Claims Analyst

This is a fully remote position, open to applicants in Missouri.

📋 Description

• Assist with daily claims administration and service requirements for clients within a designated portfolio of TPA business.

• Evaluate new and ongoing claims for coverage, reserve sufficiency, compensability, and suitable management; escalate any issues.

• Track claim activity, diary dates, and significant milestones; follow up on overdue or stagnant cases.

• Recognize large, litigated, or high-severity claims and provide appropriate reporting and escalation.

• Collaborate with adjusters, carriers, and third-party vendors regarding claim status, settlement authority, subrogation, and recovery opportunities.

• Act as the primary contact for daily inquiries regarding claims, status requests, and documentation needs.

• Assist with the claim intake and first notice of loss processes.

• Address information requests from clients, carriers, and adjusters.

• Update the record system with conversations, communications, and claim documentation.

• Prepare for and engage in client claim reviews, ensuring follow-up on action items.

• Acquire, verify, and reconcile loss runs and claim data.

• Generate regular and ad hoc claim reports, loss summaries, and trend analyses.

• Establish and nurture relationships with carrier claims representatives, TPA partners, adjusters, and vendors.

• Address and escalate any service issues with carriers or vendors and ensure resolution.

⛳️ Requirements

• Possess or be willing to obtain the necessary Insurance licenses as mandated by the Company.

• A minimum of 2 years of experience in claims administration, handling, or analysis within a Property & Casualty brokerage, carrier, or TPA setting.

• Understanding of Property & Casualty claims, coverage, and loss run data.

• Capability to adhere to procedural guidelines and processes.

• Strong analytical and problem-solving skills, including comfort with claim data and reports.

• Ability to maintain tact and composure under pressure while addressing sensitive or time-sensitive claim matters.

• Excellent communication, interpersonal, and negotiation skills.

• Proven ability to work productively in team settings.

🏝️ Benefits

• Health Benefits: Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance

• Financial Benefits: ESPP; 401k; Student Loan Assistance; Tuition Reimbursement

• Mental Health & Wellness: Free Mental Health & Enhanced Advocacy Services

• Paid Time Off

• Holidays

• Preferred Partner Discounts