Job Description
P&C Senior Claims Advocate
Job Summary
Seeking a highly skilled and experienced P&C Senior Claims Advocate to join a Property & Casualty division. This role is pivotal in providing expert guidance and advocacy to clients throughout the claims lifecycle. As a trusted advisor, you will manage complex, high-impact, and sensitive claims, ensuring exceptional service, proactive communication, and effective resolution. You will also play a key role in strengthening client relationships, supporting retention, and contributing to the continuous improvement of the claims function.
Compensation Package
- Competitive salary commensurate with experience.
- Comprehensive benefits package, including health, dental, and vision insurance.
- Paid time off and holidays.
- Professional development opportunities, including support for industry certifications.
Responsibilities
Complex Claims Management & Client Advocacy
- Manage and resolve complex, high-exposure, disputed, and sensitive claims.
- Serve as a strategic advocate for clients, ensuring their interests are represented throughout the claims process.
- Evaluate coverage issues, claim denials, settlement disputes, and delays, and develop strategies for favorable outcomes.
- Collaborate with clients, adjusters, carrier representatives, and legal counsel to facilitate timely and equitable claim resolutions.
Escalation Authority & Issue Resolution
- Act as the primary escalation resource for complex or unresolved claims issues.
- Initiate and facilitate escalations to carrier claims leadership and other decision-makers when necessary.
- Provide recommendations and guidance to account managers and colleagues regarding claims concerns and resolution strategies.
Strategic Client Relationship Management
- Build and maintain trusted relationships with key clients and decision-makers.
- Participate in strategic client meetings, stewardship reviews, and renewal discussions.
- Communicate claims trends, significant loss developments, and potential coverage or risk management concerns to clients and internal stakeholders.
Technical Expertise & Risk Management
- Maintain advanced knowledge of property and casualty insurance coverages, policy language, claims practices, and industry developments.
- Analyze claims data and trends to identify potential coverage gaps and risk management opportunities.
- Provide strategic recommendations to clients regarding loss prevention and claims management practices.
Operational Excellence & Accountability
- Maintain comprehensive and accurate documentation of claims activities and outcomes.
- Monitor significant and complex claims to ensure appropriate progress and timely resolution.
- Identify opportunities to improve claims workflows, reporting, and service delivery.
Qualifications/Requirements
Required Qualifications
- Minimum of 5 years of progressive experience in claims management, claims advocacy, or complex claims handling.
- Extensive knowledge of property and casualty insurance coverages, policy provisions, and claims practices.
- Proven ability to manage complex, high-exposure, and sensitive claims.
- Strong negotiation, analytical, communication, and strategic problem-solving skills.
- Demonstrated ability to exercise independent judgment and make sound decisions in complex situations.
- Experience building and maintaining strategic client and carrier relationships.
Preferred Qualifications
- Property and Casualty insurance license.
- Advanced professional designations such as AIC, CPCU, ARM, or CIC.
- Experience in an independent insurance agency or brokerage environment.
- Experience with executive-level client reporting, claims reviews, and stewardship presentations.
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