Claims Analyst - Guaranteed Asset Protection

Job Duties and Responsibilities

• Adjudicate Claims
• Investigate and determine appropriate application of coverage.
• Makes recommendations to management for settlement amounts outside of authority limits.
• Accurately evaluate and determine settlement of complex/specialty claims.
• Proficiently understand the use of policy coverage and be able to recognize questionable coverage and situations that will require supervisor involvement.
• Review all claim assignments in detail.
• Ensure proper diary management on all claims.
• Manage the full-life cycle of all assigned claim files.
• Requires a deep technical expertise and ability to utilize multiple systems to handle/process claims.
• In depth understanding of overall claim operations and key stakeholders.
• Excellent oral, written, interpersonal communication and keyboarding skills along with the capacity to multi-task in a structured work environment.
• Follow all regulatory and jurisdictional requirements associated with state regulations and guidelines.
• Serves as a resource for less experienced staff, providing training and support as appropriate.
• Recognizes and solves obstacles that occurs in the claims process without supervisory approval.
• Able to clearly communicate concise action plans, and present plans for moving the claim to conclusion.
• Involve supervisor when handling claims that trigger special service instructions.
• Exercises proper judgment and decision making to analyze the claims exposure, to determine the proper course of action and to appropriately settle the claim.
• Interacts extensively with various parties involved in the claim process.
• Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges.
• Analytical skill necessary to make decisions and resolve complex issues inherent in handling losses.
• Uses discretion and independent judgment in claim handling.
• Makes decisions in an informed, confident and timely manner.
• Promised track record of handling specialty or complex claims.
• Service Delivery to customers
• Promptly answer inbound calls.
• Maintain a record of call regarding claims in appropriate system.
• Effectively communicate to clients/borrower.
• Promptly and efficiently respond to all email communications (4-8 hrs).
• Follow policy/procedures regarding calls.
• Thoroughly resolve client escalations for their assigned financial institutions and assist with resolution of any other escalations as assigned by leadership.
• Thorough understanding of claims compliance and state mandated regulations.

Qualifications

• High School Diploma or GED required.
• 5-7 years of work-related experience required.
• Requires Property and Casualty license in states Allied does business.