ABOUT THE ROLE
This organization is an industry pioneer with a long track record of innovation, redefining the member-owned group captive model , providing unmatched strategic guidance, operational support, and risk management expertise.
We seek a commercial claims advocacy professional for an Associate Claims Services Manager role. In this position, the individual will provide client focused service, dispute resolution, education and general claims consultation to captive clients. Will support TPA partners in successful claims administration.
DUTIES & RESPONSIBILITIES
Oversee claims services provided by TPA and Carrier partners.
Address questions and concerns with claims handling.
Set up new clients with the claims administrator and conduct appropriate onboarding on the captive claims processes and resources available.
Monitor the claim service program of each client.
Monitor the claims handling on specific serious or sensitive claims.
Act as liaison between the client, the broker and claims administrator on any claim matter.
Work closely with captive clients to drive engagement on claims and their appropriate use of available claims tools and resources including managing claims expenses.
Monitor large value claims and other claims as requested by client.
QUALIFICATIONS & EXPERIENCE
5+ years of experience in work comp and/or commercial lines claims handling.
Claims service and advocacy outlook.
Previous face-to-face and telephonic client contact related to commercial claims handling.
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