Associate Claims Analyst

Position Summary

The Associate Claims Analyst plays a crucial role within the Claims department by responding to insureds after an incident has been reported, providing timely and clear communication regarding their potential claim. Additionally, the analyst is responsible for the investigation, evaluation, and resolution of claims, with a primary focus on pre-litigation claims.

Essential Duties And Responsibilities

• Conduct claim investigations including, but not limited to, assessment of policy coverage and evaluation of liability, causation, and damages, moving claims towards resolution
• Communication with insureds, claimants, and attorneys, including, but not limited to, timely communication regarding claim status and resolution
• Aid insureds with inquiries prior to/in lieu of formal claim handling
• Timely and accurate claim file documentation
• Review medical and dental records and supporting documentation to evaluate claims
• Prepare case summaries and present claims for committee meetings
• Set timely and reasonable indemnity and expense reserves
• Prepare settlement authority requests and conduct settlement negotiations, when appropriate

Qualifications

• Bachelor’s Degree required; might consider a demonstrated equivalent professional experience
• 1-2 years’ experience in the legal, insurance, medical, or claims management field, preferred. May consider educational background in lieu of related work experience
• Proven relationship management expertise
• Working understanding of medical records
• Might consider Microsoft Office Suite proficiency with emphasis on Word, Excel and PowerPoint

Competencies

• Ability to productively interact with policyholders, legal professionals, external vendors, management, and board members
• Effective written and oral communication skills to provide information in a clear and concise manner and to communicate with variety of stakeholders
• Strong critical thinking/problem solving skills
• Ability to multi-task in a fast-paced environment
• Strong analytical skills to gather information, analyze facts and make recommendations
• Ability to prepare robust reporting, as well as provide broad scope overview and summary
• Strong negotiation skills

Physical Demands

• Occasionally (several times a week) lifts, carries, or otherwise moves and positions objects weighing up to 10 pounds while fulfilling responsibilities
• Frequently sits for long periods at a time

Work Environment

Performs work in an office environment (hybrid opportunity at manager’s discretion)

Schedule

Hybrid work schedule

Benefits

• Medical, Dental, and Vision Insurance
• 401(k) Short and Long-term disability
• Life Insurance
• Employee Assistance Program
• Free onsite fitness center membership
• Long-term incentive plan
• Education Assistance and rewards program
• Paid Time Off
• Paid Holidays
• Paid parental leave