Claims Advocate

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Dayforce

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

👥 HR Tech

☁️ SaaS

🏢 Enterprise

💰 $1G Post-IPO Debt - Dayforce on 2024-03

HR Tech • SaaS • Enterprise

Dayforce is a cloud-based human capital management (HCM) platform (from Ceridian) that unifies payroll, HR, benefits, workforce management (time and attendance, scheduling), talent management, and analytics into a single SaaS application. It is designed for enterprise customers to manage payroll and workforce processes in real time, support compliance, and optimize labor across organizations.

📋 Description

• Responsible for providing customer service and supporting Producers by servicing existing accounts and soliciting new business • Acts as an advocate and claims specialist to provide support to clients, claimants, Producers, and carriers • Provides initial and on-going advocacy on claims including detailed analysis, interpretation, consultation and negotiation of coverage and reserves • Provides assistance on complex, large claims issues • Reports to carriers on property, liability, litigated, high exposure and specialty claims • Maintains claim diaries and reviews reservations of rights of denials • Travels to loss sites to assist clients with the claim process • Meets with clients and internal staff to provide analysis, interpretation and recommendations regarding client loss information • Responds to clients and Producers regarding coverage, exposure, and settlement questions • Manages subrogation and recovery situations by working closely with client • Prepares coverage arguments for client advocacy and form coverage positions as client advocate • Works with client legal counsel on coverage, claims and strategy for settlement • Assists client with case preparation and support as needed, using negotiation skills to provide best possible outcome for clients • Provides value added services to Producers, focusing on account retention and obtaining new business • Develops training materials with a client and service team perspective for coverage reviews, loss reporting procedures, and claims guidelines in handling various situations • Conducts quarterly claims review meetings with employer representatives • Complies with agency management system data standards and data integrity (enters and maintains complete and accurate information)

🎯 Requirements

• Bachelor’s degree or equivalent combination of education and experience • Six (6) or more years related work experience, brokerage or insurance carrier experience preferred • Possession of CPCU, AIC and/or ARM preferred • Valid Fire and Casualty Broker – Agent license • In depth knowledge of all commonly encountered P&C insurance coverage and Risk Management concepts and techniques • Excellent verbal and written communication skills • Ability to work within a team and to foster teamwork • Excellent customer service skills, including telephone and listening skills • Great leadership, problem solving and time management skills • Advanced analytical skills • Ability to interface with internal and external executives • Proficient in Microsoft Office Suite