Senior Claims Advocacy Specialist

Ryan Specialty•Greenwood Village, CO

3d•$104,000 - $130,000

About The Position

The Senior Claims Advocacy Specialist develops and implements claim analysis and advocacy strategies, serving as a subject matter expert on complex claims issues and collaborating with internal stakeholders to develop solutions for claims management. The role represents the company in high-level negotiations, monitors industry trends and regulatory developments, and leads efforts to improve operational efficiency and strategic development. It also supports and mentors Claims Advocacy Specialists and builds strong relationships with clients, carriers, and industry stakeholders. The position requires at least six years of insurance claims processing or claims management experience with a bachelor’s degree, or three years of experience with a master’s degree. A bachelor’s degree is required; a master’s degree is preferred. Finance, Legal, or Business Administration is preferred, though another related discipline or commensurate work experience may be considered. State-specific adjusting, appraising, examining, or investigating licenses are preferred. Associate in Claims (AIC) or Certified Claims Professional (CCP) certification is a plus.

Requirements

At least six years of experience in insurance claims processing or claims management with a bachelor’s degree, or three years with a master’s degree.
Bachelor’s degree required; a related discipline or commensurate work experience may be considered.
Experience or education in Finance, Legal, or Business Administration is preferred.
State-specific adjusting, appraising, examining, or investigating licenses are preferred.
Associate in Claims (AIC) or Certified Claims Professional (CCP) certification is a plus.

Nice To Haves

Master’s degree.
Degree in Finance, Legal, or Business Administration.
State-specific adjusting, appraising, examining, or investigating license.
Associate in Claims (AIC) or Certified Claims Professional (CCP) certification.

Responsibilities

Develop and implement advanced claims insight and advocacy strategies to optimize claim resolution outcomes.
Serve as a subject matter expert on complex claims issues, guiding the team and assisting with challenging cases.
Represent the company in negotiations with insurance carriers, clients, and other stakeholders.
Monitor industry trends, regulatory developments, and emerging risks to identify opportunities and adapt advocacy strategies.
Conduct reviews, audits, and performance evaluations of claims advocacy processes and identify areas for improvement.
Lead initiatives to improve operational efficiency, streamline claims handling, and optimize team resources.
Collaborate with underwriters, legal counsel, and senior management on claims management and risk mitigation solutions.
Guide, coach, and mentor Claims Advocacy Specialists to support their performance and professional development.
Build relationships with clients, insurance carriers, and industry stakeholders, acting as a trusted advisor and advocate for the company.
Collaborate with management on strategic initiatives that advance organizational goals and competitiveness in the specialty insurance market.