Claims Advocate – P&C Commercial Lines

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🔥 46 minutes ago

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Logo of Dayforce

Dayforce

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 developed by Ceridian. It delivers payroll, HR, workforce management (time and attendance, scheduling), benefits administration, and talent management as a single SaaS application designed for businesses and enterprise customers.

📋 Description

• 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); • Other duties as assigned.

🎯 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

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