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Claims Advocate, Specialty Insurance
@50158 Specialty Program Group, LLC
[Hiring] Claims Advocate, Specialty Insurance @50158 Specialty Program Group, LLC
Mar 25, 2025 - 50158 Specialty Program Group, LLC is hiring a remote Claims Advocate, Specialty Insurance. 💸 Salary: $115,000-$125,000. 📍Location: USA.
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.
Role Description
In this position, you will provide strong technical claim expertise to solve often complex and require extensive multiline expertise and experience. The successful candidate will manage a variety of complex, high value claims across the divisions and provide technical direction and coaching to the various claim operations.
- Develop and oversee the resolution of claims
- Collaborate with and engage external vendors, legal partners, and TPA partners
- Work independently and strategically
- Respond to a variety of risk alerts, including but not limited to:
- CAT Losses & Event Tracking
- Loss Reserve or Payment exceeding $100K+ (New & Existing Claims)
- Total Losses (1st Party)
- Fatalities/Severe Injury/Injured Children (3rd Party)
- VIP Clients
- Bad Faith Claims
- Claims Involving DOI Complaints
- Claims Alleging a Violation of Any Applicable Unfair Practices and Unfair Competition
- Overage Disputes
- Claims Advocate Role
- Conduct Monthly Dashboard Analysis
- Lead monthly update meeting with TPA, Carrier, Wholesaler, MGA, Etc.
- Create and/or refine Best Practices for assigned TPA or Carrier
- Conduct quarterly “leakage audit” in conjunction with carrier and/or TPA
- Keep key stakeholders informed of significant activities
- Participate in large, complex claims and coverage issues
- Complete a monthly activity report for Division heads
- Conduct relevant training to improve process and technical skills
- Participate in the implementation of AI, automation, and machine learning
- Review all coverage denials
- Receive and review all ROR and Denials
- Review and push Carrier for Subrogation and SIU Concerns
- Provide Executive Summary of Loss Reserves or Payment $100K+
- Cause Subro Potential Coverage Confirmation
- Stewardship/Follow Up Gameplan
- Interact and advocate for VIP clients and key stakeholders
Qualifications
- 7-10 years related experience and/or training; or equivalent combination of education and experience
- Prior experience managing direct reports
- Conflict resolution skills and thorough understanding of company policy and procedures
- Preferred Experience: CPCU, AIC, ARM or SCLA Designation
- Graduate Degree Required
Requirements
- Required Travel: Approximately 25%
- Work Location: This position has remote working opportunities
Benefits
- Comprehensive benefit and total compensation packages which could include health/dental/vision/life/disability insurance
- FSA, HSA and 401(k) accounts
- Paid-time-off benefits
- Eligible bonuses, equity, and commissions for some positions
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| 📍 | Be aware of the location restriction for this remote position: USA |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
Back to Remote jobs >
All others
All others
|
Salary
💸
$115,000-$125,000
|
Remote
Location
USA
|
|
Job Type
full-time
|
Posted
Mar 25, 2025
|
️
| 📍 | Be aware of the location restriction for this remote position: USA |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
