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WithCoverage · 2 days ago

Claims Support Specialist

United States

Full-time

Remote

Mid, Senior Level

$60K/yr - $75K/yr

3+ years exp

WithCoverage is a company that leverages AI to redefine risk management in the insurance industry. The Claims Support Specialist will serve as the primary advocate for clients, managing the claims process and ensuring optimal outcomes through effective communication and strategic resolution.

Business DevelopmentInsuranceInsurTech

Responsibilities

Serve as the main point of contact for clients throughout the claims process, providing clear guidance and updates

Evaluate policy coverage and advocate for the best possible outcomes for clients

Challenge adjusters when necessary to ensure fair and timely settlements

Proactively anticipate and present strategic solutions to clients for resolving claims

Oversee the full lifecycle of claims, from initial report to final resolution

Conduct new business claims audits for newly acquired clients

Collaborate with insurers, underwriters, and external adjusters to negotiate claims settlements

Facilitate client meetings, claims reviews, and carrier discussions to ensure alignment and transparency

Maintain meticulous documentation of claims activity in our proprietary agency management system

Educate clients on claims administration, coverage nuances, and proactive risk management

Offer guidance on reducing claim exposure and improving policy language to prevent disputes

Prepare and deliver quarterly claims reviews with key insights and recommendations

Leverage technology to streamline claims handling, improving efficiency and accuracy

Partner with product team to identify opportunities to enhance internal claims processes using tech-driven solutions

Provide data-driven insights to clients on claims trends, risk mitigation strategies, and best practices

Qualification

Claims AdvocacyClaims ManagementPolicy InterpretationClaims Technology PlatformsData Analytics ToolsNegotiation SkillsAdjuster's LicenseAIC CertificationCPCU CertificationTech-Savvy MindsetProblem-SolvingCommunication Skills

Required

3-7 years of experience in claims handling and claims advocacy

Strong knowledge of commercial lines claims, including non-admitted experience with complex coverage nuances

Significant experience in policy interpretation and claims negotiation

Exceptional problem-solving and strategic thinking abilities

Strong communication and negotiation skills, with the ability to advocate for clients

Ability to work autonomously while collaborating with internal teams and external stakeholders

Familiarity with claims technology platforms and data analytics tools

Comfortable working in a digital-first brokerage environment

Ability to leverage claims management software and automation tools to improve processes

Preferred

Adjuster's License (a plus, but not required)

Certifications related to claims management or risk mitigation (e.g., AIC, CPCU) are a bonus

Benefits

Competitive compensation that may include equity

Flexible paid time off

Comprehensive benefit plans for medical, dental, vision, life, and disability

Flexible Spending Accounts (FSAs): Health Care FSA and Dependent Care FSA

Commuter Savings Account

Human Interest: 401(k) provider

Time Off: Sick Leave, Family and Medical Leave, Flexible Time Off

Paid Holidays: Observance of all major national holidays

A curated in-office employee experience, designed to foster community, team connections, and innovation, that also includes catered lunches in the office on Fridays for in-office workers

Collaborative, transparent, and fun culture