- Develop positive relationships with clients, carriers, and vendors.
- Receive and report new claims to carriers based on established guidelines.
- Act as a resource for claims resolution and escalate complex issues based on established department procedures.
- Investigate insurance company's liability and coverage exposure for claims using legal and claim principles.
- Proactively monitor claims to ensure adequate reserving and to ensure desired outcomes.
- Report overpayments, underpayments, or other irregularities
- Guide clients through the claims process, which includes providing education and instruction.
- Communicate effectively and professionally with all parties involved.
- Document actions taken and communications; document outcomes and communicate outcomes to necessary parties.
- Perform claims analytics using reports, trends analysis, etc.
- Maintain extensive knowledge of insurance coverages.
- Keep current on new developments in the claims arena through periodicals, seminars, and membership organizations.
- Well-developed customer service skills with a sense of urgency
- Fiduciary duty to exercise discretion or expertise in acting on behalf of the client
- Ability to determine relevant facts of claims from documentation and conversations; ability to analyze and interpret claims and loss information
- Strong organizational skills to keep up with multiple claims cases concurrently
- Proficient in the use of Microsoft Office, especially Outlook, Word, and Excel
- Practical knowledge of all major property and casualty, personal, and commercial lines of coverage, claims principals, terminology, and practices/procedures
- Excellent verbal and written communication skills
- Self-motivated problem solver with a demonstrated track record of success
- Mathematical aptitude and attention to detail
- Well-polished professional and tactful negotiation and persuasion skills
- 5 + years experience in property and casualty claims
- Insurance and claims management designations and/or certificates
- Bachelor's degree preferred
- Macon, Alpharetta, Columbus, GA
- Open to partial (hybrid) work-from-home arrangement
-
Health & Welfare Plan Administrator
2 weeks ago
Colonial Pipeline Company Alpharetta, United StatesColonial has provided a wide range of opportunities for job candidates who are highly qualified, skilled, motivated and team players. Employees find exciting opportunities to grow and develop their careers at a stable company which offers a generous compensation and benefits pack ...
-
Office Coordinator
1 week ago
The Kraft Heinz Company Woodstock, United States Full timeDescription · Are you someone that is self-directed, highly organized, and detail oriented that also has a passion for delivering excellent customer service to employees with high levels of empathy, confidentiality, and professionalism? · The Office Coordinator at Kraft Heinz Wo ...
-
Associate Attorney
2 weeks ago
Moebes Law, LLC Atlanta, United StatesCompany Description · Moebes Law LLC specializes in workers' compensation, veterans disability, and personal injury claims. The bulk of our practice is workers' compensation case in Georgia, and we need help with these cases asap · Role Description · This is a full-time hybrid r ...
-
Client Advocate 1
3 weeks ago
Bader Scott Injury Lawyers Atlanta, United StatesClient Advocate 1 Job Description · Bader Scott Injury Lawyers is Atlanta's fastest growing Client Centric law firm. We are in the heart of Buckhead in a state-of-the-art headquarters on Peachtree Street N.E. Our firm provides service to metro Atlanta and surrounding cities in Ge ...
-
Personal Injury Attorney
2 weeks ago
Bader Scott Injury Lawyers Atlanta, United StatesJob Title: Personal Injury Attorney · Location: Atlanta, Georgia · Job Summary: · We are seeking a highly skilled and experienced Personal Injury Attorney to join our law firm in Georgia. As a Personal Injury Attorney, you will be responsible for providing legal representation to ...
-
WC Attorney Plantiff
1 week ago
Adams & Martin Group Atlanta, United StatesWe are seeking a highly skilled and experienced Workers Compensation Attorney to join our legal team. The ideal candidate will have a strong background in handling workers' compensation cases from the plaintiff's perspective. They should possess excellent legal knowledge, negotia ...
-
Accounts Payable Specialist
6 days ago
Safe-Guard Atlanta, United States Full time Regular Non-ManagerInternal Job Title: Lead Accounts Payable Specialist (hybrid) · Location: US-GA-Atlanta (Sandy Springs) · Job Overview: · This is a high-volume, fast-paced, customer-facing position with responsibilities for processing vendor payments as well as commission and incentive payables ...
-
Healthcare Representative
3 weeks ago
UnitedHealth Group Atlanta, United States Full timeOpportunities at Change Healthcare, part of the Optum family of businesses. We are transforming the health care system through innovative technology and analytics. Find opportunities to make a difference in a variety of career areas as we all play a role in accelerating health ca ...
-
Senior Manager
3 weeks ago
McDermott Will & Emery Atlanta, United StatesPosition Summary: · McDermott+Consulting (McDermottPlus) is a Washington DC-based healthcare consulting and data analytics firm, serving a wide range of clients including life science companies, health systems, physician groups, health plans, and other healthcare clients. The ca ...
-
Senior Actuary
47 minutes ago
Highmark Health Georgia, United States Full timeDescription · : JOB SUMMARY · This is an individual contributor, credentialed actuary position. Participates in Highmark's Actuarial Executive Development Program. Utilizes subject matter expertise and advanced industry knowledge to define & diagnose a problem, outline data r ...
-
The William Carter Company Atlanta, United States Full timeServing the needs of all families with young children, Carter's Inc. is the largest North American apparel retailer exclusively for babies and young children, encompassing Carter's, OshKosh B'gosh, Skip*Hop and Little Planet brands. Meaningful work, constant learning, genuine pe ...
-
Bilingual Customer Success Specialist
3 days ago
StartCHURCH Duluth, United States Full timeJob Description · Job DescriptionCustomer Success Specialist · Hybrid - Must live in GA and be able to commute to our Duluth headquarters. · About Us · StartCHURCH is a company dedicated to meeting the needs of pastors and ministry leaders who have the vision to make a difference ...
-
Talent Acquisition Specialist III
1 week ago
VyStar Credit Union Atlanta, United States Full timeAt VyStar, we offer competitive pay, an excellent benefit package that includes a 401(k) Plan, an extensive paid technical and on-the-job training program, and tuition reimbursement--available to all full and part time employees. Part time positions start at a minimum of 30 hours ...
-
Regional Claims Director
1 month ago
Marsh McLennan Agency Johns Creek, United States OTHERMake a career. Make a difference. · Ready to join a business based on innovation and integrity? Work with us and discover real opportunities to make our clients and our communities more secure and more successful. · Marsh & McLennan Agency Southeast is a wholly owned subsidiary o ...
-
Estimator
4 days ago
Southern Signature Group Llc Buford, United StatesJob Title Cost Estimator · Job Summary · Works closely with property owners after traumatic events to serve as a guide throughout the insurance claims process by creating a thorough construction scope and advocating on the customers behalf with their insurance provider. · Gene ...
-
Customer Experience Specialist
3 weeks ago
AutomationDirect Cumming, United StatesThe primary purpose of this customer serviceposition is to connect withcustomers in a high volume, call center environment, and create an experiencewhere customers know they have been heard, understood, served well, and valued.Responsible for delivering extraordinary experience o ...
-
Workers' Comp Attorney
2 weeks ago
Jobot Atlanta, United StatesJob Description · Job DescriptionImmediate Opportunity Full Benefits Training Provided 5% of attorney fees for every case you settle · This Jobot Job is hosted by: Juan Correa · Are you a fit? Easy Apply now by clicking the "Apply Now" buttonand sending us your resume. · Salary: ...
-
Estimator
4 weeks ago
Southern Signature Group Llc Buford, United StatesJob Description · Job DescriptionJob Title · Cost Estimator · Job SummaryWorks closely with property owners after traumatic events to serve as a guide throughout the insurance claims process by creating a thorough construction scope and advocating on the customers behalf with the ...
-
Estimator
3 weeks ago
Southern Signature Group Llc Buford, United StatesJob Description · Job DescriptionJob Title · Cost Estimator · Job SummaryWorks closely with property owners after traumatic events to serve as a guide throughout the insurance claims process by creating a thorough construction scope and advocating on the customers behalf with the ...
-
Customer Care Advocate
4 weeks ago
Zenith American Tucker, United StatesTitle: Customer Care Advocate Department: Customer Care · Union: IBEW 728 Grade: 3 · FLSA: Non-exempt Hours per week: 39 · Date Posted: 02/28/2024 · Position Summary · The Customer Care Advocate provides customer service to participants, beneficiaries, union locals, and pr ...
Claims Advocate - Alpharetta, United States - Oakbridge Insurance Agency LLC
Description
Job Description
Job DescriptionWelcome to Oakbridge Insurance Agency.
We are a new kind of insurance and risk management agency with the mission to transform and elevate the way business is done in our industry.
For over 100 years, the founding firms of Oakbridge worked alongside each other in small towns and cities throughout the Southeast, cultivating similar company cultures and best practices, and earning each other's respect in the industry. They envisioned a way to impact the future of insurance and formed Oakbridge Insurance Agency on January 1, 2021. Since forging this different path, we are proud to have added additional partners to Oakbridge who reflect our vision, demonstrate our core values, and share our commitment to doing what is right for our friends and neighbors.
Our most important asset is our people. We offer a friendly and flexible work environment and offer first-class benefits to meet the needs of you and your family. Benefits include a 401k plan with immediate participation, company match, and immediate 100% vesting. Company-paid benefits include life insurance and short- and long term disability. We have a strong health insurance plan and many supplemental, voluntary offerings.
Are you interested in leveraging your skills and joining a new and growing company that truly cares for its employees and customers?
We are a team of dedicated professionals who share a passion to work, live, and serve in the same communities where we do business. We are looking to add a Claims Advocate to the team.
In this role, The Claims Advocate expertly guides, counsels, and directs clients through the claims process with insurance carriers. The Claims Advocate reviews and audits completed claims to determine they have been settled in accordance with company practices and procedures.
Job Elements
Job Requirements
Preferred Education / Experience
Work Location
