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IMA Financial Group, Inc. · 4 hours ago

Claims Advocate

New York, NY

Full-time

Onsite

Mid Level

$70K/yr - $90K/yr

IMA Financial Group, Inc. is seeking an experienced Workers’ Compensation Claim Advocate to join their team. The role involves serving as a liaison between customers and carriers to provide exceptional claims service, while assisting clients in navigating the claims process and ensuring optimal outcomes.

Financial ServicesInsuranceRisk ManagementWealth Management

Growth Opportunities

Responsibilities

Gathers claim information and prepares loss notices/data entry of new claim into Epic. When possible, encourages and provides information for the customer to report claims directly to the carrier. Consults with customer on the importance of prompt reporting, return to work, and risk management issues

Assists customer with any problems that arise after the claim is reported. Works directly with the claims adjuster to address coverage and denial issue, coordinates conference calls, as needed, and provides the customer with a resolution to the issue

Sets appropriate Diary and provides follow up on claims from the time it is reported until it is closed. Attaches claim information and keeps log notes updated in Epic. Obtains information from the carrier website and from adjusters directly throughout the claims process

Notifies all carriers involved when there is a lawsuit and notifies the Producer and/or Account Manager/Executive with any updates

Works with claims adjusters to ensure appropriate reserve levels are set for effective resolution of claims with emphasis and focus on reserve reductions prior to client renewals

Knowledge and understanding of Experience Modification factors including familiarity with classification codes

Reviews large loss claims and works with the claims adjuster to identify possible reserve reductions. Notifies the Producer and/or Account Manager/Executive for any significant reserve increases and keeps them updates on any catastrophic claims

Completes Annual Claim Review Narratives timely and attends (in-person or virtually) to present to the client

Attends (virtually) weekly hearing call meetings, monthly out of work meetings and client/carrier quarterly claim meetings deemed necessary and identified on specific accounts

Claims consulting duties include but not limited to: Completing Audits on open claims, reviewing and making suggestions to client/carrier/TPA on Special Handling Instructions (SHI’s) other duties designated by the producers consulting contract/agreement

Interact, communicate, and collaborate with IMA Wallingford staff; sharing information and time as needed to support business objectives. Attends Sales and Marketing meetings as required

Accompanies Producers and/or Account Manager/Executives on client visits, prospective clients and renewal visits

Adheres to all policies and procedures

Assists or completes other tasks as directed by Claims Practice Leader

Qualification

Workers' Compensation experienceAdjuster licenseClaims consultingEpic softwareCommunication skillsProblem-solving skillsTeam collaboration

Required

Hold and maintain a current adjuster license (WC only or All Lines) in CT

Ability to obtain any other licenses necessary

Experience required working for/with Standard and Non-Standard Carriers, Captives, Third Party Administrators (TPA's)

Preferred

Prior Workers' Compensation experience preferred

College degree and/or industry designations helpful

Benefits

Annual Performance Bonus

Stock Purchase

Medical Plans

Prescription Drugs

Dental

Vision

Family Assistance Program

FSA

HSA

Pre-Tax Parking Plan

401(k)

Life/AD&D

Accident

Critical Illness

Hospital Indemnity

Long Term Care

Short-term Disability

Long-term Disability

Business Travel Accident

Identity Theft

Paid Time Off

Flexible Work Options

Paid Holidays

Sabbatical

Gift Matching

Health Club Reimbursement

Personal and Professional Development

Company

IMA Financial Group, Inc.

With over four decades of experience in the industry, IMA has become a trusted leader in commercial insurance, risk management, surety, and employee benefits brokerage and consulting.

Founded in 1974