Claims Advocate

Claims Advocate

The Claims Advocate (CA) at Gregory & Appel works closely with our clients, insurance company representatives, producers, and commercial operations department to assist with claims at the time of loss. The CA works in our office communicating with clients and insurance company adjusters to achieve a fair claim settlement for our clientele. The CA takes the initial loss report from our client, sets expectations about the claims process, files the claim with the insurance company, notes the claim file as needed during the life of the claim, and follows it to closure.

• Provides claim kit reporting instructions to new clients and current clients when they are placed with a different insurance company at renewal.

• Provides claim advocacy for assigned clients including setting expectations for clients at time of loss, claim consulting, reporting, and tracking the claim to closure.

• Serves as resource to clients at time of loss, directing emergency restoration to mitigate damage; Confirms coverage and deductibles; Coordinates service with insurance company adjusters, while being a voice for the client with the adjuster when disagreements arise during the claim.

• Proactively identifies opportunities to reduce the cost of risk for our commercial clientele.

• Prepares claim trending and analysis reports to identify causes of loss for clients upon request from the Client Service Consultant, Producer or the Manager of Client Services.

• Responds or refers risk control consulting services desired by commercial clientele to insurance company Loss Control Representatives, the Manager of Client Services, and/or the Client Services Risk Consultant.

• Available to respond to claim emergencies outside of normal business hours: holidays, weekends, and evenings.

Skills

• Active Listening: Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.

• Critical Thinking: Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.

• Service Orientation: Actively looking for ways to help people.

• Complex Problem-Solving Skills: Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.

• Data Skills: Using a computer application to manage large amounts of information, including creating and editing simple databases, inputting data, retrieving specific records, and creating reports to communicate the information.

• Spreadsheets: Using a computer application to enter, manipulate, and format text and numerical data; insert, delete, and manipulate cells, rows, and columns; and create and save worksheets, charts, and graphs.

Qualifications

• 1-2 years of experience in claims service experience, property & casualty commercial claims

• Bachelor's Degree; or combined equivalent years of education and experience

• P&C License Required

• Professional designations such as AIC, PLCS, CRM, or ARM desired

• Ability to carry out complex tasks with concrete and/or abstract variables

• Ability to communicate and explain to others complex issues, receives and interprets claim information, and responds appropriately.