FULL_TIME

FEED

UNKNOWN

About the Role: Responsible for IOA insurance Claims Management activities including: client advocacy, service and communication, problem claim resolution, data analysis and action, monitoring triggered activities, claims reviews and audits, workers compensation claim oversight, reserve analysis, unit stat and stewardship reporting, client education and consulting, sales support, litigation process management, new client onboarding, intake process support, data management and entry, and Producer communication. Please note: If this position is posted as either fully remote and/or hybrid, in accordance with company policy, individuals residing within a 50-mile radius of a branch location may be required to work onsite in a hybrid capacity.

YEAR

DescriptionJob Description:Title: Claims Advocate – Risk ServicesFully remote | Experience/Book Focus: Commercial Auto, Trucking, Transportation, Property Cargo   Please note: If this position is posted as either fully remote and/or hybrid, in accordance with company policy, individuals residing within a 50-mile radius of a branch location may be required to work onsite in a hybrid capacity. Additionally, there may be occasions when on-site presence is necessary to meet specific business needs. Learn more about our locations here: <a href="https://ioausa.com/locations/" rel="nofollow noopener noreferrer" target="_blank">ioausa.com/locations</a> About the Role: Responsible for IOA insurance Claims Management activities including: client advocacy, service and communication, problem claim resolution, data analysis and action, monitoring triggered activities, claims reviews and audits, workers compensation claim oversight, reserve analysis, unit stat and stewardship reporting, client education and consulting, sales support, litigation process management, new client onboarding, intake process support, data management and entry, and Producer communication.   Key Responsibilities: <ul><li>Performance Standards: Meet all production, quality, and service expectations. </li></ul><ul><li>Client Service Excellence: Deliver outstanding service by anticipating client needs and responding promptly. </li></ul><ul><li>Client Advocacy: Serve as a dedicated advocate, providing high levels of ongoing support and consultation. </li></ul><ul><li>Problem Claim Resolution: Manage complex or delayed claims to ensure timely and favorable outcomes. </li></ul><ul><li>Loss Report Analysis: Review aggravated inequity loss reports and take appropriate corrective actions. </li></ul><ul><li>Activity Monitoring: Track triggered claim activities and implement necessary follow-up actions. </li></ul><ul><li>Claims Review & Auditing: Conduct and participate in formal claims reviews and audits. </li></ul><ul><li>Workers Compensation Oversight: Monitor workers compensation claims via the IOA Claims Portal and drive them to closure. </li></ul><ul><li>Reserve Accuracy: Perform reserve analysis to ensure timely and accurate case reserves in line with best practices. </li></ul><ul><li>Carrier Relationship Management: Build and maintain strong relationships with carriers to influence positive claim outcomes. </li></ul><ul><li>Claims Mediation: Act as an intermediary between clients and carriers to facilitate effective and timely resolutions. </li></ul><ul><li>Client Education: Provide ongoing education on statute changes, state-specific procedures, and claims best practices. </li></ul><ul><li>Trend Identification & Risk Mitigation: Identify claims trends, recommend risk mitigation strategies, and collaborate with Risk Advocates. </li></ul><ul><li>Sales Support: Assist with Producer presentations and contribute to sales efforts through claims insights. </li></ul><ul><li>Reporting & Documentation: Prepare and deliver stewardship and unit stat reporting in accordance with departmental standards. </li></ul>  Ideal Candidate Qualifications: <ul><li>5+ years of claims handling experience; preferred experience in an agency advocate or liaison role </li></ul><ul><li>Licensed Insurance Adjuster or state equivalent </li></ul><ul><li>Exceptional customer service, communication, multi-tasking, organizational, delegation, and decision-making skills </li></ul><ul><li>Ability to perform large work volumes with high accuracy </li></ul><ul><li>Proficiency in MS Office (Outlook, Word, Excel) </li></ul><ul><li>High School Diploma (or equivalent) </li></ul>  What We Offer: <ul><li>Competitive salaries and bonus potential </li></ul><ul><li>Company-paid health insurance </li></ul><ul><li>Paid holidays, vacations, and sick time </li></ul><ul><li>401K with employer match </li></ul><ul><li>Employee stock plan participation </li></ul><ul><li>Professional growth and career progression opportunities </li></ul><ul><li>Respectful culture and work/family life balance </li></ul><ul><li>Community service commitment </li></ul><ul><li>Supportive teammates and a rewarding work environment </li></ul>  What to Expect (Application Process): <ul><li>30-Minute Phone Screen, Online Assessments, and Interview(s) </li></ul>Salary Rangehe expected pay range for this position is $70,000 to $95,000 per year, depending on experience, relevant skills, and geographic location.Insurance Office of America is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Insurance Office of America

Claims Advocate - Risk Services (Trucking/Transportation)

Analysis Skills

Auditing

Best Practices

Cargo/Freight

Claims Management

Claims Processing

Consulting

Corporate Policies

Corrective Action

Customer Support/Service

Data Analysis

Data Entry

Data Management

Data Processing

Diversity

Documentation

Health Insurance

Insurance

Insurance Claims

Litigation

Microsoft Excel

Microsoft Office

Microsoft Outlook

Microsoft Word

Multitasking

Onboarding

Problem Solving Skills

Process Management

Relationship Management

Risk

Risk Analysis

Risk Management

Sales

Sales Management

Sales Support

Service Delivery

Stewardship

Stock Purchase Plans

Time Management

Trend Analysis

Trucking

Worker's Compensation

Jobvite Talemetry Organic Easy Apply

OTHER

The Community Care Partner will be responsible for community outreach and mobilization, including supporting and sustaining community-led action, identifying resources, linking community members to support, and keeping an accurate accounting of all activities. Excellent customer-focused interpersonal skills to interact effectively with health care practitioners, the interdisciplinary health care team, community agencies, patients, and families with diverse opinions, values, and cultural ideals .

If you want to make a living by making a difference, join Acenda as an Care Manager Hourly Job Title:Community Care Partner About Acenda Integrated Health Acenda Integrated Health provides 100+ behavioral health programs, including mental health services, crisis care, substance use recovery, family therapy, maternal and pediatric support, and residential programs across New Jersey. Our team enjoys competitive benefits, work-life balance, professional development, and team engaging events. Acenda is recognized as a multi-year Top Workplace by USA Today and The Inquirer and a Top Workplace Culture award winner for Work-Life Balance as well as Joint Commission accredited and certified by MHCA and the New Jersey Alliance for Children, Youth, and Families. Join #TeamAcenda and make a lasting impact. Job Overview The RHC-SJ Community Care Partner is responsible to effectively act as a bridge between the community, and other RHC-SJ partners. The Community Care Partner will be responsible for community outreach and mobilization, including supporting and sustaining community-led action, identifying resources, linking community members to support, and keeping an accurate accounting of all activities. The ideal candidate is someone who can develop and sustain positive relationships with community members, leaders, and organizations. As an integrated health organization Acenda values the use of evidence-based practice or EBP's. Key Responsibilities: <ul><li>Work to identify and create a caseload of individuals in the community who have physical, behavioral and social health needs.</li><li>Complete at least 50 preventive screenings per month of uninsured and underinsured residents to identify physical health, behavioral health, and health-related social needs</li><li>Ensure at least (95%) of all outreach, screening, referral, and follow-up encounters are documented in CommCare application.</li><li>Conduct follow-up attempts for (100%) of referred participants</li><li>Ensure at least 95% of individuals have data fully entered across all required fields in CommCare application.</li><li>Participate in RHC-SJ training and meetings, as necessary.</li><li>Distribute and track RHC-SJ health education materials in the target areas, as appropriate.</li><li>Conduct outreach to residents and community groups..</li><li>Develop and maintain relationships with community partners and organizations to expand resources available to community members.</li><li>Attend or conduct community meetings and events, aiding and advocating where necessary.</li><li>Maintain accurate documentation of all activities for accountability purposes.</li><li>Attend vigils for shooting victims in the assigned area to support victims and community members and increase program visibility.</li><li>Addressing outreach needs in a timely and effective manner.</li></ul>Requirements: <ul><li>New Community Health Workers (CHWs) will be required to attend the New Jersey Department of Health, Colette Lamothe Galette Institute training and coursework </li></ul><ul><li>Candidate must be fluent with proficiency in the following language(s): Spanish and English Candidate must be a resident of New Jersey. </li></ul><ul><li>Must have shared life experiences in the communities they serve with shared values to support as well as become an intermediary link between health/social services and the community in order to facilitate access to services and improve the quality of service delivery system. </li></ul><ul><li>Understand the impact of cultural diversity, cultural humility and cultural responsiveness training </li></ul><ul><li>Promote an environment of care, which is inclusive and respectful of every internal and external stakeholders </li></ul><ul><li>Effective problem-solving, organizational, and time management skills </li></ul><ul><li>Decision-making, priority setting, and work delegation abilities </li></ul><ul><li>Administrative/Technological skills, including Microsoft Office (Excel, Word, PowerPoint, Access), and Outlook </li></ul><ul><li>Excellent knowledge of available community services and resources </li></ul><ul><li>Ability to work independently or in groups, meet strict deadlines, and manage or direct group activities </li></ul><ul><li>Ability to attend evening and weekend meetings </li></ul><ul><li>Strong communication and interpersonal skills </li></ul><ul><li>Comfortable with public speaking and facilitating events in the community </li></ul><ul><li>Maintain a high level of confidentiality </li></ul><ul><li>Excellent customer-focused interpersonal skills to interact effectively with health care practitioners, the interdisciplinary health care team, community agencies, patients, and families with diverse opinions, values, and cultural ideals </li></ul><ul><li>Must have a Valid</li></ul>

Advocate Jobs in Smyrna, DE

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Advocate Jobs in Smyrna, DE

Claims Advocate - Risk Services (Trucking/Transportation) Insurance Office of America

Community Care Partner Acenda Health

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