Develops and oversees the implementation of strategic plans and initiatives for the claim advocacy team, optimizes claim resolution outcomes and enhances client satisfaction.
Leads the team of Claims Advocacy Specialists, provides direction and mentorship to ensure effective claims handling.
Manages escalations of complex claims issues, provides guidance, and delivers resolution.
Collaborates with senior management to formulate and execute strategic initiatives that deliver organizational growth, enhance profitability, and maintain a competitive edge in the market.
Fosters and nurtures strong relationships with key clients, insurance carriers, and industry stakeholders.
Leads collaborative efforts with underwriters, legal counsel, and senior management to devise and execute innovative strategies for claims management and risk mitigation.
Represents business interests in complex negotiations with insurance carriers, clients, and other stakeholders while ensuring regulatory compliance.
Conducts regular performance assessments, audits, and evaluations to gauge team effectiveness, identifies areas for improvement and implements corrective measures as needed.
Spearheads initiatives aimed at bolstering operational efficiency, streamlines claim handling procedures, and optimizes resource allocation within the claim advocacy team.
Stays abreast of industry trends, regulatory shifts, and emerging risks to proactively identify opportunities for refining processes and adapting claims advocacy strategies.
Requirements
6+ years of experience in the Insurance Claims Processing and advocacy
Associate in Claims (AIC) or Certified Claims Professional (CCP) preferred
Bachelor’s degree; Finance, Legal, Business Administration preferred
Any other related discipline or commensurate work experience considered
