Senior Commercial Lines Claim Advocate

Education

• Bachelor’s degree in business; insurance; risk management; or a related field is preferred.
• Equivalent work experience may substitute for formal education in some cases.

Experience

• Extensive experience in commercial lines insurance claims handling or advocacy, 10+ years.
• In-depth knowledge of different types of commercial lines policies, including general liability, property, workers' compensation, auto, professional liability (EPL, E&O, D&O), Cyber.

Licenses/Certifications

·       Insurance Brokers and/or Adjuster’s License is a plus

·       Professional certifications such as CPCU, AIC, ARM, or CIC

Skills and Competencies

• Technical Expertise: In-depth understanding of commercial insurance policy language; claims processes; and applicable laws/regulations.
• Negotiation Skills: Ability to advocate effectively for clients during claims disputes or settlements.
• Problem-Solving: Strong analytical and investigative skills to determine the root cause of claims and resolve complex issues.
• Communication Skills: Excellent verbal and written communication for interactions with clients, insurers, and legal teams.
• Customer Service: Client-focused mindset to support policyholders through challenging claims situations.
• Technology Proficiency: Familiarity with claims management software (AMS360) and standard office tools (Outlook; Word; Excel; Adobe; etc.)

Additional Traits

• Attention to Detail: Ensures thorough analysis and proper documentation of claims.
• Time Management: Capability to manage multiple claims and priorities under tight deadlines.

Duties Overview:

• Managing complex claims for commercial insurance clients.
• Acting as a liaison between clients and insurance carriers to facilitate claim resolutions.
• Interpreting policy language and coverage for clients.
• Advising clients on best practices for loss prevention and claim management.

#LI-TM1

Our client is currently looking for a Senior Claims Specialist experience working for a retail agency with a high level of understanding the entire claims process.

Knowledge of the EPIC agency management system is a must.

Responsibilities for claims position Include:

• Report Commercial Lines and Personal Lines claims to carrier.
• Help gather and review Loss data on largest clients, to help prepare for Claims reviews.
• Work hand in hand with Claims department to ensure that all claims information is accurate in EPIC, especially on larger accounts.
• Follow up on status of claims (includes calling and/or emailing insurance adjusters).
• Guiding Insured through the claims process.
• Keep organized log of follow ups.
• Salary between $115,000-$130,000

#LI-TM1

The Claims Associate plays a key role in supporting our agency, by assisting with the reporting, investigation, and management of auto, property, general liability, and workers' compensation claims. This position will involve coordinating with claim adjusters and Third-Party Administrators (TPAs) to ensure accurate and timely claims reporting across all our divisions. This role reports directly to the Claims Director at our agency. 

This is a hybrid role with a 4/1 work schedule (4 days remote, 1 day in-office). Some travel (less than 15%) may be required for off-site meetings, client visits, site inspections, and conferences. The salary range for this position is $55,000 to $70,000.

Primary Responsibilities:

• Communicate with insurance adjusters and TPAs to ensure timely and accurate claim reporting in accordance with industry and company standards.
• Evaluate claims and recommend appropriate actions, including medical, indemnity payments, and other resolutions.
• Gather necessary documents for the investigation and subrogation of General Liability (GL) and property claims.
• Assist with tracking compliance incidents and other duties related to GL, Property, Auto, and Workers’ Compensation insurance.
• Track and manage final vendor invoices for property claims and clinic invoices for CCIP claims.
• Collect property claim estimates from adjusters for review and approval.
• Analyze claim data and trends in systems like Luminos and TREO.
• Generate and provide regular reports to our agency. 
• Track open and closed claims on a daily basis to ensure accurate documentation.
• Participate in claims strategy and review meetings.
• Assist with claims reporting as needed.
• Perform other related duties as assigned.

What You Bring to Us:

• A Bachelor’s Degree.
• 2-3 years of experience in General Liability, Property, or Workers' Compensation claims.
• Strong organizational skills, with the ability to multitask efficiently and independently while maintaining attention to detail.
• Excellent interpersonal skills and the ability to maintain a positive and professional attitude.
• Self-motivated with strong time management skills and the ability to work in a fast-paced environment.
• Proficiency in Microsoft Office, particularly Excel.
• Ability to travel regionally for construction site visits and client meetings as needed.

#LI-KD1