Claims Care Advocate ; Remote

Essential Duties and Responsibilities

• Provide comprehensive administrative and workflow support across Claims Operations, Subrogation, Litigation Technical Services, and Nurse Case Management.
• Serve as a primary point of contact for internal and external inquiries, delivering timely, accurate, and professional responses via phone, email, fax, chat, and web portals.
• Manage and process requests for claim‑related documentation, including wage statements, earnings affidavits, medical records, offer letters, rating requests, and records requests through third‑party vendors.
• Index, process, and maintain claim files to ensure all required information is accurately captured for efficient claims review and regulatory compliance.
• Support claim intake activities by gathering necessary information, identifying initial compensability considerations, and documenting claims in accordance with established procedures.
• Coordinate and process time‑sensitive external requests, including Division of 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 as needed.
• Manage activities within Claim Center queues and Image Right to ensure timely document handling and task completion.
• Coordinate logistics for injured workers and claims staff, including IME scheduling, follow‑up appointments, transportation arrangements, and hotel reservations.
• Partner with external vendors such as Cor Vel, One Call, Metro Reporting, and Home Link to support claims operations.
• Manage certified mailings and collections‑related 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 in all interactions and work activities.

Education

• High school diploma or equivalent required

Licenses

• Valid driver’s license required

Experience

• One or more years of experience in a professional office environment
• Prior exposure to Workers’ Compensation or a similar industry is preferred

MEM Insurance is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We believe that varied perspectives drive innovation and strengthen our ability to serve our customers and communities.

• Health Plans:
  Medical, Dental, and Vision
  Includes fertility benefits, fully paid preventative care, and adult orthodontia.
• Annual Performance Based Bonus
• Employer-Paid Life and Disability Benefits:
  Life Insurance (3x base salary), AD&D, Short and Long-term Disability.
• Wellness and Recognition Program:
  Employer-paid incentives for employees and spouses.
• Flexible Spending Account and Dependent Care options
• Time Away from Work:
  Generous PTO, 11 Holidays + 4 Early Releases, 16 Hours Volunteer Time Off, 20 Days Paid Parental Leave, Marriage, Bereavement, and Jury Duty leave.
• Employee Assistance Programs
• 401k Retirement Plan:
  Employer match and profit sharing.
• Adoption Assistance and Tuition Assistance

Notice Regarding Use of Artificial Intelligence

MEM may use artificial intelligence (AI) tools to more efficiently facilitate and assist in decisions involving recruitment, hiring, promotion, renewal of employment, selection for training or apprenticeship, discharge, discipline, tenure, or the terms, privileges, or conditions of employment. Any such use of AI tools will comply with all applicable laws.