Advocate

• Handle a portfolio of Property & Casualty claims across General Liability, Property, and Auto lines from initial notice through resolution
• Review carrier coverage positions, reservation-of-rights letters, and disclaimers; draft policy-based rebuttals and appeals
• Monitor claims activity, maintain diary entries in Epic, and follow up on open matters
• Identify potential E&O exposure and escalate matters according to internal protocols
• Coordinate with carrier adjusters, defense counsel, and third-party administrators
• Serve as day-to-day claims contact for assigned clients
• Build relationships with carrier claim adjusters, supervisors, and partner contacts
• Participate in PRISM calls, quarterly claim reviews, and renewal strategy meetings
• Support Special Handling Instructions for self-insured/captive accounts
• Collaborate with Account Executives, producers, and internal departments
• Engage across specialty lines, healthcare, and professional/executive risk practice groups
• Update claims dashboards, successful results logs, and management reporting tools
• Participate in internal training and share knowledge with team members
• Mentor junior claims advocates and analysts on coverage questions and claim-handling practices
• Support operational initiatives, claims review standardization, and Smartsheet workflows
• Assist with claim file audits and pursue continuing education and designations

Senior claims advocate handling P&C coverage disputes for HUB International insurance clients

Senior Claims Advocate – Property & Casualty Claims

Senior claims advocate handling Property & Casualty coverage disputes for HUB International, a full-service insurance brokerage. Managing client claims, carrier negotiations, appeals, and cross-functional claims strategy.

• Initiates engagement with assigned members to introduce the program and gather updated member demographic information with speed, accuracy, and a positive attitude.
• Schedules completion of the assessment based on the member’s preferences and the assigned care manager’s schedule.
• Accurately and consistently documents each call in the member’s electronic record, thoroughly completing required actions with a high level of detail to ensure we meet our compliance requirements.
• Protects the confidentiality of member information and adheres to company policies regarding privacy/ HIPAA
• Effectively supports members during enrollment calls, appropriately managing difficult or emotional member situations, responding promptly to member needs, and demonstrating empathy and a sense of urgency when appropriate.
• Conducts triage, connecting members with appropriate care team personnel including care managers and customer service when needed.
• Ability to be agile, manage multiple priorities, and adapt to change with enthusiasm.
• Demonstrates an outgoing, enthusiastic, and caring presence over the telephone.
• Act as a Medicaid recertification specialist for the team.

Member Advocate engaging with DSNP members in New Jersey

Member Advocate – Field

Member Advocate engaging DSNP members in New Jersey through outreach and support. Accountability for compliance and empathy during member enrollment calls with travel requirements.

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Senior Claims Advocate – Property & Casualty Claims

Member Advocate – Field