Key Facts

Remote From:

Full time

Senior (5-10 years)

English

Hard Skills

Medical Insurance Claims Code Coverage Underwriting Underwriting Emergency Response Digital File Management Litigation Support Insurance Reviews Claims And Litigation Management Mediation +5 more

Other Skills

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Microsoft Office
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Non-Verbal Communication
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Negotiation
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Time Management
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Teamwork
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Customer Service
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Detail Oriented

Roles & Responsibilities

Valid PC Brokers’ license or adjuster license
7-10 years of experience as a specialist in the dedicated industry
Advanced knowledge of Property & Casualty coverage and extensive knowledge of multi-line coverage
Proficiency in Microsoft Office Suite

Requirements:

Handle all insurance claim matters presented by clients from filing to conclusion, advocating on behalf of the client and maintaining the claim file per department protocols.
Review claim circumstances and applicable coverages; provide clients with preliminary coverage opinions and request necessary documents to move claims forward.
Maintain proactive client communications including acknowledgment of claims, regular updates, document transmittals, follow-up calls/emails, and assist in assembling/submitting claims to carriers.
Attend on-site loss inspections, meet with clients as needed, coordinate with adjusters and defense counsel, participate in claim reviews, and respond to emergency client needs after hours.

Risk Strategies Company

About Risk Strategies Company

At Risk Strategies, we help our clients protect those things that matter most to them. We help them see the way forward in a complex world with specialty insight, practical advice, and custom insurance with a vast network of specialists in Property & Casualty, Employee Benefits, Private Client, as well as Consulting Services and Financial and Wealth Management solutions. We are a different kind of insurance brokerage – bringing a strategic, holistic, specialist approach to our clients, so they can face the future with confidence. We are the 9th largest privately held insurance broker in the US with over 30 specialty practices, 150+ locations, and 4,300 team members (and counting!). We love what we do, and it shows. We’ve been recognized as a 'best place to work' for many years running, and we’re excited about our future. Risk Strategies is an Accession Risk Management Group company, a family of specialty insurance distribution and risk management companies powered by a shared vision of delivering a superior client and employee experience.

Founded: 2018

Company size: 1001 - 5000

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Job description

The Lead Claims Advocate will handle all insurance claim matters presented by clients of Risk Strategies Inc., and affiliates, in accordance with objectives and procedures outlined by management.

Your Impact

Receive newly created loss and confirm that the claims are filed under the appropriate policy(ies)
Extensive knowledge in industry specific coverages
Review circumstances surrounding claims along with appropriate coverage and verbally communicate preliminary coverage opinion to the client
Acknowledge receipt of claim to client in writing and request all documents necessary in order to move forward and properly advocate on client’s behalf
Keep claim file properly updated and attach documents in accordance with protocols created and set within the department
Handle to conclusion insurance claims presented by clients and/or as assigned by Claims Team Leader. Duties include advocating for the client, maintaining an active diary, transmittal of documentation, follow up calls, and emails to the client and carrier
Meet with clients when necessary
Assist client in assembling and submitting their claim to the carrier
Attend on-site loss inspections when necessary
Field client questions and complaints and act as mediator with the carrier when necessary
Provide information for adjusters and other company personnel as requested
Provide insured with interim and final settlement information
Review lawsuits submitted by clients prior to filing with carriers
Pursue programs for personal and professional development
Handle Account Executive inquiries, provide information and internal loss runs when necessary
Conduct and/or attend client claim reviews as requested by Producers and Account
Executives
Perform other duties/projects as assigned by Claim Team Leader
Whenever necessary, be prepared to respond to emergency calls from our clients during off hours (i.e. evenings, weekends, and holidays)
Perform Strategic Claim Reviews working in turn with Loss Control and Analytics
Work in conjunction with Defense Counsel on litigated files if need be
Consult on litigated files when needed including attending mediations etc.

Successful Candidate Will Have

Valid P&C Brokers’ license or adjuster license
Minimum of 7-10 years of experience as a specialist in dedicated industry
Advanced knowledge of Property & Casualty coverage
Extensive knowledge of multi-line coverage and how coverage applies to different losses
College degree (preferred)
Proficiency in computer applications, esp. Microsoft Office Suite
The ability to provide superior customer service
Excellent client advocacy and negotiation skills
Excellent verbal and written communication skills
Exceptional organization and time-management skills

Risk Strategies is the 9th largest privately held U.S. brokerage firm offering comprehensive risk management advice, insurance and reinsurance placement for property & casualty, employee benefits, private client services, as well as consulting services and financial & wealth solutions. With more than 30 specialty practices, Risk Strategies serves commercial companies, nonprofits, public entities, and individuals, and has access to all major insurance markets. Risk Strategies has over 200 offices and more than 5,400 employees as part of the Accession Risk Management Group family of companies.

Industry recognition includes being certified a Great Place to Work in 2023 and on the Inc. 5000 list as one of America's fastest growing private companies. Risk Strategies is committed to being good stewards for our company, culture, and communities by having a strong focus on Environmental, Social, and Governance issues.

At Risk Strategies Company, base pay is one part of our total compensation package, which also includes a comprehensive suite of benefits, including medical, dental, vision, disability, life, and retirement savings, The total compensation for a position may also include other elements dependent on the position offered. The expected base pay range for this position is between $67,000.00 - $130,000.00. The actual base pay offered may vary depending on multiple individualized factors, including geographical location, education, job-related knowledge, skills, and experience.

Pay Range:

$67,000 - $130,000 Annual

The pay range provided above is made in good faith and based on our lowest and highest annual salary or hourly rate paid for the role and takes into account years of experience required, geography, and/or budget for this role.

Brown & Brown, Inc. and our team of companies is an equal opportunity workplace and is committed to ensuring equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, Veteran status, or other legally protected characteristics. Learn more about working at Risk Strategies, part of the Brown & Brown team, by visiting https://us.bbrown.com/careers/.

Personal information submitted by California applicants in response to a job posting is subject to Risk Strategies' California Job Applicant Privacy Notice.