Complex Claims Analyst

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

📋 Description

• Evaluate mid- and higher-level general auto claims to assess the extent of damages.

• Ensure the continuous adjudication of claims in accordance with company standards and industry best practices.

• Identify opportunities for subrogation and negotiate settlements.

• Oversee mid-level and higher-level claims for both commercial and personal auto lines.

• Analyze liability and resolve claims based on evaluations.

• Authorize and process assigned claims, determine the benefits owed, and manage the action plan in line with the claim or client contract.

• Communicate claim actions effectively with claimants and clients.

• Ensure that claim files are thoroughly documented and that claims coding is accurate.

• Foster and maintain professional relationships with clients.

⛳️ Requirements

• Bachelor’s degree from an accredited institution is preferred.

• A minimum of four (4) years of claims management experience or a relevant combination of education and experience is required.

• Expertise in pertinent insurance principles and laws.

• Exceptional oral and written communication abilities.

• Proficient in PC usage, including Microsoft Office applications.

• Strong analytical and interpretive skills.

• Excellent organizational capabilities.

• Outstanding interpersonal skills.

• Strong negotiation skills.

🏝️ Benefits

• Medical, dental, and vision coverage.

• 401(k) plan with matching contributions.

• Paid time off (PTO).

• Disability and life insurance.

• Employee assistance programs.

• Flexible spending or health savings accounts.