Claims Advocate/Adjuster, Workers Compensation

Job Summary: Responsible for receiving new workers compensation first notices via phone, email or fax from insureds; reporting them to the appropriate carrier and following up to ensure timely and complete resolution. Also responsible for assisting with education of agency employees and clients relative to claims process. Position will work with various individuals including agency, client and carrier.

Duties & Responsibilities:

• Prepare claim summaries and present at client meetings
• Participate in claims review process with producers, clients and service department personnel.
• Work with Claims Manager to provide training and education of the claims process to agency and client personnel
• Receive and document claim information and determine how to report it to the carrier
• File claim report with carrier requesting adjuster information
• Suspend information and follow up with adjuster to follow up to ensure claim has been assigned and is being resolved in a timely manner
• Enter claim information into claims system EPIC as well as other software systems
• Follow up with adjuster and insured to ensure timely resolution of claim and excellent customer service
• Continually search for process improvements and/or enhancements to workflow; make recommendations for change where appropriate
• Review documents issued by insurance company for accuracy
• Respond to client and company requests for action and information on any claims-related matter
• Other duties as assigned

• High school diploma required
• 1-3 years experience processing workers compensation claims
• Knowledge of workers compensation forms and coverages for proper claims reporting
• Ability to be physically present to complete duties & responsibilities during office hours

CAC Group is an equal opportunity employer. CAH Holdings, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

About Us: CAC Group is a leading insurance broker and advisor that provides expertise and placement capabilities across the spectrum of insurance and capital markets. The entity comprises CAC Specialty, an industry-leading specialty broker, CAC Agency, a P&C, personal lines and employee benefits broker, and CAC Capital, a structured solutions group that specializes in the convergence of insurance and capital markets. Collectively, CAC Group serves large corporations, small-to-medium enterprises as well as individuals. It is an employee-owned company and ranked in the top 40 of all U.S. brokerage firms. For more information, please visit us at www.cacgroup.com

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