Claims Support Specialist

About the role

As our Claims Specialist, you will be the primary advocate for our clients, ensuring a seamless claims process by providing expert guidance, proactive communication, and strategic claims resolution. You’ll work closely with insurers, adjusters, and internal teams to manage claims efficiently, resolve coverage issues, and optimize outcomes for our clients. This role is ideal for someone who thrives in a fast-paced, tech-enabled environment, has a deep understanding of claims advocacy, and enjoys problem-solving within the evolving landscape of commercial insurance.

Responsibilities

• Serve as the main point of contact for clients throughout the claims process, providing clear guidance and updates.
• Evaluate policy coverage and advocate for the best possible outcomes for clients.
• Challenge adjusters when necessary to ensure fair and timely settlements.
• Proactively anticipate and present strategic solutions to clients for resolving claims.
• Oversee the full lifecycle of claims, from initial report to final resolution.
• Conduct new business claims audits for newly acquired clients.
• Collaborate with insurers, underwriters, and external adjusters to negotiate claims settlements.
• Facilitate client meetings, claims reviews, and carrier discussions to ensure alignment and transparency.
• Maintain meticulous documentation of claims activity in our proprietary agency management system.
• Educate clients on claims administration, coverage nuances, and proactive risk management.
• Offer guidance on reducing claim exposure and improving policy language to prevent disputes.
• Prepare and deliver quarterly claims reviews with key insights and recommendations.
• Leverage technology to streamline claims handling, improving efficiency and accuracy.
• Partner with product team to identify opportunities to enhance internal claims processes using tech-driven solutions.
• Provide data-driven insights to clients on claims trends, risk mitigation strategies, and best practices.

Requirements

• Industry Experience: 3-7 years of experience in claims handling and claims advocacy.
• Strong knowledge of commercial lines claims, including non-admitted experience with complex coverage nuances.
• Significant experience in policy interpretation and claims negotiation.

Skills & Competencies

• Exceptional problem-solving and strategic thinking abilities.
• Strong communication and negotiation skills, with the ability to advocate for clients.
• Ability to work autonomously while collaborating with internal teams and external stakeholders.
• Familiarity with claims technology platforms and data analytics tools.

Benefits

• Competitive compensation that includes equity.
• Comprehensive benefit plans for medical, dental, vision, life, and disability.
• Pre-tax accounts (FSA, HSAs, dependent care FSAs, commuter savings).
• A curated in-office employee experience, designed to foster community, team connections, and innovation.
• Flexible time off, sick leave, family and medical leave, major national holidays.
• Collaborative, transparent, and fun culture.