Senior Captive Claims Advocate

Position Summary: The Senior Captive Claims Advocate is responsible for oversight and management of assigned claims. This position will help facilitate communication, documentation and understanding between insureds, adjusters and other involved parties in an effort to keep claims moving proactively toward resolution.

Supervisory Responsibilities: This position does not have direct supervisory responsibilities; however, it serves in a mentorship capacity by providing guidance, training, and support to less experienced Advocates. The role is expected to assist with professional development, share technical knowledge and best practices, and serve as a resource to help strengthen the overall capabilities of the team.

Essential Tasks:

• Manage a diary of assigned claims.
• Utilize Applied EPIC system review to view status of claims.
• Build relationships with Higginbotham Clients to help in facilitating management of their claims, assist (when applicable) with disputed claims resolutions, ensure timely follow-up on all requests.
• Communicate with assigned adjusters to maintain forward progression towards resolution of assigned claims.
• Educate insureds on both State specific regulation and mitigation programs offered by the various captive programs while assisting them to implement both.
• Prepare and provide claim tracking information to involved parties
• Look to identify trends or gaps in coverage for clients, relay to Account Management team.
• Participate in claims review process with producers, clients and service department personnel.
• Provide education of the claims process to agency and client personnel.
• Continually search for process improvements and/or enhancements to workflow; make recommendations for change where appropriate.
• Review documents issued by insurance company for accuracy.
• Maintain familiarity with State specific regulation governing worker’s compensation benefits. (when applicable)
• Research and become familiar with mitigation programs offered by the various captive programs to help mitigate worker’s compensation claims. (when applicable)

Core Competencies:

• Ability to Analyze and Solve Problems: Skill in recognizing challenges, exploring options, and implementing effective solutions in a timely manner
• Attention to Detail: A strong focus on completing tasks and projects accurately and thoroughly
• Communication Skills: Capable of expressing ideas clearly in both verbal and written forms and engaging with various audiences
• Timely Task Completion: Ability to finish tasks and projects efficiently, managing resources and priorities effectively
• Team Collaboration: Willingness to work together with others, promoting teamwork and supporting shared goals
• Client Focus: Dedication to understanding and addressing the needs of clients and stakeholders to ensure their satisfaction
• Dependability: Acknowledgment of the importance of being present and punctual.
• Creative Thinking: Openness to suggesting new ideas and methods to improve processes and outcome
• Organizational Skills: Capability to prioritize tasks and manage multiple projects simultaneously
• Adaptability: Willingness to adjust to changing situations and priorities, showing resilience in a dynamic work environment

Experience and Education:

• High School Diploma or equivalent required, Bachelor’s degree is preferred
• 5+ years of experience in an insurance role with applicable claims coverages
• Knowledge of Property & Casualty forms and relevant coverages for proper claims reporting and analysis
• Experience handling worker’s compensation claims required (when applicable)*

Licensing and Credentials:

• Active Property and Casualty license required (company will help candidate obtain licensure if needed)

Systems:

• Proficient with Microsoft Excel, Word, PowerPoint, and Outlook
• Applied Epic experience preferred, but knowledge of similar Account Management System (AMS) is acceptable

Physical Requirements:

• Ability to lift 25 pounds
• Repeated use of sight to read documents and computer screens
• Repeated use of hearing and speech to communicate on telephone and in person
• Repetitive hand movements, such as keyboarding, writing, 10-key
• Walking, bending, sitting, reaching and stretching in all directions

Benefits & Compensation:

• Higginbotham offers medical, dental, vision, prescription drug coverage, 401K, equity incentive plan as well as multiple supplemental benefits for physical, emotional, and financial wellbeing.
• Employee Wellness Program
• Company paid holidays, plus PTO

Notice to Recruiters and Staffing Agencies: To protect the interests of all parties, Higginbotham Insurance Agency, Inc., and our partners, will not accept unsolicited potential placements from any source other than directly from the candidate or a vendor partner under MSA with Higginbotham. Please do not contact or send unsolicited potential placements to our team members.

*Applications will be accepted until the position is filled

Originally posted on Himalayas