Director of Claims Advocacy

Deer Park, IL
Full Time
Property & Casualty
Experienced

The Plexus Groupe is looking for candidates who dream big. We have an opening for a Director of Claims Advocacy within our Property & Casualty Practice at our Deer Park, IL headquarters office.  

Do you enjoy strategizing with clients on best-in-class solutions? Do you want to be part of a company growing faster than ever? If you prefer a balance of working with data and people, you thrive in a fast-paced environment with deadlines, and you have strong attention to details and follow through, please keep reading…

Summary:

The position provides claim advocacy leadership and support on behalf of clients in conjunction with the Plexus Client Service Platform to achieve desired outcomes. This involves interaction with clients, carrier claim adjusters, attorneys, and Plexus Team members to provide service needs to insureds and prospects. Specific expertise and service responsibilities required are outlined below.
 

Job Responsibilities:

  • Evaluate policy coverage, while serving as a consultant to mitigate exposure
  • Maintain system access to carrier and third-party administrator (TPA) risk management systems and analyze adjuster notes and claims data to keep clients apprised of claim developments
  • Provide technical support to Client Executive (CE) Teams in determining coverage applicability for property and casualty claims
  • Prepare claim analysis for individual, non-standard claim events for Clients and CE Teams
  • Be proactive and assertive while independently handling claim conflict resolution matters with carrier underwriters, claim adjusters and attorneys
  • Create and manage the formal claims review process for assigned Clients, either in person or telephonically, with prepared agendas and talking points
  • Process claims data, generate loss trending and analytics
  • Serve as a subject matter expert to the CE Teams with review of insurance and indemnification wordings in Client contracts and agreements
  • Lead claims adjustment process; establish timelines, set expectations for Clients and CE Teams, target desired outcomes and maintain open and continuous communication
  • Keeps senior management informed of significant development on complex claims
  • Engage in Client strategy, stewardship, pre-renewal, new and renewal meetings as requested by the CE Teams and/or Practice Leader
  • Participate in prospect-focused capabilities presentations as requested
  • Support CE Teams in M&A due diligence, for general coverage reviews and other assessment and analysis projects as required with strict attention to detail and uniformity
  • Identify and input relevant data as required in the Agency Management System (Epic) as well as setting up client electronic files
  • Builds and maintains effective relationships with Clients, carriers, co-workers, vendors and other business contacts
  • Develops, plans and implements strategic and tactical initiatives to meet business objectives
  • Participate in Client Executive Team meetings as requested
  • Any other duties as requested by management

Required Experience:

  • BA/BS or equivalent experience
  • Minimum 7-10 years of insurance experience required
  • Advanced knowledge of claims operating practices, litigation laws and regulations
  • Ability to communicate orally and in writing to others to explain complex issues, receives and interprets complex information, and responds in an appropriate, professional manner
  • Adept at utilizing carrier online claims systems and interpreting applicable claim data
  • Ability to work independently, as well as in co-ordination with other members of team
  • Ability to set priorities and manage workflow to ensure efficient, timely and accurate processing of transactions and other responsibilities
  • Working knowledge of property and casualty insurance coverages and usage
  • Working knowledge of claims adjustment process inside insurance companies
  • High level knowledge of computer and word processing programs such as Microsoft Office Programs (Word, Excel, Outlook), and agency management systems
  • Expected to maximize efficiencies using good organizational skills to prioritize and complete tasks in requested timeframes
  • Insurance designation such as CPCU, AIC, CIC, and/or ARM – preferred
  • Property and Casualty Agents license – preferred
  • Ability to manage direct reports - preferred

The Plexus Groupe is driving the next chapter in the insurance industry with innovation, passion, and excellence. If you are looking to make an impact, and if you seek the freedom and flexibility of a progressive firm with the prowess, technology, and resources of an industry leader, we should talk.

Compensation and Benefits:
The approximate annual salary range for this position is $100,000 - $150,000. Please note the range provided is a good faith estimate at the time of the posting. Actual compensation within that range is based on a wide variety of factors unique to each candidate, including but not limited to, individual qualifications, depth of experience, knowledge, skills, applicable certifications, and physical work location(s).

The Plexus Groupe offers a comprehensive benefits package and perks for regular, full-time positions. Please access the following link for additional details: https://www.plexusgroupe.com/why/careers/

At The Plexus Groupe, we believe in putting people first, focusing on value, service and lasting partnerships, providing authentic leadership, embracing a team approach to drive accountability and innovation, and delivering straight talk to our clients and employees. Learn more about why we are #ProudlyPlexus

The Plexus Groupe is a Top 100 independent insurance advisory firm, backed by our knowledgeable team, cutting-edge resources, and a global network of partnerships. We specialize in comprehensive services across Benefit Administration Technology, Business Insurance, Employee Benefits, Private Client, and Retirement Services.

As a proud partner of Assurex Global—the world’s largest association of privately held insurance brokers—our risk management professionals provide tailored solutions to meet the diverse needs of our clients worldwide.

Headquartered in Deer Park, IL, with additional offices across the U.S. The Plexus Groupe is an equal opportunity employer. Visit www.plexusgroupe.com to learn more.

 

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