Claims Advocate

Claims Advocate

At CompScience, we're not just building software, we're saving lives. We're a high-growth startup on a mission to prevent 1 million workplace injuries through bold technological innovations, ensuring that everyone can go home safe at the end of the day.

Founded in 2019 and backed by investors from SpaceX, Tesla, and Anduril, we've assembled a powerhouse team that bridges two worlds:

• Cutting-Edge Technology: Our product, design, and engineering teams are composed of distinguished computer vision engineers, software architects, data scientists and product and design leaders from Amazon R&D, Meta, and the self-driving car industry. They bring unparalleled expertise in AI, machine learning, and design to the realm of workplace safety.

• Insurance Acumen: Our insurance team is made up of seasoned professionals who understand the nuances of workers' compensation policies. They work hand-in-hand with our tech experts to translate advanced analytics into tangible insurance products that truly serve our clients' needs.

Our groundbreaking perception-based risk assessment program, the first of its kind, provides the most comprehensive data stream available for risk analysis and monitoring and has proven to significantly reduce accidents in some of the world's most hazardous occupations.

About the Role

We are seeking a highly motivated Claims Advocate to serve as a trusted partner to clients throughout the workers' compensation claims process. This role focuses on advocating for fair and timely claim outcomes, providing expert guidance, and delivering an exceptional client experience. The objective is to achieve best in class claims management to deliver best outcomes for the injured worker and employer.

Responsibilities

• Manage relationships with external workers' compensation claims administrators, including insurance partners and Third-Party Administrators (TPAs) across multiple states.

• Conduct regular audits of claims to ensure adherence to best practices and service level agreements.

• Monitor and analyze partner performance, identifying areas for improvement and implementing corrective action plans

• Act as a dedicated advocate for both claims examiners and policyholders, fostering clear and effective communication to resolve issues and ensure a transparent process.

• Proactively communicate with employers to promote and ensure the adoption of claims management best practices, such as immediate reporting of claims, effective return-to-work/light-duty programs, and participation in periodic claims reviews.

• Educate policyholders on strategies to manage claims effectively and reduce overall claims costs.

• Support initiatives aimed at achieving best-in-class claims management, focusing on delivering positive outcomes for injured workers while minimizing costs for employers and CompScience.

• Analyze claims data to identify trends, insights, and opportunities for program enhancement.

Requirements

• Possess a Bachelor's degree or equivalent experience and 3+ years experience managing Workers' Compensation claims (ideally in at least, CA and IL)

• Experience presenting to and talking with employers to enhance claims management

• Exhibit a thorough understanding of workers' compensation laws, regulations, and claims best practices, including effective strategies for timely claim reporting, medical management, and return-to-work programs.

• Excellent communication and advocacy skills

• Be a self-starter with the capacity to work independently and manage multiple priorities effectively within a dynamic, fast-paced, and evolving startup environment.

Preferred

• Showcase strong analytical and problem-solving skills, with experience in claims auditing and performance analysis, and maintain proficiency with claims management systems and data analysis tools.

• Display excellent communication, negotiation, and interpersonal skills, enabling effective engagement and influence with internal and external stakeholders, and possess a proven ability to advocate effectively for both policyholders and claims examiners.

• Technology oriented: Google Suite, Hubspot, Slack, among other tools.

Compensation

CompScience is committed to fair and equitable compensation practices. The annual salary range for this role is $80,000 $120,000. Compensation is determined within the range based on your qualifications and experience. Our total compensation package also includes equity and comprehensive benefits.

Benefits at CompScience

• Fast-paced startup environment where your ideas can quickly become reality

• Opportunity to wear multiple hats and grow beyond your job description

• Remote-first culture with home office support

• Comprehensive health benefits (Medical, Dental, Vision, HSA)

• 401(k) plan and life insurance

• Flexible time off and 12 weeks parental leave

• Professional development reimbursement

Our Ideal Teammate

• Thrives in a fast-paced startup and is comfortable navigating ambiguity

• Excited to wear multiple hats and grow rapidly

• Committed to our mission of saving lives through technology