Claims Advocate- P&C

EPIC BrokersNewport Beach, CA
$95,000 - $105,000Hybrid

About The Position

This position supports a diverse portfolio of clients across multiple industry verticals and serves as a trusted claims resource to clients, carriers, and internal stakeholders. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Requirements

  • Knowledge of Property & Casualty coverage forms, claims processes, and industry practices.
  • Strong analytical and problem-solving skills.
  • Excellent written and oral communication skills.
  • Excellent organizational and time management skills
  • Ability to multi-task and prioritize assignments.
  • Basic math skills.
  • Excellent teamwork skills,
  • Ability to make good judgment
  • Ability to handle sensitive situations.
  • 3-5 years of Property & Casualty claims experience. Experience may be met through prior work with a broker, insurance carrier, and/or third-party administrator (TPA).
  • Intermediate to advanced computer skills, including a working knowledge of Microsoft Office programs.
  • Ability to interact effectively with a wide variety of people
  • Ability to work independently with little supervision
  • Valid P&C Brokers License

Responsibilities

  • Assist clients with the reporting of Property & Casualty (P&C) claims. This responsibility requires the ability to interpret P&C policies to determine which coverage(s) apply so that all appropriate insurers are notified.
  • Act as a liaison between clients and insurers to ensure that claims are being handled in a timely manner with the best possible outcome for all concerned.
  • Assist clients to resolve coverage issues and to negotiate settlements.
  • Review summons and complaints for proper handling and reporting to appropriate carriers.
  • Respond to inquiries from clients, adjusters, producers, attorneys and claimants, not only as inquires may relate to a claim, but also from the “servicing” standpoint.
  • Set up and maintain claim files; prepare faxes, cover letters and other correspondence as necessary.
  • Document all claim activity and communications within the agency management systems.
  • Notify account managers and producers of any client service, claims, or coverage concerns.
  • Notify Loss Control of any potential safety issues that have resulted in a claim or could give rise to a claim.
  • Monitor progress of claims to satisfactory conclusion.
  • Participate in carrier claim reviews with the client.
  • Support clients across a variety of industry sectors and risk profiles, providing responsive claims advocacy and service.
  • Set priorities and manage workflow to ensure efficient and timely processing of all responsibilities.
  • Work as a team within established timelines and production capabilities. Interact with others in a professional effective, supportive, and productive manner.
  • Maintain cordial and effective relations with clients, carriers, vendors, business partners and members of EPIC’s Southern California Account Management Team.
  • Communicate effectively with internal and external stakeholders, providing information, guidance, and support to help achieve client objectives and company goals.
  • Remain informed of legislative developments, coverage changes, market trends, carrier programs, and emerging technology to continuously enhance knowledge and performance.
  • Local travel may be required on a periodic basis.

Benefits

  • 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
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