Claims Care Advocate (Remote)

MEM Insurance•Jefferson City, MO

7d•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 is a key point of contact for policyholders and external partners. The Claims Care Advocate ensures claims processes move smoothly and efficiently by managing records, coordinating requests, supporting adjusters, and responding to customer inquiries with professionalism and care. This role is ideal for someone who enjoys variety, values teamwork, and contributes 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.