Claims Analyst II

At Towne Park, it’s more than a job—you can make an impact. A career with us is rewarding in more ways than one. As a hospitality services company, our commitment is to create smiles by delivering exceptional experiences. When you work with us, you have an opportunity to impact the millions of patients, visitors, and guests we proudly serve. Whether providing compassionate service that eases the anxiety of a patient and their family, creating a memorable experience for a guest in a new city, or helping a colleague, every day is a new opportunity to brighten someone else’s day and make an impact.

About the Role

The Claims Analyst II will perform a range of functions around claims oversight and administration, including the receipt, review, and processing of claims received by Towne. This position will assist Towne’s field personnel, external customers, other workers in Towne’s Claims Department, and outside claims TPAs as assigned.

Responsibilities

• Reviews claims documentation, including estimates and expense bills/invoices received from various sources pertaining to claim files.
• Analyzes, reviews, and oversees claims within designated dollar thresholds; consults with the Claims Manager or others in the department for assistance as needed.
• Communicates with Towne’s field personnel, internal staff, claims TPAs, outside lawyers, insurance companies, and other vendors as needed.
• Acts as a liaison between corporate and field offices to coordinate gathering information for proper responses to claims TPAs and defense counsel.
• Handles inquiries and requests from outside attorneys, insurance companies, and individuals regarding claim files or other matters.
• Manages incoming phone calls and emails.
• Complies with all state and federal laws and company policies and procedures.
• Assists internal and external parties with questions and inquiries regarding claims and/or payments.
• Assists with rental car assignments and sets up new claim files in Towne systems when requested.
• Documents claim files in internal Towne system(s).
• Handles collections and subrogation matters, including intercompany arbitration (Arb Forums).
• Initiates correspondence for reimbursement demands and responds to incoming demands from subrogating entities.
• Transmits documents and other items to claims TPAs utilized by Towne.
• Responds to frequent requests for information, status updates, and other inquiries from Towne field personnel via email, Teams, or phone.
• Works independently or in a group to handle and complete special projects as assigned.
• Partners with the Claims Manager and Claims Director to provide support for various claims, including some in litigation.
• Provides claims TPAs with settlement authority up to $25,000.
• Partners with the Claims Manager and Claims Director on projects and development of procedural and process documentation.

Requirements

• High school diploma or general education degree (GED); some college preferred.
• Six to twelve months (or more) of insurance claims-related experience.

Qualifications

• Strong understanding of insurance claims processes and procedures.
• Interest and willingness to learn about claims and litigation topics relevant to the company and department.
• Understanding of self-funding, self-insured retentions, and third-party administration (TPA) concepts.
• Computer proficiency and technical aptitude with advanced functions of MS Office (Excel, Word, Outlook), the internet, and various internal/external claims applications and databases.
• Excellent verbal and written communication skills, with the ability to communicate effectively with internal and external stakeholders, including vendors, business partners, and attorneys.
• Ability to work independently, prioritize tasks, and manage time efficiently while developing realistic action plans.
• Ability to manage multiple projects simultaneously under pressure to meet deadlines.
• Strong problem-solving skills, including the ability to gather and analyze information effectively.
• Ability to exercise good judgment and discretion in processing and documenting claim files.
• Ability to read, analyze, and interpret business correspondence, instruction guides, and training materials.
• Ability to speak clearly and persuasively in positive or negative situations, including group presentations and meetings.
• Basic mathematical skills (addition, subtraction, multiplication, division).
• Ability to define problems, collect data, establish facts, and draw valid conclusions.
• Ability to interpret a variety of instructions in written or diagram formats.

Pay

The annual base pay range for this position is $62,000 - $68,000.

Benefits

• Medical, dental, and vision insurance.
• Accident insurance, critical illness insurance, hospital indemnity insurance, and telemedicine benefits.
• Company-paid basic life and AD&D insurance.
• Short-term and long-term disability.
• 401k retirement savings plan.
• Paid Time Off (PTO): Employees accrue 0.0654 hours of PTO per hour worked, up to a maximum of 136 hours per calendar year.
• 6 paid holidays per calendar year.
• Up to 4 paid floating holidays per calendar year.
• Eligibility for annual incentive bonuses depending on job classification and policy guidelines.

Schedule

This is a full-time position. Eligibility requirements apply to some benefits and may depend on job classification and length of employment.

Working Conditions & Physical Demands

• Regularly required to talk and hear.
• Frequently required to sit or stand for extended periods; may need to run, walk, handle objects, reach with hands and arms, climb stairs, balance, stoop, kneel, crouch, or crawl.
• Specific vision abilities required include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.
• Minimal lifting required; may periodically lift up to 20 pounds or move objects weighing up to 50 pounds.
• Majority of work performed in a climate-controlled environment; may be exposed to inclement weather and varying temperatures when traveling.
• Travel up to 5% of the time.