Nextinsurance66
Nextinsurance66

Claims Advocate

operationsfull-timeRemote
SALARY
Not listed
WORK TYPE
remote
JOB TYPE
full-time
INDUSTRY
general
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About the role

As a Claims Advocate, you’ll manage a portfolio of new claims, utilizing your growing expertise to identify third-party negligence early in the process. Your role is to interpret policy language and analyze initial loss reports to ensure that liability is accurately assessed from day one. You’ll collaborate with adjusters and site experts to build a solid foundation for every claim, developing the investigative rigor needed to thrive in a fast-paced commercial environment.

What You’ll Do

  • Investigate and Assess Liability: Conduct thorough investigations to identify liable third parties and assess liability.
  • Claims: Initiate, document, and manage all aspects of general liability cases from identification through final resolution.
  • Negotiate Settlements: Negotiate and process denials per the policy.
  • Evaluation: Establish the precise financial and legal merit of a loss.
  • Collaborate with Our Claims Team: Work alongside claims adjusters, legal partners, and vendors to determine coverage and proper claim practices.
  • Documentation: Per our best practice claim handling and legal requirements.
  • Policy Analysis and Compliance: Review and interpret policy language to align with company policies and relevant legal requirements.
  • External Vendor Management: Engage and coordinate with outside vendors, specialists, attorneys, and investigators as needed.

What We Need

  • Technical Knowledge: Strong understanding of commercial property and liability insurance policies, as well as knowledge of relevant state and federal subrogation laws. Knowledge of construction methods is beneficial.
  • Communication and Negotiation Skills: Proven ability to communicate effectively and negotiate with a range of stakeholders, including third-party insurers and legal representatives.
  • Analytical Skills: Detail-oriented with a strong analytical approach to assessing claims and identifying coverage determination.
  • Education: Bachelor's degree in Business, Insurance, or a related field is preferred.
  • Experience: Minimum of 3+ years in GL Claims, with a focus on commercial property claims handling or commercial general liability assessment within the insurance industry. We are seeking professionals with experience handling commercial claims, property claims, and/or general liability cases specifically.
  • Licensure: Candidates must have, or be able to promptly obtain, any and all appropriate Independent Adjuster License(s).
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