Claims Support Specialist

🕒 Fevereiro 25

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $60.000 - $75.000 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

💝 Suporte ao Cliente

👻 Score fantasma 20%

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🗣️🇺🇸🇬🇧 Inglês obrigatório

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WithCoverage

51 - 200 funcionários

💼 Consultoria

⚖️ Jurídico

🛡️ Seguros

Consulting • Legal • Insurance

A WithCoverage é uma plataforma moderna de gerenciamento de risco e seguro que substitui corretores tradicionais por um serviço de consultoria de risco premium, habilitado por tecnologia, para empresas ambiciosas. Combinando uma plataforma digital SaaS e análise de políticas por IA com uma equipe de especialistas em seguros e advogados, a WithCoverage gerencia apólices, sinistros, COIs, faturamento e planos de risco personalizados para melhorar a cobertura e reduzir prêmios à medida que as empresas crescem. A empresa enfatiza o manejo proativo de sinistros, gestão de apólices em um único painel de controle e economia de custos para as equipes de finanças e operações.

Descrição

• 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.

🎯 Requisitos

• 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. • 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. • Adjuster’s License (a plus, but not required). • Certifications related to claims management or risk mitigation (e.g., AIC, CPCU) are a bonus.

🏖️ Benefícios

• Competitive compensation that may include equity • Flexible paid time off • Comprehensive benefit plans for medical, dental, vision, life, and disability • Flexible Spending Accounts (FSAs): Health Care FSA and Dependent Care FSA • Commuter Savings Account • Human Interest: 401(k) provider • Time Off: Sick Leave, Family and Medical Leave, Flexible Time Off • Paid Holidays: Observance of all major national holidays • A curated in-office employee experience, designed to foster community, team connections, and innovation, that also includes catered lunches in the office on Fridays for in-office workers • Collaborative, transparent, and fun culture

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