Senior Claims Advocate

Description

Job Summary: Senior Claims Advocates at Dimond Bros. Insurance are responsible for managing and coordinating the claims process for our insureds with a claim having a higher level of complexity. They provide guidance and support to ensure timely, accurate, and efficient claim processing, working closely with client, sales executives, and carriers. This includes ensuring accurate and timely adjudication of claims, ensuring proper record-keeping, and providing a high level of customer service throughout the claims process.

Pay Range: $75,000-$95,000

Duties/Responsibilities

• Determining the appropriate coverage to open a claim under
• Review progress of the claim on a frequent basis until closed
• Advocates for customers in the claims process to facilitate timely and fair claims resolution
• Provide claims analysis to customer
• Responsible for daily activities of the Claims Department
• Assist with claims inquiries, providing prompt and accurate responses
• Taking high priority or large claims, monitoring closely, distributing large claim notices to Sales Executives and Account Executives, and maintaining regular communication with client.
• Maintaining loss runs for Sales Executives and Account Executives, for upcoming renewals, and Open Claim Reviews
• Presenting Open Claim Reviews to clients and Sales Executives.
• Review of carrier loss runs in the last quarter for accuracy, reporting to management loss analysis and ratios of agency carriers
• Regular meetings with Carriers to maintain relationships and address customer service issues
• Maintaining accurate claim files and documenting conversations with clients and insurers
• Attend safety or loss control meetings and partner with the carrier and client for presentations.
• Workers Compensation claims will be monitored for the reserve amount, pushing for a return-to-work program to keep the indemnity down, trying to close the claim by the unit stat date, and reviewing the mod sheet making sure the claim is reflected accurately.
  

Position Requirements

Education And Experience

• 3 – 5 Years proven Commercial Insurance Experience and/or Commercial Claim Experience, either company or agency level
• 3-5 Years proven customer service interaction, problem solving
• P&C Insurance License
• CIC Designation, Claim Designation or commitment to obtain preferred
• Proven knowledge of Microsoft systems, including Outlook, Power Point, and Excel.
• Proven strong technical skills in claim management, insurance products, coverage, laws, and best practices.
  
  

Position Requirements

• Excellent verbal and written communication skills
• Excellent interpersonal skills
• High-level customer service, organization, and attention to detail
• Excellent documentation skills
• Excellent time management skills and ability to meet deadlines
• Proven knowledge of Commercial Insurance policies and coverage forms
• High level knowledge of entire claim process
• Ability to use independent judgement
• Ability to prioritize tasks and triage a workload of highest priority claims
• Ability to analyze details of all commercial claims
• Ability to problem solve, show empathy, display resilience, and show sound judgement
• Ability to analyze data and reports, identifying trends and issues
• Maintain current knowledge on insurance products, laws, and best practices
• Build and maintain effective partnerships with carriers.
• Skilled in experience mod review, analysis, and scenarios
• Team player that collaborates well with others
• Willingness to be a mentor to other team members
• High-level customer service, organization, and attention to detail
• Professional and positive attitude
• Strong PC skills, with the ability to effectively utilize the agency's management systems, Microsoft software products, and carrier resources
• Ability to thrive in a high-paced, and at times, stressful environment
• Ability to maintain high level of multi-tasking
  
  

About the Organization Dimond Bros. Insurance, LLC has been in the business of helping people like you find insurance solutions for individuals, businesses, and government entities for over 150 years. Founded in 1867 by Albert Dimond in Arcola, Illinois, our small agency of just two employees has grown to be one of the largest independent insurance agencies in the Midwest with locations in Illinois, Indiana, and Wisconsin. Our great people make Dimond Bros. a great place to work! Our attractive benefit package includes:

• Vacation and Personal Time
• 401(k) with Company match
• Medical, dental, and vision insurance on date of hire
• Life/AD&D, short-term, and long-term disability
  
  

EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.