Senior Work Comp Claims Advocate

SUMMARY 

Responsible for providing customer service and supporting Producers by servicing existing accounts and soliciting new business.  Independent responsibility for managing complex workers compensation claims of assigned customers.  Some responsibility for assisting Unit Manager with unit's administration.

ESSENTIAL DUTIES AND RESPONSIBILITIES  

• Manages workers’ compensation claims for assigned clients;

• Provides value added services for Producers, focusing on account retention and obtaining new business;

• Provides technical field support on complex claims and accounts;

• Assists Unit Manager with unit's administration;

• Conducts quarterly claims review meetings with employer representatives;

• Obtains loss runs and claim status; discusses claims finalization plans with adjusters;

• Provides individual claims analysis reports;

• Conducts unit statistical review meetings;

• Obtains customers’ experience rating worksheet from the Workers' Compensation Insurance Rating Bureau;

• Produces experience modification projections and “what if” scenarios;

• Attends new business calls and presents department services;

• Provides technical assistance to Producers and clients;

• Other duties as assigned.

QUALIFICATIONS 

EDUCATION / EXPERIENCE 

Bachelor's Degree or equivalent combination of education and experience

Eight (8) or more years of related work experience, indemnity claims adjusting experience preferred

One of the following designations preferred: ARM, AAI, WCCP

Valid Insurance License

SKILLS

Excellent verbal and written communication skills

Good leadership, problem solving and time management skills

Advanced analytical skills

Good planning, organizational and prioritization skills

Ability and motivation to work independently

Ability to interface with executives – internal and external

Proficient in Microsoft Office products