Claims Care Advocate I

Dayforce

Claims Care Advocate providing administrative and workflow support in MEM Insurance’s Claims Department. Managing inquiries and documentation to ensure smooth claims processes.

Posted 7/29/2026full-timeRemote • Montana • 🇺🇸 United StatesJuniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates strong administrative and workflow support capabilities within Claims Operations, ensuring accurate documentation and compliance while effectively managing communication with internal and external stakeholders.

Highest-signal resume keywords

Claims Operations SupportDocument ManagementWorkers' Compensation KnowledgeCustomer Service SkillsVendor Coordination

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Claims ProcessingDocumentation ManagementRegulatory ComplianceData EntryInformation Gathering

Soft Skills

Communication SkillsOrganizational SkillsProfessionalismAttention to DetailProblem-Solving

Tools & Technologies

ClaimCenterImageRightMicrosoft Office SuiteWeb PortalsFax Systems

Certifications & Qualifications

High School DiplomaValid Driver's License

Industry Keywords

SubrogationLitigation Technical ServicesNurse Case ManagementIME SchedulingOSHA Reports

About the role

Key responsibilities & impact

Provide comprehensive administrative and workflow support across Claims Operations, Subrogation, Litigation Technical Services, and Nurse Case Management.
Serve as a primary point of contact for internal and external inquiries, delivering timely, accurate, and professional responses via phone, email, fax, chat, and web portals.
Manage and process requests for claim-related documentation, including wage statements, earnings affidavits, medical records, offer letters, rating requests, and records requests through third-party vendors.
Index, process, and maintain claim files to ensure all required information is accurately captured for efficient claims review and regulatory compliance.
Support claim intake activities by gathering necessary information, identifying initial compensability considerations, and documenting claims in accordance with established procedures.
Coordinate and process time-sensitive external requests, including Division of Workers’ Compensation forms, OSHA reports, police reports, conservation records, death certificates, and driver’s license suspensions.
Prepare and distribute claim files to attorneys, subrogation adjusters, and other partners as needed.
Manage activities within ClaimCenter queues and ImageRight to ensure timely document handling and task completion.
Coordinate logistics for injured workers and claims staff, including IME scheduling, follow-up appointments, transportation arrangements, and hotel reservations.
Partner with external vendors such as CorVel, OneCall, Metro Reporting, and HomeLink to support claims operations.
Manage certified mailings and collections-related activities, including monthly expense reconciliation.
Promote MEM Insurance services to policyholders, producers, medical providers, injured workers, and attorneys when appropriate.
Act in accordance with MEM Insurance’s vision, mission, and values in all interactions and work activities.

Requirements

What you’ll need

High school diploma or equivalent required
Bachelor’s degree preferred
Valid driver’s license required
One or more years of experience in a professional office environment
Prior exposure to Workers’ Compensation or a similar industry is preferred

Benefits

Comp & perks

Health Plans: Medical, Dental, and VisionIncludes fertility benefits, fully paid preventative care, and adult orthodontia.
Annual Performance Based Bonus
Employer-Paid Life and Disability Benefits:Life Insurance (3x base salary), AD&D, Short and Long-term Disability.
Wellness and Recognition Program: Employer-paid incentives for employees and spouses.
Flexible Spending Account and Dependent Care options
Health Savings Account: Generous employer contribution.
Time Away from Work:Generous PTO, 11 Holidays + 4 Early Releases, 16 Hours Volunteer Time Off, 20 Days Paid Parental Leave, Marriage, Bereavement, and Jury Duty leave.
Employee Assistance Programs
401k Retirement Plan: Employer match and profit sharing.
Adoption Assistance and Tuition Assistance