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Claims Care Advocate (Remote)
<p> </p> <div> <div><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Are you someone who takes pride in keeping things organized, supporting others, and delivering excellent service? MEM Insurance is seeking a Claims Care Advocate to provide essential administrative and workflow support within our Claims Department. In this role, you will be a vital partner to Claims Operations, Subrogation and Technical Services, and Nurse Case Management, while also serving as a key point of contact for our policyholders and external partners.</span></div> <div> </div> <div><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">As a Claims Care Advocate, you will help ensure claims processes move smoothly and efficiently by managing records, coordinating requests, supporting adjusters, and responding to customer inquiries with professionalism and care. This role is ideal for someone who enjoys variety in their day, values teamwork, and takes pride in contributing to a high-quality customer experience.</span></div> <div> </div> <h3><strong><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Essential Duties and Responsibilities</span></strong></h3> <ul> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Provide comprehensive administrative and workflow support across Claims Operations, Subrogation, Litigation Technical Services, and Nurse Case Management.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">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.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">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.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Index, process, and maintain claim files to ensure all required information is accurately captured for efficient claims review and regulatory compliance.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Support claim intake activities by gathering necessary information, identifying initial compensability considerations, and documenting claims in accordance with established procedures.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">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.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Prepare and distribute claim files to attorneys, subrogation adjusters, and other partners as needed.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Manage activities within ClaimCenter queues and ImageRight to ensure timely document handling and task completion.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Coordinate logistics for injured workers and claims staff, including IME scheduling, follow-up appointments, transportation arrangements, and hotel reservations.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Partner with external vendors such as CorVel, OneCall, Metro Reporting, and HomeLink to support claims operations.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Manage certified mailings and collections-related activities, including monthly expense reconciliation.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Promote MEM Insurance services to policyholders, producers, medical providers, injured workers, and attorneys when appropriate.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Act in accordance with MEM Insurance’s vision, mission, and values in all interactions and work activities.</span></li> </ul> <h3> </h3> <h3><strong><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Qualifications</span></strong></h3> <div><strong><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Education</span></strong></div> <ul> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">High school diploma or equivalent required</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Bachelor’s degree preferred</span></li> </ul> <div><strong><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Licenses</span></strong></div> <ul> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Valid driver’s license required</span></li> </ul> <div><strong><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Experience</span></strong></div> <ul> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">One or more years of experience in a professional office environment</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Prior exposure to Workers’ Compensation or a similar industry is preferred</span></li> </ul> </div> <div> <div> <div> <div> <div> <div> <p> </p> <hr> <div> </div> </div> <h3><strong><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Company Culture and Values</span></strong></h3> <div><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">At MEM Insurance, we are committed to our vision, mission, and values. We foster a culture of collaboration, integrity, and innovation. Our team is passionate about delivering exceptional service to our customers while supporting each other’s growth and success. We believe in accountability, continuous learning, and creating an environment where employees feel valued and empowered.</span></div> <div> </div> <hr> <h3> </h3> <h3><strong><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Diversity Statement</span></strong></h3> <div><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">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.</span></div> <div> </div> <hr> <h3> </h3> <h3><strong><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Total Rewards Overview</span></strong></h3> <ul> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Health Plans: Medical, Dental, and Vision</span><br><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Includes fertility benefits, fully paid preventative care, and adult orthodontia.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Annual Performance Based Bonus</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Employer-Paid Life and Disability Benefits:</span><br><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Life Insurance (3x base salary), AD&D, Short and Long-term Disability.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Wellness and Recognition Program: Employer-paid incentives for employees and spouses.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Flexible Spending Account and Dependent Care options</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Health Savings Account: Generous employer contribution.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Time Away from Work:</span><br><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Generous PTO, 11 Holidays + 4 Early Releases, 16 Hours Volunteer Time Off, 20 Days Paid Parental Leave, Marriage, Bereavement, and Jury Duty leave.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Employee Assistance Programs</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">401k Retirement Plan: Employer match and profit sharing.</span></li> <li style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Adoption Assistance and Tuition Assistance</span></li> </ul> <p> </p> <hr> <div> </div> <div><strong><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Notice Regarding Use of Artificial Intelligence</span></strong><br><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">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.</span></div> </div> </div> </div> <div> </div> </div> </div> <div> <div> <div> <h2><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;">Job Details</span></h2> </div> </div> </div>
