Alera Group

Provides employee benefits, risk, wealth management

Senior Claims Advocate - Commercial

Claims AdjudicationUpdated on Nov 10

Full-timeWisconsin, USANo salary listed

About the Job

Requirements

A minimum of 5 years of progressive insurance industry experience in claims management, claims advocacy, complex claims handling, or a related role is required.
Extensive knowledge of property and casualty insurance coverages, policy provisions, claims practices, and settlement processes is required.
Demonstrated experience managing complex, high-exposure, disputed, or sensitive claims is required.
The candidate must be able to navigate carrier escalation processes and influence claims outcomes.
Strong negotiation, analytical, communication, and strategic problem-solving skills are required.
The candidate must be able to exercise independent judgment and make sound decisions in complex situations.
Experience building and maintaining strategic client and carrier relationships is required.
Proven leadership, mentoring, and collaboration skills are required.
The candidate must be able to manage competing priorities while maintaining a high level of service and accountability.

Responsibilities

Evaluate coverage issues, claim denials, settlement disputes, delays, and other complex matters, and develop strategies and recommendations to support favorable outcomes.
Provide expert guidance regarding policy provisions, coverage interpretation, claim valuation, and settlement considerations.
Proactively identify potential challenges and intervene when claims handling, communication, or resolution does not meet client expectations.
Collaborate with clients, adjusters, carrier representatives, legal counsel, and other stakeholders to facilitate timely and equitable claim resolution.
Exercise independent judgment in determining appropriate courses of action and advocating for client interests.
Identify opportunities to improve claims outcomes, minimize disruption, and enhance the overall client experience.
Serve as a primary escalation resource for complex, contentious, or unresolved claims issues.
Initiate and facilitate escalations to carrier claims leadership, management, and other appropriate decision-makers when warranted.
Assess the urgency, severity, financial impact, and potential client implications of claims issues to determine appropriate escalation strategies.
Challenge delays, inadequate investigations, coverage determinations, and settlement positions when circumstances warrant further review.
Determine when matters require involvement from agency leadership, legal counsel, or other specialized resources.
Provide recommendations and guidance to account managers and other agency colleagues regarding claims concerns and resolution strategies.
Maintain ownership of escalated matters through appropriate follow-up, communication, and resolution.
Develop and maintain trusted, strategic relationships with key clients and decision-makers.
Participate in strategic client meetings, stewardship reviews, claims reviews, and renewal discussions.
Communicate claims trends, significant loss developments, and potential coverage or risk management concerns to clients and internal stakeholders.
Demonstrate the agency's value through proactive advocacy, technical expertise, responsiveness, and strategic problem-solving.
Provide mentoring, coaching, and technical guidance to claims colleagues and other agency team members.
Assist in establishing claims best practices, service standards, workflows, and escalation protocols.
Maintain advanced knowledge of property and casualty insurance coverages, policy language, claims practices, and industry developments.
Analyze claims data, loss runs, and trends to identify potential coverage gaps, exposures, and risk management opportunities.
Provide strategic recommendations to clients regarding loss prevention, risk mitigation, and claims management practices.
Assist clients in understanding the financial and operational impact of significant claims.
Maintain professional knowledge through continuing education, industry participation, and relevant insurance designations.
Maintain comprehensive and accurate documentation of claims activities, strategies, communications, and outcomes.
Prepare executive-level claims summaries, reports, and presentations for clients and agency leadership.
Take ownership of client commitments and ensure consistent, proactive follow-through.
Contribute to measurable service standards and department performance objectives.

Desired Qualifications

A property and casualty insurance license is preferred.
Advanced professional designations such as AIC, CPCU, ARM, or CIC are preferred.
Experience in an independent insurance agency or brokerage environment is preferred.
Experience with executive-level client reporting, claims reviews, and stewardship presentations is preferred.
Demonstrated success in developing claims processes, best practices, or department initiatives is preferred.

OVERVIEW

Senior Claims Advocate

Location: Hybrid in Wisconsin - multiple locations

About Alera Group

Founded in 2017, Alera Group is one of the nation's leading independent insurance and financial services firms. We combine the strength of a national organization with the personalized service and expertise of local teams to help clients succeed across Employee Benefits, Property & Casualty Insurance, Retirement Plan Services, Wealth Services, and Human Capital Solutions.

Why Join Alera Group?

Collaborate with purpose – Work alongside colleagues who believe the best results come from strong partnerships, shared expertise, and supporting one another.
Build your career – Expand your expertise through meaningful work, continuous learning, and opportunities across a growing national organization.
Make an impact – Help businesses protect what matters most while delivering solutions that support their long-term success.

The Opportunity

At Alera Group, our Property & Casualty team partners with businesses to identify risks, protect assets, and deliver insurance solutions that support long-term success. As a Senior Claims Advocate, you will serve as a strategic claims resource and trusted advisor to clients, providing expert guidance and advocacy throughout the claim's lifecycle. This position is responsible for managing complex, high-impact and sensitive claims while ensuring clients receive exceptional service, proactive communication and effective resolution.

RESPONSIBILITIES

Complex Claims Management & Client Advocacy

• Evaluate coverage issues, claim denials, settlement disputes, delays, and other complex matters; develop strategies and recommendations to support favorable outcomes.

• Provide expert guidance regarding policy provisions, coverage interpretation, claim valuation, and settlement considerations.

• Proactively identify potential challenges and intervene when claims handling, communication, or resolution does not meet client expectations.

• Collaborate with clients, adjusters, carrier representatives, legal counsel, and other stakeholders to facilitate timely and equitable claim resolution.

• Exercise independent judgment in determining appropriate courses of action and advocating for client interests.

• Identify opportunities to improve claims outcomes, minimize disruption, and enhance the overall client experience.

Escalation Authority & Issue Resolution

• Serve as a primary escalation resource for complex, contentious, or unresolved claims issues.

• Initiate and facilitate escalations to carrier claims leadership, management, and other appropriate decisionmakers when warranted.

• Assess the urgency, severity, financial impact, and potential client implications of claims issues to determine appropriate escalation strategies.

• Challenge delays, inadequate investigations, coverage determinations, and settlement positions when circumstances warrant further review.

• Exercise sound judgment in determining when matters require involvement from agency leadership, legal counsel, or other specialized resources.

• Provide recommendations and guidance to account managers and other agency colleagues regarding claims concerns and resolution strategies.

• Maintain ownership of escalated matters through appropriate follow-up, communication, and resolution.

Strategic Client Relationship Management

• Develop and maintain trusted, strategic relationships with key clients and decisionmakers.

• Participate in strategic client meetings, stewardship reviews, claims reviews, and renewal discussions.

• Communicate claims trends, significant loss developments, and potential coverage or risk management concerns to clients and internal stakeholders.

• Demonstrate the agency's value through proactive advocacy, technical expertise, responsiveness, and strategic problem-solving.

• Provide mentoring, coaching, and technical guidance to claims colleagues and other agency team members.

• Assist in establishing claims best practices, service standards, workflows, and escalation protocols.

Technical Expertise & Risk Management

• Maintain advanced knowledge of property and casualty insurance coverages, policy language, claims practices, and industry developments.

• Analyze claims data, loss runs, and trends to identify potential coverage gaps, exposures, and risk management opportunities.

• Provide strategic recommendations to clients regarding loss prevention, risk mitigation, and claims management practices.

• Assist clients in understanding the financial and operational impact of significant claims.

• Maintain professional knowledge through continuing education, industry participation, and relevant insurance designations.

Operational Excellence & Accountability

• Maintain comprehensive and accurate documentation of claims activities, strategies, communications, and outcomes.

• Prepare executive-level claims summaries, reports, and presentations for clients and agency leadership.

• Take ownership of client commitments and ensure consistent, proactive follow-through.

• Contribute to measurable service standards and department performance objectives.

QUALIFICATIONS

Required Qualifications

Minimum of 5 years of progressive insurance industry experience in claims management, claims advocacy, complex claims handling, or a related role.
Extensive knowledge of property and casualty insurance coverages, policy provisions, claims practices, and settlement processes.
Demonstrated experience managing complex, high exposure, disputed, or sensitive claims.
Proven ability to navigate carrier escalation processes and influence claims outcomes.
Strong negotiation, analytical, communication, and strategic problem-solving skills.
Demonstrated ability to exercise independent judgment and make sound decisions in complex situations.
Experience building and maintaining strategic client and carrier relationships.
Proven leadership, mentoring, and collaboration skills
Ability to manage competing priorities while maintaining a high level of service and accountability.

Preferred Qualifications

Property and Casualty insurance license.
Advanced professional designations such as AIC, CPCU, ARM, or CIC.
Experience in an independent insurance agency or brokerage environment.
Experience with executive-level client reporting, claims reviews, and stewardship presentations.
Demonstrated success in developing claims processes, best practices, or department initiatives.

Eligible colleagues enjoy a comprehensive benefits package including:

Medical, dental, and vision insurance
Life and disability coverage
401(k)
Generous paid time off
Professional development and career growth opportunities

ADDITIONAL INFORMATION

Work Arrangement

This position is Hybrid

Travel Requirements: Occasional travel may be required to support office implementations, training, and collaboration with project teams.

We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status, or any other protected class.

Alera Group is committed to protecting your privacy. Please review our Privacy Policy to understand what personal information we may collect and use as part of your application process.

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Location Type

Hybrid - 3 or more days in office - Office UKG Work location

About the Company

Alera Group

Provides employee benefits, risk, wealth management

Alera Group provides tailored employee benefits, risk management, and wealth management services to businesses, nonprofits, and individuals across the United States. It combines national-scale resources with a local office network to deliver personalized consulting, pricing, and advisory services for insurance, benefits, and retirement plans. The firm differentiates itself through its national reach paired with strong local relationships and industry-specific expertise, offering programs such as compliance consulting, workplace wellness, and reference-based pricing to control healthcare costs. Its goal is to help clients navigate complex insurance and financial landscapes, stay compliant, and achieve their benefits and wealth objectives.

Company size: 1,001-5,000
Company stage: Debt Financing
Total funding: $4.3B
Headquarters: Deerfield, IL
Founded: 2017

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