5 дней назад
Claims Analyst (Complex Claims)
42 400 - 80 000$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Claims Analyst (Complex Claims/Insurance): Managing complex commercial insurance claims, reviewing coverage positions, and coordinating claim resolution with clients, carriers, adjusters, and internal service teams with an accent on coverage analysis, claims documentation, and client advocacy. Focus on evaluating disputed or denied claims, strategizing next steps across multiple carriers or coverage layers, and maintaining timely status updates through resolution.
Location: Remote, hybrid, or onsite options are indicated; the role includes 15%–20% travel and occasional extended work hours for client meetings and industry functions.
Base salary: $42,400–$80,000 annually. The role may also include performance-based incentives.
Company
’s Momentous Insurance, a Agency business, provides commercial, entertainment, film and television, employee health and benefits, and private client insurance solutions across North America.
What you will do
- Manage assigned complex claims independently, maintaining claim files, event systems, diaries, tender documentation, and coverage records.
- Review and summarize coverage positions, including denials and reservations of rights, and provide analysis and recommendations to clients.
- Coordinate with adjusters, defense counsel, insurance carriers, clients, producers, and internal service teams to move claims toward resolution.
- Develop strategies and recommend next steps for claims involving multiple carriers or layers of coverage.
- Monitor claim progress, provide routine status updates, identify coverage obstacles, and escalate issues when intervention is required.
- Build effective client and carrier relationships to provide claims advocacy and support.
Requirements
- Four years of professional office experience directly related to the role.
- Experience with claims management, claim documentation, coverage analysis, and client communication.
- Proficiency with personal computers and Microsoft Office applications, including Word, Excel, and PowerPoint.
- Strong organization, prioritization, problem-solving, and written and oral communication skills.
- A valid driver’s license and reliable transportation.
- Ability to work at a computer for extended periods and accommodate occasional 10–12-hour workdays.
Nice to have
- Bachelor’s degree or advanced paralegal certificate.
- Additional claims-management education through seminars, independent study, or industry resources.
Culture & Benefits
- Inclusive workplace culture focused on colleague well-being and professional development.
- Health and welfare benefits, retirement programs, and employee assistance programs.
- Generous paid time off and tuition reimbursement.
- Charitable contribution matching and stock purchase opportunities.
- Occasional overnight travel, typically one to two trips per year, may be required.
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