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Claims Advocate
Willis Group
Reston, VA, United States
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Job Title: Claims Advocate
Location: Reston, VA or Moyock, NC
The Company
Willis Towers Watson (NASDAQ: WLTW) is a leading global advisory, broking and solutions company that helps clients around the world turn risk into a path for growth. With roots dating to 1828, Willis Towers Watson has 40,000 employees serving more than 140 countries. We design and deliver solutions that manage risk, optimize benefits, cultivate talent, and expand the power of capital to protect and strengthen institutions and individuals. Our unique perspective allows us to see the critical intersections between talent, assets and ideas – the dynamic formula that drives business performance. Together, we unlock potential. Learn more at willistowerswatson.com.
The Business
Corporate risk and broking
We know how companies can unlock potential through effective risk management. Our clients rely on us to craft strategies to quantify, mitigate, and transfer risk, taking advantage of our specialist industry experience and unparalleled market know-how. The result is a new way of embracing risk that drives superior results.
The Role
The Claims Advocateis responsible for timely and professional assistance and support including analysis, reporting and advocacy of current, future or potential claims. This position acts as an advocate and claims specialist and maintains positive relations with co-workers, claimants, producers, Account Executives, Account Managers, and carriers. This position is located on-site at a large government contractor located in Reston VA or Moyock NC.
Essential Duties:
• Works with overseas personnel to review injury reports, complete Form LS202 and transmit same to Department of Labor and DBA Carrier.
• Work closely with Insurance Brokers to report to carriers GL, property, litigated, high exposure and specialty claims, including serious or catastrophic injury claims.
• Monitor and analyze DBA, WC and other claims including conducting period claims reviews with applicable carriers.
• Provide initial and on-going advocacy on claims, including analysis and interpretation of coverages and reserves.
• Notify and work with carrier claims administrators and claims consultants.
• Assist with the gathering and review loss information and prepare claim status reports for quarterly or semi-annual claim review meetings
• Respond to and advocate on claims, coverage and exposure questions.
• Developing and growing relationships with carriers and third part claims administrators.
• Assist in the implementation of loss control projects, strategies and programs.
• Limited travel may be required to attend claim reviews.
Qualifications:
• Bachelor’s degree (preferably related to Insurance, Business or Finance).
• Professional designations a plus
• 2-5 years relevant experience preferably in insurance claims examination, investigation, adjudication or advocacy, including auto, general liability or worker’s compensation injuries and claims.
• Experience with Defense Base Act or Workers Compensation preferred
• Knowledge of laws, legal codes, procedures and processes involving insurance
• Technical knowledge of product area or industry
• Ability to communicate orally and in writing
• Ability to read and understand information presented in writing
• Ability to weigh the relative costs and benefits of a potential action
• Ability to use logic and analysis to identify strengths and weaknesses of arguments or information
• Ability to obtain relevant information
• Ability to evaluate information against a set of standards to verify correctness
• Ability to handle complaints
• Ability to analyze and report financial data
• Personal Computer skills, including, Microsoft Office Suite to include: Excel, Word and PowerPoint.
• Ability to work independently
Any unsolicited resumes/candidate profiles submitted through our web site or to personal e-mail accounts of employees of Willis Towers Watson are considered property of Willis Towers Watson and are not subject to payment of agency fees. In order to be an authorized Recruitment Agency/Search Firm for Willis Towers Watson, any such agency must have an existing formal written agreement signed by an authorized Willis Towers Watson recruiter and an active working relationship with the organization. Resumes must be submitted according to our candidate submission process, which includes being actively engaged on the particular search. Likewise, for our authorized Recruitment Agencies/Search Firms, if the candidate submission process is not followed, no agency fees will be paid by Willis Towers Watson.
Willis Towers Watson is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, color, religion, sex, sexual orientation, gender identity, national origin, age, status as a protected veteran, or disability.
Equal Employment Opportunity: Know your rights.
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