Ryansg
Senior Claims Advocacy Specialist
New York - New York - 1185 Ave of Americas · Senior · Full-time
Sponsorship not specified$148k-$185kDetected 4 days ago
Account ManagementExcelResearchCommunicationCollaborationTime ManagementMentoringMicrosoft OfficeClaims Management
About the role
- The Claims Advocacy Specialist plays a critical role in supporting Ryan's Transactional Risk practice by managing claim activity, advocating on behalf of clients, and ensuring timely, fair, and accurate claims resolutions.
- This position works closely with insurance carriers' claims departments, retail agents, and internal stakeholders to assess coverage, monitor progress, and resolve claims efficiently.
- The Specialist is responsible for providing guidance throughout the claims process, maintaining strong communication channels, and enhancing the overall effectiveness of claims management practices.
Responsibilities
- Manage a backlog of claims and utilize a diary system to ensure timely communication, monitoring, and reporting.
- Collaborate with retail agents to ensure timely claim reporting and clear documentation.
- Provide ongoing guidance to clients, explain procedures, address inquiries, and manage expectations throughout the claims lifecycle.
- Develop and refine claims advocacy strategies to optimize outcomes and maintain service excellence.
- Contribute to initiatives designed to mitigate risk, reduce claim frequency and severity, and strengthen overall claims management processes.
- Perform other relevant duties as assigned.
- Ability to collaborate effectively with clients, carriers, and internal teams
Nice to have
- Act within designated authority levels to resolve claims when appropriate.
- Monitor claim-related communications, identify exposures, address stakeholder needs, and ensure accurate data entry within claim systems.
- Serve as a liaison between clients and insurance carriers, advocating for fair and timely claim resolutions.
- Participate in claim reviews, audits, and performance evaluations to identify improvement opportunities.
- Provide training, mentorship, and knowledge sharing to junior team members as needed.
- 1+ years of experience in insurance claims processing or claims management with a Bachelor's degree, or
- Bachelor's degree required
- Master's of Law preferred.
Compensation
- This policy extends to all aspects of our employment practices, including but not limited to, recruiting, hiring, discipline, firing, promoting, transferring, compensation, benefits, training, leaves of absence, and other terms, conditions,
Benefits
- Legal education (e.g., law degree) or related field experience is a plus.
- Coverage evaluation and reporting
- Conduct thorough investigations and research to evaluate and establish coverage for assigned claims.
- Communicate with carriers' claims departments to discuss coverage issues and request periodic status updates.
- Work closely with underwriters, actuaries, and risk management professionals to assess coverage, evaluate liability, and establish appropriate claim strategies.
- Stay current on industry trends, regulatory changes, and best practices in claims advocacy and insurance coverage.
- Work Experience & Education
This listing is sourced directly from Ryansg's careers page and normalized into a canonical job model.