Claims Analyst analyzes and reviews insurance claims for accuracy, completeness, and eligibility. Reviews claims for eligibility to be reimbursed. Being a Claims Analyst maintains updated records and prepares required documentation. Assists in controlling the cost of processing claims. Additionally, Claims Analyst contacts policyholders about claims and may provide information regarding the amount of benefits. May require a bachelor's degree or its equivalent. Typically reports to a supervisor or manager. The Claims Analyst gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Claims Analyst typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
Associate Casualty Claims Adjuster
SUMMARY
Entry level position to adjust first and third-party claims involving complex losses.
ESSENTIAL DUTIES & RESPONSIBILITIES
• Complete the claims training program through classroom study, hands on training, and independent study. The training program lasts approximately six months but is determined on a case by case basis.
• Investigate, evaluate, and conclude casualty claims of complex nature. Adjustment of losses in excess of $5,000 required.
• Aptitude for first and third-party claims.
• Collaborate with teammates to effectively navigate claims.
• Investigate and evaluate coverage issues.
• Consistently support company, departmental, and managerial decisions through positive interpretation, application and communication of company information and policies to fellow employees, agents, and customers.
• Perform special projects as assigned.
REQUIRED SKILLS & ABILITIES
• Must be coachable and learn from constructive criticism.
• Must have excellent verbal and written communication skills.
• Strong organizational skills required.
• Sound judgement and problem-solving skills required.
• Excellent computer skills required.
• Ability to read, analyze, and interpret general business reports, company manuals, technical procedures, or governmental regulations.
• Ability to write reports, business correspondence, and procedure manuals.
• Ability to effectively present information and respond to questions from managers, clients, customers, and the general public.
EDUCATION &/OR EXPERIENCE
• College Bachelor’s degree preferred. Consideration will be given to applicants with an associate's degree. Work experience in the property/casualty insurance industry is preferred but not required.
• Individuals and who have demonstrated a desire to learn through the completion of various IIA/CPCU or other recognized industry courses desired.
• Continued learning through additional courses may be required by the Manager.
PHYSICAL REQUIREMENTS
• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit, reach with hands and arms to operate computer keyboard, talk and hear. The employee is occasionally required to stand and walk. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision, and ability to adjust focus.
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