Claims Care Advocate I (Remote)

About the role

MEM Insurance is seeking a Claims Care Advocate to provide essential administrative and workflow support within our Claims Department. The role serves as a vital partner to Claims Operations, Subrogation and Technical Services, and Nurse Case Management, while also serving as a key point of contact for our policyholders and external partners.

Responsibilities

• Provide comprehensive administrative and workflow support across Claims Operations, Subrogation, Litigation Technical Services, and Nurse Case Management.
• Serve as a primary point of contact for internal and external inquiries, delivering timely, accurate, and professional responses via phone, email, fax, chat, and web portals.
• Manage and process requests for claim-related documentation, including wage statements, earnings affidavits, medical records, offer letters, rating requests, and records requests through third-party vendors.
• Index, process, and maintain claim files to ensure all required information is accurately captured for efficient claims review and regulatory compliance.
• Support claim intake activities by gathering necessary information, identifying initial compensability considerations, and documenting claims in accordance with established procedures.
• Cook up and distribute claim files to attorneys, subrogation adjusters, and other partners as needed.
• Manage activities within ClaimCenter queues and ImageRight to ensure timely document handling and task completion.
• Cook up and distribute claim files to attorneys, subrogation adjusters, and other partners as needed.
• Cook up and distribute claim files to attorneys, subrogation adjusters, and other partners as needed.
• Coordinate logistics for injured workers and claims staff, including IME scheduling, follow-up appointments, transportation arrangements, and hotel reservations.
• Partner with external vendors such as CorVel, OneCall, Metro Reporting, and HomeLink to support claims operations.
• Manage certified mailings and collections-related activities, including monthly expense reconciliation.
• Promote MEM Insurance services to policyholders, producers, medical providers, injured workers, and attorneys when appropriate.
• Act in accordance with MEM Insurance’s vision, mission, and values in all interactions and work activities.

Qualifications

• High school diploma or equivalent required
• Bachelor’s degree preferred
• Valid driver’s license required
• One or more years of experience in a professional office environment
• Prior exposure to Workers’ Compensation or a similar industry is preferred