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Claims Oversight Associate
Job Description: Claims Oversight Associate
Job Title: Claims Oversight Associate
Location: Hybrid – California
Reports To: Claims Oversight Manager
Department: Commercial Lines / Claims
FLSA Status: Non-Exempt
Location: Hybrid – California
Reports To: Claims Oversight Manager
Department: Commercial Lines / Claims
FLSA Status: Non-Exempt
Job Purpose
ALKEME Insurance is a rapidly growing, nationally recognized insurance brokerage with more than 1,300 employees across 80+ agencies nationwide—and continuing to expand. Guided by our mission to empower growth and redefine insurance through innovative solutions, trusted partnerships, and a collaborative culture where everyone thrives, we are building the agency of the future. Our vision brings people and technology together to transform the insurance experience and create lasting impact. At ALKEME, opportunity drives everything we do.
As ALKEME continues to scale nationally, we are seeking a detail-oriented and proactive Claims Oversight Associate to support and facilitate the workers’ compensation claims process. This role ensures responsive service, proper claims reporting, and ongoing coordination between clients, carriers, and internal stakeholders.
The Claims Oversight Associate plays a critical role in monitoring claim activity, managing communications, reviewing reserves, generating reports, and ensuring claims move efficiently through the lifecycle. This position partners closely with clients, adjusters, and carrier representatives to maintain service excellence and protect client interests.
ALKEME Insurance is a rapidly growing, nationally recognized insurance brokerage with more than 1,300 employees across 80+ agencies nationwide—and continuing to expand. Guided by our mission to empower growth and redefine insurance through innovative solutions, trusted partnerships, and a collaborative culture where everyone thrives, we are building the agency of the future. Our vision brings people and technology together to transform the insurance experience and create lasting impact. At ALKEME, opportunity drives everything we do.
As ALKEME continues to scale nationally, we are seeking a detail-oriented and proactive Claims Oversight Associate to support and facilitate the workers’ compensation claims process. This role ensures responsive service, proper claims reporting, and ongoing coordination between clients, carriers, and internal stakeholders.
The Claims Oversight Associate plays a critical role in monitoring claim activity, managing communications, reviewing reserves, generating reports, and ensuring claims move efficiently through the lifecycle. This position partners closely with clients, adjusters, and carrier representatives to maintain service excellence and protect client interests.
Key Responsibilities
1. Claims Reporting & Client Support
- Assist clients with proper reporting of loss information to appropriate insurance carriers.
- Deliver courteous, same-day service and advise clients on claims processes.
- Respond to customer inquiries within 24 hours regarding loss status and documentation.
- Coordinate communication between clients and claims adjusters as necessary.
- Ensure timely forwarding of legal notices to appropriate personnel.
2. Claims Oversight & Monitoring
- Follow up with insurance companies to ensure claims do not become stagnant.
- Monitor reserves and closing amounts with carriers on a regular basis.
- Notify relevant parties of severe losses or reserves exceeding $25,000.
- Maintain monthly loss history and report findings to clients.
- Review and analyze experience modification factors (X-Mods) at renewal.
3. Reporting & Documentation
- Generate regular claim reports for management and clients.
- Document significant conversations related to exposures and incidents.
- Communicate with carriers and the WCIRB on loss corrections.
- Adhere to established systems, procedures, and carrier regulations.
4. Relationship Management
- Cultivate strong working relationships with claims managers and supervisors.
- Serve as liaison between agency, clients, and insurance carriers.
- Perform additional duties as assigned by management.
Qualifications
Education & Experience
- College education or equivalent insurance experience recommended.
- California claims knowledge or experience preferred.
- Workers’ compensation knowledge strongly preferred.
- Experience in a fast-paced, multi-tasking environment.
Knowledge, Skills & Abilities
- Self-starter mentality with excellent verbal and written communication skills.
- Basic understanding of workers’ compensation insurance.
- Proficiency with Microsoft Word, Excel, and general computer systems.
- Strong organizational skills and attention to detail.
- Ability to manage extended periods of desk and computer work.
Working Conditions
- This role requires regular travel within the assigned region (up to 25%).
- Work is primarily remote or field-based, with occasional visits to corporate offices or acquisition sites.
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