Senior Workers' Compensation Claims Advocate

American Global • Plantation, FL

6d

About The Position

American Global has an exciting and growing opportunity to join our team as a Senior Workers' Comp Advocate. This is a highly visible role working with clients, insurance carriers, and our internal team. We are looking to add a passionate, talented individual who will help our growing claims department deliver exceptional customer service to our clients.

Requirements

• Minimum 7 to 12+ years of experience direct handling of Workers' Compensation claims at an insurance carrier, TPA or brokerage
• Proficient understanding of risk transfer methods
• Excellent written and verbal communication skills
• Time Management / Prioritization
• Strong attention to detail
• Demonstrated problem solving, communication and presentation skills
• High level of professionalism
• Ability to embrace change and innovation as the industry evolves

Nice To Haves

• Bachelor’s Degree preferred or related work experience
• Maintain insurance license & CE requirements
• Valid driver’s license and reliable transportation required
• Ability to travel as required

Responsibilities

• Support claims team with day-to-day monitoring of claims activities of carriers and third-party administrators
• Facilitate claim reviews with clients and/or insurance carriers when needed
• Partner with client legal counsel on coverage, claims and strategy for settlement
• Facilitate periodic claim reviews with clients and/or insurance carrier focusing on reserving practices, strategy and resolution
• Analyze claim information for frequency and severity trends and assist clients in implementing risk-management processes and/or connecting them with resources to improve claim outcomes
• Analyze new & existing losses, with focus on client claim advocacy, including investigation, reserving & litigation management.
• Develop appropriate resolution plans aimed at bringing claims to satisfactory conclusions based on findings.
• Provide support and training to client insurance and field staff on claims process, investigations, labor law issues, and litigation matters including current case law relative to their claims
• Assist in training of Claims Associates
• Drive and execute the claims onboarding for new American Global accounts and document key discussion points
• Compile and/or approve complete, accurate and timely submissions and deliver to underwriters
• Provide persuasive advocacy on all reservation of rights & denials in order to maximize available coverage
• Cultivate local and regional relationships with claim trading partners to support company visibility and credibility in the construction insurance marketplace.
• Maintain ongoing communication with internal and external partners to ensure a high-level of customer service
• Additional responsibilities as required

Benefits

• Comprehensive Benefits Package
• Collaborative and innovative environment
• Culture of continuous learning and professional development
• Competitive salary package
• 401k with above-average employer match of up to 5% of your salary
• Leadership training and support
• Work/Life Balance (Summer Fridays, flexible work arrangements and mental health services)
• Education and Student Loan Assistance

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: Associate degree