Claims - Reporting Specialist II

About the role

The Claims Reporting Specialist II plays a crucial role in interpreting data requests, communicating with internal and external customers, and reporting claims data on a recurring basis. This individual ensures data accuracy, completeness, and timely delivery of reports, contributing to continuous improvement efforts by identifying opportunities to enhance reporting processes, optimize data quality, and partner with data analysts to increase efficiency through automation and standardization.

Responsibilities

• Timely responses to data calls and other requests from states and regulatory entities
• Review and interpret statutory requests to identify procedures for compliance, eliciting input from other departments when needed
• Process and submit data to state regulatory entities related to medical malpractice, workers compensation, catastrophe-related data, or other claim related reporting for statutory bodies, agents, and/or insureds
• Independently extract data using various claims tools
• Collaborate with other analysts on the team and external customers to compile data and streamline processes
• Collaborate with other departments to ensure superior data quality across systems
• Maintain efficient and effective processes by documenting and updating the steps for each unique reporting request
• Demonstrate autonomy to find resolution on reporting issues
• Assist with training and other reporting assignments as needed

Requirements

• Keen attention to detail
• Strong written and verbal communication skills
• Strong analytical and problem-solving skills
• Understanding of internal claim applications and the relationship to reporting
• Ability to understand and interpret reporting requirements written in a variety of formats and jargons
• Ability to work and communicate effectively with co-workers, external, and internal customers
• Intermediate Microsoft Excel skills, including knowledge of v lookups, pivot tables, and other functionality

Qualifications

• Knowledge of insurance industry, including experience with claims or related insurance area
• 2+ years of experience with workers’ compensation claims or reporting (claims or otherwise)
• Ability to understand and interpret reporting requirements written in a variety of formats and jargons
• Ability to work and communicate effectively with co-workers, external, and internal customers
• Intermediate Microsoft Excel skills, including knowledge of v lookups, pivot tables, and other functionality
• 3+ years of relevant work experience, or an equivalent combination of education and experience

Skills

• Keen attention to detail
• Strong written and verbal communication skills
• Strong analytical and problem-solving skills
• Understanding of internal claim applications and the relationship to reporting
• Ability to understand and interpret reporting requirements written in a variety of formats and jargons
• Ability to work and communicate effectively with co-workers, external, and internal customers
• Intermediate Microsoft Excel skills, including knowledge of v lookups, pivot tables, and other functionality

Benefits

Starting pay: The pay range for this position is $40,000 - $47,000 annually. Pay is based on the applicant’s education, experience, location, knowledge, skills and abilities. Eligible associates may also receive an annual cash bonus and stock incentives based on company and individual performance.

Enjoy Benefits And Amenities Your commitment to providing strong service, sharing best practices and creating solutions that impact lives is appreciated. To increase the well-being and satisfaction of our associates, we offer a variety of benefits and amenities. Learn more about our benefits and amenities packages.