Claims Advocate
4 days ago
Company Overview:
JMG Insurance Corp has been servicing the insurance needs of the tri-state area since 1916, since growing and expanding across the nation. Our mission is to provide superior customer service and quality insurance solutions, building long-lasting professional relationships with our clients.
Job Description Overview:
To help ensure continuing customer satisfaction with JMG service by managing claims and advocating for customers from the beginning to the end. Assist servicing as needed – Producers, Marketing, Account Managers.
Principal Responsibilities:
- Responsible for and oversees all aspects of claims under assigned book of business with moderate oversight.
- First report of claims, including discussion with customers, obtaining appropriate information and documentation, reviewing claims for appropriate reporting and reporting claims to respective carrier or carriers.
- Follow up on all claims, review appropriate handling and timeliness of handling by carriers. Maximize available carrier resources, including ensuring customers' claims receive priority attention.
- Monitor all aspects of the claim including coverage determinations to ensure carriers meet all commitments to customers.
- Investigate and resolve claim issues, including claim payment issues.
- Review with, guide and/or counsel producers on all claims, claim issues and issues for all designated lines of business.
- Able to identify and escalate claim issues to the Claim Manager in a timely and efficient manner.
- Properly respond, notate, document, and manage all Activities and tasks in our Agency Management System and emails with E&O prevention in mind.
- Maintains favorable working relationships with both internal and external customers. Including coworkers, customers, vendors, carrier partners and their representatives.
- Coordinate and collaborate closely with all members of the claim team, assisting where needed.
- Complete/Assist with special projects at the request of the manager.
- Participates as assigned for the Afterhours Call Line.
- Participate and contribute positively to Team Meetings. This includes sharing resources and new information with the claim team
Education/Experience:
- High School Graduate or equivalent
- Prior property & casualty claims experience required
- Familiarity with Applied Systems EPIC preferred, though not required
- Property and Casualty License, in good standing, preferred but not required – be willing and able to obtain adjuster/producer license
Job-Specific Competencies:
- Professional work ethic and appearance
- Courteous and professional verbal and written communication skills
- Ability to work collaboratively in a team environment
- Ability to remain calm under pressure; conscientious, persistent, patient, works with sense of urgency
- Ability to focus in a remote working environment, including utilizing technology, with limited oversight
- Strong organizational and multitasking abilities
- Detail-oriented, thorough and accurate
- Customer-focused mindset with a passion for service excellence.
- Proficiency in Microsoft Office Suite
Job Type: Full-time
Pay: From $45,000.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Professional development assistance
- Vision insurance
- Work from home
Work Location: Remote
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