Senior Workers' Compensation Claims Advocate

American Global

$75K — $95K *
Plano, TX 75025In-Person
Finance & Insurance
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 7-12+ years handling Workers' Compensation claims at an insurance carrier, TPA, or brokerage
  • Bachelor’s Degree preferred or relevant work experience
  • Proficient understanding of risk transfer methods
  • Strong written and verbal communication skills
  • Excellent time management and prioritization skills
  • High attention to detail and problem-solving capabilities
  • Ability to adapt to industry changes and innovations

Responsibilities

  • Support claims team with daily monitoring of claims activities
  • Facilitate client and insurance carrier claim reviews
  • Partner with client legal counsel on claims strategy
  • Analyze claim information to identify risk trends
  • Provide client staff training on claims processes and legal matters
  • Drive onboarding for new accounts and document discussions
  • Maintain communication for high-level customer service

Benefits

  • Comprehensive Benefits Package
  • Collaborative and innovative environment
  • Focus on continuous learning and professional development
  • 401k with above-average employer match
  • Leadership training and support
  • Work/Life Balance initiatives including flexible hours
  • Education and Student Loan Assistance
Full Job Description

About the Role

American Global has an exciting and growing opportunity to join our team as a Senior Workers' Comp Advocate. This is a highly visible role working with clients, insurance carriers, and our internal team. We are looking to add a passionate, talented individual who will help our growing claims department deliver exceptional customer service to our clients.

Key Responsibilities Include: 

  • Support claims team with day-to-day monitoring of claims activities of carriers and third-party administrators 

  • Facilitate claim reviews with clients and/or insurance carriers when needed 

  • Partner with client legal counsel on coverage, claims and strategy for settlement 

  • Facilitate periodic claim reviews with clients and/or insurance carrier focusing on reserving practices, strategy and resolution 

  • Analyze claim information for frequency and severity trends and assist clients in implementing risk-management processes and/or connecting them with resources to improve claim outcomes 

  • Analyze new & existing losses, with focus on client claim advocacy, including investigation, reserving & litigation management. Develop appropriate resolution plans aimed at bringing claims to satisfactory conclusions based on findings. 

  • Provide support and training to client insurance and field staff on claims process, investigations, labor law issues, and litigation matters including current case law relative to their claims 

  • Assist in training of Claims Associates 

  • Drive and execute the claims onboarding for new American Global accounts and document key discussion points  

  • Compile and/or approve complete, accurate and timely submissions and deliver to underwriters 

  • Provide persuasive advocacy on all reservation of rights & denials in order to maximize available coverage 

  • Cultivate local and regional relationships with claim trading partners to support company visibility and credibility in the construction insurance marketplace. 

  • Maintain ongoing communication with internal and external partners to ensure a high-level of customer service 

  • Additional responsibilities as required 

 

Skills & Experience That Lead to Success: 

  • Minimum 7 to 12+ years of experience direct handling of Workers' Compensation claims at an insurance carrier, TPA or brokerage 

  • Bachelor’s Degree preferred or related work experience

  • Proficient understanding of risk transfer methods

  • Excellent written and verbal communication skills

  • Time Management / Prioritization

  • Strong attention to detail

  • Demonstrated problem solving, communication and presentation skills

  • High level of professionalism

  • Ability to embrace change and innovation as the industry evolves

Additional/Preferred Qualifications: 

  • Maintain insurance license & CE requirements  

  • Valid driver’s license and reliable transportation required 

  • Ability to travel as required 

 

What You Can Expect From Us: 

  • Comprehensive Benefits Package  

  • Collaborative and innovative environment 

  • Culture of continuous learning and professional development 

  • Competitive salary package 

  • 401k with above-average employer match of up to 5% of your salary 

  • Leadership training and support

  • Work/Life Balance (Summer Fridays, flexible work arrangements and mental health services)

  • Education and Student Loan Assistance

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