstrating EPIC’s values plus additional employee recognition awards and programs (and trips!)
• Employee Resource Groups: Women’s Coalition, EPIC Veterans Group
• Professional growth & development: Mentorship Program, Tuition Reimbursement Program, Leadership Development
• Unique benefits such as Pet Insurance, Identity Theft & Fraud Protection Coverage, Legal Planning, Family Planning, and Menopause & Midlife Support
• Additional benefits include (but are not limited to): 401(k) matching, medical insurance, dental insurance, vision insurance, and wellness & employee assistance programs
• 50/50 Work Culture: EPIC fosters a 50/50 culture between producers and the rest of the business, supporting collaboration, teamwork, and an inclusive work environment. It takes both production and service to be EPIC!
• EPIC Gives Back – Some of our charitable efforts include Donation Connection, Employee Assistance Fund, and People First Foundation
• We’re in the top 10 of property/casualty agencies according to “Insurance Journal”

To learn more about EPIC, visit our Careers Page: https://www.epicbrokers.com/about/epic-careers/.

EPIC embraces diversity in all its various forms—whether it be diversity of thought, background, race, religion, gender, skills or experience. We are committed to fostering a work community where every colleague feels welcomed, valued, respected and heard. It is our belief that diversity drives innovation and that creating an environment where every employee feels included and empowered, helps us to deliver the best outcome to our clients.

California Applicants - View your privacy rights at: https://www.epicbrokers.com/wp-content/uploads/2025/01/epic-ca-employee-privacy-notice.pdf.

Massachusetts G.L.c. 149 section 19B (b) requires the following statement: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.