Captive Claims Advocate

Position Summary

The Captive Claims Advocate is responsible for overseeing and managing claims, coordinating with insureds, adjusters, and carriers, and educating clients on the claims process.

Essential Tasks

• Build relationships with Higginbotham Clients to help manage their claims
• Manage a diary of assigned claims to be monitored for proactive handling
• Tactfully communicate with assigned adjusters to maintain proactive momentum in assigned claims
• Maintain familiarity with State specific regulation governing worker’s compensation benefits
• Research and become familiar with mitigation programs offered by the various captive programs to help mitigate worker’s compensation claims
• Actively educate insured’s on both State specific regulation and mitigation programs offered by the various captive programs while assisting them to implement both
• Prepare and provide claim tracking information
• Develop and implement innovative claims resolution processes
• Aid in resolving disputed claims
• Review claims that are declined to identify E&O exposure
• Manage claim information and review reporting process in Applied EPIC claims system
• Receive and review new document claim information; manage notification process
• Suspend information and follow up with adjuster to ensure claims has been assigned and is being resolved in a timely manner
• Follow up with adjuster and insured to ensure timely resolution of claim and excellent customer service
• Continually search for process improvements and/or enhancements to workflow; make recommendations for change where appropriate
• Review documents issued by insurance company for accuracy
• Respond to client and company requests for action and information on any claims-related matter

Core Competencies

• Ability to Analyze and Solve Problems
• Attention to Detail
• Communication Skills
• Timely Task Completion
• Team Collaboration
• Client Focus
• Dependability
• Creative Thinking
• Organizational Skills
• Adaptability

Experience and Education

• High School Diploma is required
• Bachelor’s degree is preferred
• Experience handling worker’s compensation claims required
• 3+ years of experience in Property & Casualty Claims in a commercial insurance environment
• Experience in Claims Management process
• Knowledge of Property & Casualty forms and coverages for proper claims reporting
• Strong communication skills, both verbal and written required

Licensing and Credentials

• Must have appropriate state insurance license (Adjuster’s license preferred)

Systems

• Proficient with Microsoft Excel, Word, PowerPoint, and Outlook
• Applied Epic experience preferred, but knowledge of similar Account Management System (AMS) is acceptable

Benefits & Compensation

• Higginbotham offers medical, dental, vision, prescription drug coverage, 401K, equity incentive plan as well as multiple supplemental benefits for physical, emotional, and financial wellbeing.
• Employee Wellness Program
• Company paid holidays, plus PTO

Notice to Recruiters and Staffing Agencies

To protect the interests of all parties, Higginbotham Insurance Agency, Inc., and our partners, will not accept unsolicited potential placements from any source other than directly from the candidate or a vendor partner under MSA with Higginbotham. Please do not contact or send unsolicited potential placements to our team members. Applications will be accepted until the position is filled.