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About the Role

The Senior Claims Advocacy Specialist develops and implements claim analysis and advocacy strategies, serving as a subject matter expert on complex issues. This role collaborates with internal stakeholders to innovate claims management solutions, represents the company in high-level negotiations, monitors industry trends, and drives initiatives for operational efficiency and strategic development within the specialty insurance market.

Responsibilities

Develops and implements advanced strategies for generating claims insights and advocacy, leveraging industry expertise and insights to optimize claim resolution outcomes.
Serves as a subject matter expert on complex claims issues, providing guidance and support to the team and assisting with the resolution of challenging cases.
Represents the company in negotiations with insurance carriers, clients, and other stakeholders, ensuring the protection of the organization’s interests and achievement of favorable outcomes.
Monitors industry trends, regulatory developments, and emerging risks to proactively identify opportunities for improvement and adapt claims advocacy strategies accordingly.
Conducts regular reviews, audits, and performance evaluations to assess the effectiveness of claims advocacy processes and identify areas for enhancement.
Drives initiatives to enhance operational efficiency, streamlines claims handling processes, and optimizes resource allocation within the claim’s advocacy team.
Collaborates with underwriters, legal counsel, and senior management, to develop innovative solutions for claims management and risk mitigation.
Supports the team of Claims Advocacy Specialists, providing guidance, coaching, and mentorship to enhance their performance and professional development.
Fosters strong relationships with key clients, insurance carriers, and industry stakeholders, serving as a trusted advisor and advocate for the company's interests.
Collaborates with management to develop and implement strategic initiatives aimed at achieving organizational goals and maintaining a competitive edge in the specialty insurance market.

Requirements

Minimum of 6 years of experience in Insurance Claims processing or claims management with a Bachelor’s degree.
Minimum of 3 years of experience in Insurance Claims processing or claims management with a Master's degree.
State specific Adjusting/Appraising/Examining/ Investigating Licenses is preferred.
Associate in Claims (AIC), or Certified Claims Professional (CCP) is a plus.

Skills

Claims analysis
Advocacy strategies
Claims management
Negotiations
Risk mitigation
Operational efficiency
Strategic development

Work Type

Full-time

Experience Level

Senior

Education Level

Bachelor's degree required
Master's degree preferred
Finance, Legal, Business Administration preferred
Any other related discipline or commensurate work experience considered

Salary/Compensations

$168,000.00 - $210,000.00 annually

Benefits

Paid time off for company holidays, vacation, sick and personal days
Paid parental leave
Mental health services
Bonuses

About the Company

Ryan Specialty is committed to building and sustaining a diverse workforce throughout the organization.
Our vision is an inclusive and equitable workplace where all employees are valued for and evaluated on their performance and contributions.
Differences in race, creed, color, religious beliefs, physical or mental capabilities, gender identity or expression, sexual orientation, and many other characteristics bring together varied perspectives and add value to the service we provide our clients, trading partners, and communities.
This policy extends to all aspects of our employment practices, including but not limited to, recruiting, hiring, discipline, firing, promoting, transferring, compensation, benefits, training, leaves of absence, and other terms, conditions, and benefits of employment.

Equal Opportunity

Ryan Specialty is an Equal Opportunity Employer.
We provide individuals with disabilities reasonable accommodations to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment in accordance with applicable law.
Please contact us to request an accommodation at HR@Ryansg.com