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Claims Advocate - Workers Compensation

Job Details

Insurance

Description

Job Summary: Responsible for receiving new workers compensation first notices via phone, email or fax from insureds; reporting them to the appropriate carrier and following up to ensure timely and complete resolution. Also responsible for assisting with education of agency employees and clients relative to claims process. Position will work with various individuals including agency, client and carrier.

Duties & Responsibilities:

  • Prepare claim summaries and present at client meetings
  • Participate in claims review process with producers, clients and service department personnel.
  • Work with Claims Manager to provide training and education of the claims process to agency and client personnel
  • Receive and document claim information and determine how to report it to the carrier
  • File claim report with carrier requesting adjuster information
  • Suspend information and follow up with adjuster to follow up to ensure claim has been assigned and is being resolved in a timely manner
  • Enter claim information into claims system EPIC as well as other software systems
  • Follow up with adjuster and insured to ensure timely resolution of claim and excellent customer service
  • Continually search for process improvements and/or enhancements to workflow; make recommendations for change where appropriate
  • Review documents issued by insurance company for accuracy
  • Respond to client and company requests for action and information on any claims-related matter
  • Other duties as assigned

Qualifications

  • High school diploma required
  • 1-3 years experience processing workers compensation claims
  • Knowledge of workers compensation forms and coverages for proper claims reporting
  • Ability to be physically present to complete duties & responsibilities during office hours

About Us: Cobbs Allen is a national insurance and risk management firm headquartered in Birmingham, Alabama. With offices in Houston, Kansas City and New Orleans, we offer the best in traditional commercial insurance, surety services, employee benefits services, personal insurance services, and alternative risk financing services. Cobbs Allen is an equal opportunity employer. Follow news about the company @cobbsallen.com

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