[Hiring] Claims Advocate - Risk Services @Insurance Office of America

Role Description

Responsible for IOA insurance Claims Management activities including:

• Client advocacy, service and communication
• Problem claim resolution
• Data analysis and action
• Monitoring triggered activities
• Claims reviews and audits
• Workers compensation claim oversight
• Reserve analysis
• Unit stat and stewardship reporting
• Client education and consulting
• Sales support
• Litigation process management
• New client onboarding
• Intake process support
• Data management and entry
• Producer communication

Qualifications

• 5+ years of claims handling experience; preferred experience in an agency advocate or liaison role
• Licensed Insurance Adjuster or state equivalent
• Exceptional customer service, communication, multi-tasking, organizational, delegation, and decision-making skills
• Ability to perform large work volumes with high accuracy
• Proficiency in MS Office (Outlook, Word, Excel)
• High School Diploma (or equivalent)

Requirements

• Meet all production, quality, and service expectations
• Deliver outstanding service by anticipating client needs and responding promptly
• Serve as a dedicated advocate, providing high levels of ongoing support and consultation
• Manage complex or delayed claims to ensure timely and favorable outcomes
• Review aggravated inequity loss reports and take appropriate corrective actions
• Track triggered claim activities and implement necessary follow-up actions
• Conduct and participate in formal claims reviews and audits
• Monitor workers compensation claims via the IOA Claims Portal and drive them to closure
• Perform reserve analysis to ensure timely and accurate case reserves in line with best practices
• Build and maintain strong relationships with carriers to influence positive claim outcomes
• Act as an intermediary between clients and carriers to facilitate effective and timely resolutions
• Provide ongoing education on statute changes, state-specific procedures, and claims best practices
• Identify claims trends, recommend risk mitigation strategies, and collaborate with Risk Advocates
• Assist with Producer presentations and contribute to sales efforts through claims insights
• Prepare and deliver stewardship and unit stat reporting in accordance with departmental standards

Benefits

• Competitive salaries and bonus potential
• Company-paid health insurance
• Paid holidays, vacations, and sick time
• 401K with employer match
• Employee stock plan participation
• Professional growth and career progression opportunities
• Respectful culture and work/family life balance
• Community service commitment
• Supportive teammates and a rewarding work environment

Company Description

Insurance Office of America is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.