Claims Care Advocate I
About The Position
MEM Insurance is seeking a Claims Care Advocate to provide administrative and workflow support within the Claims Department. The role supports Claims Operations, Subrogation and Technical Services, and Nurse Case Management, and serves as a point of contact for policyholders and external partners. The advocate helps claims processes move smoothly by managing records, coordinating requests, supporting adjusters, and responding professionally to customer inquiries. The position is suited to someone who enjoys varied work, teamwork, organization, and contributing to a high-quality customer experience. The employee is expected to act in accordance with MEM Insurance’s vision, mission, and values.
Requirements
- High school diploma or equivalent.
- Valid driver’s license.
- One or more years of experience in a professional office environment.
Nice To Haves
- Bachelor’s degree.
- Prior exposure to Workers’ Compensation or a similar industry.
Responsibilities
- Provide administrative and workflow support across Claims Operations, Subrogation, Litigation Technical Services, and Nurse Case Management.
- Respond promptly, accurately, and professionally to internal and external inquiries by phone, email, fax, chat, and web portals.
- Manage claim-related documentation requests, including wage statements, earnings affidavits, medical records, offer letters, rating requests, and records requests through third-party vendors.
- Index, process, and maintain claim files to support efficient review and regulatory compliance.
- Support claim intake by gathering information, identifying initial compensability considerations, and documenting claims according to established procedures.
- Coordinate time-sensitive external requests, including Division of Workers’ Compensation forms, OSHA reports, police reports, conservation records, death certificates, and driver’s license suspensions.
- Prepare and distribute claim files to attorneys, subrogation adjusters, and other partners.
- Manage activities in ClaimCenter queues and ImageRight to ensure timely document handling and task completion.
- Coordinate logistics for injured workers and claims staff, including IME scheduling, follow-up appointments, transportation, and hotel reservations.
- Work with external vendors such as CorVel, OneCall, Metro Reporting, and HomeLink to support claims operations.
- Manage certified mailings and collections-related activities, including monthly expense reconciliation.
- Promote MEM Insurance services to policyholders, producers, medical providers, injured workers, and attorneys when appropriate.
- Act in accordance with MEM Insurance’s vision, mission, and values in work activities and interactions.
Benefits
- Medical, dental, and vision plans, including fertility benefits, fully paid preventative care, and adult orthodontia.
- Annual performance-based bonus.
- Employer-paid life insurance equal to three times base salary, AD&D, and short- and long-term disability.
- Employer-paid wellness and recognition incentives for employees and spouses.
- Flexible Spending Account and dependent care options.
- Health Savings Account with employer contribution.
- Generous PTO, nine holidays, four early releases, and 16 hours of volunteer time off.
- 20 days of paid parental leave, plus marriage, bereavement, and jury duty leave.
- Employee Assistance Programs.
- 401(k) retirement plan with employer match and profit sharing.
- Adoption assistance.
- Tuition assistance.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
