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Job Description

Agency Claims Account Executive

Hybrid in Atlanta, GA

$100-$130k Depending on experience

Job Summary

The Agency Claims Account Executive is responsible for managing and overseeing the claims process for clients, ensuring timely and efficient resolution of claims.

This role involves direct interaction with clients, insurance carriers, and other stakeholders to facilitate claims processing and provide exceptional service.

Key Responsibilities

Claims Management :

Serve as the primary point of contact for clients during the claims process.Assist clients in filing claims and guide them through the necessary procedures.

Monitor the progress of claims and follow up with insurance carriers to ensure timely processing.

Client Support :

Provide regular updates to clients on the status of their claims.Address and resolve any issues or concerns clients may have regarding their claims.

Offer advice and support to clients to help them understand their coverage and claims processes.

Documentation and Reporting :

Maintain accurate and detailed records of all claims activities.Prepare and submit required documentation to insurance carriers.

Generate reports and provide updates to management on claims trends and issues.

Collaboration :

Work closely with account managers and other internal teams to ensure seamless service delivery.Liaise with insurance carriers, adjusters, and other third parties involved in the claims process.

Coordinate with legal and compliance teams to ensure claims are handled in accordance with regulations.

Client Relationship Management :

Build and maintain strong relationships with clients to ensure high levels of satisfaction.Conduct regular meetings with clients to review claims history and address any concerns.

Provide proactive advice to clients on risk management and claims prevention strategies.

Continuous Improvement :

Stay updated on industry trends, regulations, and best practices in claims management.Identify opportunities for process improvements and implement changes to enhance efficiency.

Participate in training and professional development programs to enhance skills and knowledge.

Qualifications

• Education : Bachelor’s degree in Business, Insurance, or related field.
• Experience : Minimum of 10 years of experience in claims management or a related field.
• Skills : Strong understanding of insurance policies and claims procedures.Excellent communication and interpersonal skills.

Detail-oriented with strong organizational and time management abilities.Proficiency in using claims management software and other relevant tools.

Ability to handle stressful situations and manage multiple priorities.

Key Competencies

• Customer Focus : Dedicated to meeting the expectations and requirements of clients.
• Problem Solving : Uses rigorous logic and methods to solve difficult problems with effective solutions.
• Negotiation : Can negotiate skillfully in tough situations with both internal and external groups.
• Integrity and Trust : Is widely trusted and seen as a direct, truthful individual.

LI-RM10

Last updated : 2024-05-18