Workers' Compensation Oversight Advocate
NEXT’s mission is to help entrepreneurs thrive. We’re doing that by building the only technology-led, full-stack provider of small business insurance in the industry, taking on the entire value chain and transforming the customer experience.
Simply put, wherever you find small businesses, you’ll find NEXT.
Since 2016, we’ve helped hundreds of thousands of small business customers across the United States get fast, customized and affordable coverage. We’re backed by industry leaders in insurance and tech, and we still have room to grow — that’s where you come in.
What You’ll Do:
- Assist in managing performance of third party administrators on Next WC claims, including holding them accountable to defined service level agreements
- Assist in the supervision of claim handling for TPA adjusters and work with their management to get proper claims outcomes
- Manage correspondence from internal company to TPA
- Participate and organize roundtable discussions as needed to review specific files and/or general themes with TPA
- Report large loss notifications to relevant stakeholders
- Manage and run internal loss reports
- Ensure accurate and timely reporting from TPAs on a monthly basis
- Research and respond to general requests and inquiries from internal stakeholders, TPAs, agents & insureds about processes and policy information within the WC LOB, within required turnaround times
- Assist with the selection of legal, key medical personnel, and other experts as directed by the WC Lead
- As needed, perform WC adjusting duties while assisting to build in-house claim operation
What We Need:
- 2-5 years of experience with Worker compensation claims
- Experience working with TPA’s and large accounts
- Knowledge of coverage, liability, and claims handling procedures
- Candidates must have, or be able to promptly obtain a Texas Independent Adjuster License
- Bachelor’s degree preferred
The range displayed on this job posting reflects the minimum and maximum target for new hire salaries for the position across all US locations. Within the range, individual pay is determined by work location and additional factors, including, without limitation, job-related skills, experience, and relevant education or training. NEXT employees are eligible to participate in our equity incentive program and will also receive our benefits package, consisting of our partially subsidized medical plan, fully subsidized vision/dental options, life insurance, disability insurance, 401(k), flexible paid time off, parental leave and more.
Don’t meet every single requirement? Studies have shown that some underrepresented people are less likely to apply to jobs unless they meet every single qualification. At NEXT, we are dedicated to building a diverse, inclusive and respectful workplace, so if you’re excited about this role but your past experience doesn’t align perfectly with every qualification in the job description, we encourage you to apply anyways. You may be just the right candidate for this or other roles.
One of our core values is 'Play as a Team'; this means making sure everyone has an equal chance to participate and make a difference. We win by playing together. Next Insurance is an equal opportunity employer and prioritizes building a diverse and inclusive workplace. We provide equal employment opportunities to all employees and applicants of any type and do not discriminate based on race, color, religion, national origin, gender, age, sexual orientation, physical or mental disability, genetic information or characteristic, gender identity and expression, veteran status, or other non-job-related characteristics or other prohibited grounds specified in applicable federal, state, and local laws. Next's policy is to comply with all applicable laws related to nondiscrimination and equal opportunity and will not tolerate discrimination or harassment based on any of these characteristics. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
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