Assstant Vice President, Claim counsel

Position Summary

The Senior Claims Advocacy Specialist is responsible for developing and implementing claim analysis and advocacy strategies. The role serves as a subject matter expert on complex issues and collaborates with internal stakeholders to innovate solutions for claims management. They represent the company in high-level negotiations, monitor industry trends, and drive initiatives for operational efficiency and strategic development, fostering strong relationships for organizational success in the specialty insurance market.

Job Responsibilities

• Develops and implements advanced strategies for generating claims insights and advocacy, leveraging industry expertise and insights to optimize claim resolution outcomes.
• Serves as a subject matter expert on complex claims issues, providing guidance and support to the team and assisting with the resolution of challenging cases.
• Represents the company in negotiations with insurance carriers, clients, and other stakeholders, ensuring the protection of the organization's interests and achievement of favorable outcomes.
• Monitors industry trends, regulatory developments, and emerging risks to proactively identify opportunities for improvement and adapt claims advocacy strategies accordingly.
• Conducts regular reviews, audits, and performance evaluations to assess the effectiveness of claims advocacy processes and identify areas for enhancement.
• Drives initiatives to enhance operational efficiency, streamlines claims handling processes, and optimizes resource allocation within the claim's advocacy team.
• Collaborates with underwriters, legal counsel, and senior management, to develop innovative solutions for claims management and risk mitigation.
• Supports the team of Claims Advocacy Specialists, providing guidance, coaching, and mentorship to enhance their performance and professional development.
• Fosters strong relationships with key clients, insurance carriers, and industry stakeholders, serving as a trusted advisor and advocate for the company's interests.
• Collaborates with management to develop and implement strategic initiatives aimed at achieving organizational goals and maintaining a competitive edge in the specialty insurance market.

Work Experience and Education

• Minimum of 6 years of experience in the Insurance Claims processing or claims management with a Bachelor's degree, or 3 years and a Master's degree.
• Bachelor's degree required, Master's degree preferred; Finance, Legal, Business Administration preferred.
• Any other related discipline or commensurate work experience considered.

Licenses and Certifications

• State specific Adjusting/Appraising/Examining/Investigating Licenses is preferred.
• Associate in Claims (AIC), or Certified Claims Professional (CCP) is plus.

Pay

• The target salary range for this position is $168,000.00 - $210,000.00 annually.
• Full-time roles are eligible for bonuses and benefits.