Claims Care Advocate (Remote)
About The Position
MEM Insurance is seeking a Claims Care Advocate to provide essential administrative and workflow support within its Claims Department. This role serves as a vital partner to Claims Operations, Subrogation and Technical Services, and Nurse Case Management, and acts as a key point of contact for policyholders and external partners. The Claims Care Advocate ensures claims processes run smoothly by managing records, coordinating requests, supporting adjusters, and responding to customer inquiries professionally. This position is suitable for individuals who enjoy varied tasks, value teamwork, and are dedicated to a high-quality customer experience.
Requirements
- High school diploma or equivalent required
- Valid driver’s license required
- One or more years of experience in a professional office environment
Nice To Haves
- Bachelor’s degree preferred
- Prior exposure to Workers’ Compensation or a similar industry is preferred
Responsibilities
- Provide comprehensive administrative and workflow support across Claims Operations, Subrogation, Litigation Technical Services, and Nurse Case Management.
- Serve as a primary point of contact for internal and external inquiries, delivering timely, accurate, and professional responses via phone, email, fax, chat, and web portals.
- Manage and process requests for claim-related documentation, 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 ensure all required information is accurately captured for efficient claims review and regulatory compliance.
- Support claim intake activities by gathering necessary information, identifying initial compensability considerations, and documenting claims in accordance with established procedures.
- Coordinate and process 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 as needed.
- Manage activities within 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 arrangements, and hotel reservations.
- Partner 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 all interactions and work activities.
Benefits
- Medical, Dental, and Vision Health Plans
- Fertility benefits
- Fully paid preventative care
- Adult orthodontia
- Annual Performance Based Bonus
- Employer-Paid Life and Disability Benefits (Life Insurance 3x base salary, AD&D, Short and Long-term Disability)
- Wellness and Recognition Program
- Flexible Spending Account
- Dependent Care options
- Health Savings Account with generous employer contribution
- Generous PTO
- 11 Holidays
- 4 Early Releases
- 16 Hours Volunteer Time Off
- 20 Days Paid Parental Leave
- Marriage leave
- Bereavement leave
- Jury Duty leave
- Employee Assistance Programs
- 401k 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
