Advocate

• Receive and process incoming personal and commercial lines claims.
• Input claim information accurately into agency management systems and carrier portals.
• Document claim activity, communications, and status updates thoroughly and timely.
• Contact insurance carriers to report claims and ensure proper claim setup.
• Follow up with clients, adjusters, carriers, and third parties to obtain required information and documentation.
• Monitor open claims and maintain regular communication to ensure timely resolution.
• Assist clients with questions regarding the claims process and claim status updates.
• Review claim documentation for completeness and accuracy.
• Maintain electronic claim files and records in accordance with agency standards.
• Support Claims Advocates and management with administrative and claim-related duties.
• Prioritize daily workload to meet deadlines and service expectations.
• Collaborate with account managers, producers, and agency staff to provide exceptional client service.
• Develop knowledge of personal and commercial insurance coverages and claims handling practices.
• Manage auto glass claims ensuring timely response and working with carriers on closure.

Claim Advocate I

• Organize and collect information from patients during follow-up telephone contacts
• Track and report individual and aggregate clinical information
• Apply positive communication skills with internal and external customers
• Deliver cost-effective, high-quality care
• Facilitate a systematic approach to surveillance and educational outreach
• Assemble and review clinical records from physician offices, patients, and internal data systems
• Forward patients outside the defined acceptable range to a Pharmacist for case review
• Use pharmacist-defined assessments to screen for potential issues and report issues to a pharmacist
• Contact patients to obtain accurate and timely information, facilitate positive outcomes, and determine therapy tolerance
• Document and report adverse events, adverse effects, and lack of tolerability to physicians, pharmacy, and management
• Use CPR+, MS Office, Word, Excel, and PowerPoint to record data and create reports
• Assist with maintenance of Prior Authorization forms
• Maintain positive communication and resolve difficult situations
• Follow applicable pharmacy and nursing laws and established procedures

Adherence Advocate

• Engage individuals in considering treatment
• Engage clients in treatment or other healthcare services
• Engage individuals in continuing care services post-discharge
• Develop treatment/recovery plans
• Raise awareness of social and other support services
• Model coping skills
• Assist with applying for benefits
• Accompany clients to court appearances and medical or other appointments
• Provide non-clinical crisis support, especially after hospitalization or incarceration
• Work with participants to identify strengths
• Link participants to formal recovery supports
• Educate program participants about various modes of recovery
• Provide travel training for independent use of public transportation
• Educate and support clients on medication-assisted treatment
• Work between Suffolk County Jails, the community, and a Phoenix House facility office

Advocate jobs in New York

Claim Advocate I

Adherence Advocate

Certified Recovery Peer Advocate