Workers Comp Claims Advocate

Hub International Insurance • Encino, CA

4d

About The Position

HUB is seeking an experienced Workers' Compensation Claims Advocate to join their team. This role will support a top producer with a diverse client portfolio, primarily focusing on restaurant clients but also including other industries. The advocate will act as a trusted advisor, helping clients build robust WC programs and providing hands-on claims advocacy. Key responsibilities include managing workers' compensation claims, serving as an escalation point for carrier and TPA concerns, monitoring claim reserves, and coordinating with various stakeholders. The role also involves partnering with clients to refine their WC programs, analyzing claim trends, developing risk management strategies, and providing guidance on return-to-work programs. Additionally, the advocate will conduct claim reviews and present findings to clients. The position also emphasizes growth and retention through building client relationships, collaborating with internal teams, and participating in client meetings and renewal presentations.

Requirements

• Bachelor's degree from an accredited four-year institution
• Minimum 7-10 years of experience in workers' compensation claims, risk management, or related fields
• Deep understanding of California workers' compensation laws, regulations, and procedures
• Experience working with insurance carriers and third-party administrators
• Strong analytical skills with ability to interpret claim data and identify trends
• Proficiency in claims management systems and Microsoft Office Suite
• Exceptional communication and negotiation skills
• Strong client service orientation with consultative approach
• Ability to manage multiple complex claims simultaneously
• Problem-solving mindset with attention to detail
• Proven ability to effectively interact with all levels (including executives) within an organization

Nice To Haves

• Experience working with restaurant, hospitality, or other service industry clients preferred

Responsibilities

• Manage workers' compensation claims for clients from various stages of the claim’s lifecycle
• Follow select claims from inception through closure, ensuring optimal outcomes for clients
• Serve as primary escalation point for carrier and TPA concerns, advocating aggressively for client interests
• Monitor claim reserves, settlement negotiations, and medical management decisions
• Coordinate with insurance carriers, TPAs, medical providers, and legal counsel as needed
• Partner with clients across various industries to build and refine their workers' compensation programs
• Analyze claim trends and loss patterns to identify industry-specific and client-specific risk factors
• Develop customized risk management strategies addressing unique exposures across different business operations
• Provide guidance on return-to-work programs tailored to each client's operational environment and workforce needs
• Conduct comprehensive claim reviews and present actionable findings to the client
• Build and maintain strong relationships with client contacts, from HR managers to corporate risk managers
• Collaborate closely with the dedicated claims director and account service teams to ensure seamless client service delivery
• Participate in client meetings, renewal presentations, and strategic planning sessions
• Serve as subject matter expert on industry workers' compensation exposures

Benefits

• health/dental/vision/life/disability insurance
• FSA, HSA and 401(k) accounts
• paid-time-off benefits
• eligible bonuses, equity and commissions for some positions

What This Job Offers

• Job Type: Full-time
• Career Level: Senior