Complex Claims Analyst | Commercial Trucking | Bodily Injury

About the role

To prospectively identify complex claims issues and complaints; to strategically triage referrals to the appropriate examiner or complex claims advisors for handling; or to independently handle and expedite resolution of less complex complaints and/or claim issues.

Responsibilities

• Analyzes data to identify complex claims requiring further intervention through triaging internal referrals, complaints from regulatory agencies and external entities.
• Proactively and strategically triages complex claim issues or complaints; determines the most appropriate resource to resolve.
• Uses knowledge of all aspects of claims handling in evaluating the issue for expedited handling or assignment for continued handling.
• Articulates and documents clear and concise file notes to allow stakeholders to understand the issue evaluation and determination.
• Provides technical direction, feedback, and resolution on specified claims.
• Performs other duties as assigned.
• Supports the organization's quality program(s).

Qualifications

Education & Licensing

• Five (5) years of liability claims experience or equivalent combination of experience and education required.
• Specific jurisdictional expertise preferred.
• Bachelor's degree from an accredited college or university preferred.
• Industry designation(s) preferred.
• Licenses as required for specific jurisdictions.

Skills & Knowledge

• Subject matter expertise in liability and transportation claims processing
• Ability to obtain and maintain appropriate licensing
• Ability to manage claims across multiple jurisdictions
• Excellent oral and written communication skills
• PC literate, including Microsoft Office products
• Strong analytical and interpretive skills
• Strong organizational skills
• Strong time management skills
• Excellent interpersonal skills
• Ability to work in a team environment
• Ability to meet or exceed Service Expectations

Work environment

• Physical: Computer keyboarding
• Auditory/visual: Hearing, vision and talking
• Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.