Claims Care Advocate

• Provide administrative and workflow support across Claims Operations, Subrogation, Litigation Technical Services, and Nurse Case Management
• Serve as a primary contact for internal and external inquiries via phone, email, fax, chat, and web portals
• Manage and process requests for claim-related documentation
• Index, process, and maintain claim files for efficient review and regulatory compliance
• Support claim intake by gathering information, identifying initial compensability considerations, and documenting claims
• Coordinate and process time-sensitive external requests, including workers’ compensation forms, OSHA reports, police reports, conservation records, death certificates, and driver’s license suspensions
• Prepare and distribute claim files to attorneys, subrogation adjusters, and other partners
• Manage Claim Center queues and Image Right for document handling and task completion
• Coordinate IME scheduling, follow-up appointments, transportation, and hotel reservations
• Partner with external vendors including Cor Vel, One Call, Metro Reporting, and Home Link
• Manage certified mailings and collections activities, including monthly expense reconciliation
• Promote MEM Insurance services to policyholders, producers, medical providers, injured workers, and attorneys when appropriate
• Act in accordance with MEM Insurance’s vision, mission, and values

• High school diploma or equivalent required
• Bachelor’s degree preferred
• Valid driver’s license required
• One or more years of experience in a professional office environment
• Prior exposure to Workers’ Compensation or a similar industry preferred

Demonstrates strong administrative and workflow support capabilities in Claims Operations, with a focus on regulatory compliance and effective communication with internal and external stakeholders. Proficient in managing claim documentation and coordinating time-sensitive requests within the Workers’ Compensation industry.

• Claims Operations Support
• Document Management
• Workers’ Compensation Knowledge
• Customer Service Skills
• Regulatory Compliance

• Claims Processing
• Documentation Management
• Data Entry
• Information Gathering
• Expense Reconciliation

• Communication Skills
• Organizational Skills
• Interpersonal Skills

• High School Diploma
• Valid Driver’s License

• Subrogation
• Litigation Technical Services
• Nurse Case Management
• Workers’ Compensation
• OSHA Reports

• Claim Center
• Image Right
• Web Portals