About this role
Job title: Associate Analyst-Claims
About the Role Investigates and resolves Liability, Workers' Compensation or Public-Damage-Recovery (subrogation) claims with generally less than $1,500 exposure ('fast-track' claims), while providing administrative support for those handling more complex claims by setting up claim files, performing data-entry, setting up payees as 'vendors,' processing claim payments, and attaching documents to claims electronically.
What You'll Do
- Investigate, deny or negotiate/settle small Liability, Workers' Compensation, or Public-Damage-Recovery (subrogation) claims (generally 'Fast track' claims) in accordance with best practices and company guidelines.
- Create claim files in the database for self and Specialists, perform data-entry, process claim payments to vendors and claimants, and properly credit money received through Accounts Receivable process.
- Document investigation results and all activity in the appropriate claims management database; scan and attach documents to claims electronically for self and Specialists within the team (Liability, Workers' Compensation or Public-Damage-Recovery).
- Interact with vendors regularly (e.g., those that repair vehicle rut damage, review medical bills for adherence to State workers' comp fee schedules) and with internal field employees during claim investigations.
- Handle specific assignments and projects, such as maintaining DOT Vehicle Accident Log, tracking statistics/results on Excel spreadsheets, coordinating department 'recycling' program, mailing Safety information to customers, distributing Claims instructional & contact packets of information to internal customers, serving on building Safety teams and as Fire Warden, presenting monthly status reports to management, etc.
- Participate in Safety training/reporting programs, on process improvement teams, on storm response teams and in acts of volunteerism.
What We're Looking For
- Education: High School Diploma or equivalent required; Associates degree preferred.
- Experience: Associate Analyst-Claims: 3 years of property & casualty claims experience, litigation paralegal/secretarial work or equivalent experience. Associate Analyst-Claims, Sr: 7 years of property & casualty claims experience, litigation paralegal/secretarial work or equivalent experience.
- Knowledge, Skills & Abilities: Ability to investigate, evaluate, resolve, document and report on high volume of small Liability, Workers' Compensation and/or Public-Damage-Recovery (subrogation) claims; understand elements of legal liability; ability to communicate with all levels throughout an organization, accept push-back and criticism, say 'no' in response to customer/claimant/employee demands, prioritize work, operate Word/Excel/web-based/etc. computer applications, and understand when to bring issues to the attention of others through 'dotted-line' and formal reporting structures. Successfully answer required behavior-based questions.
- Licenses/Certifications: Licensed Claims Adjuster (may be secured after period of employment begins). Desired: Claims, paralegal, administrative, secretarial certifications.
Nice to Have
- Certifications in claims, paralegal, administrative, or secretarial areas are a plus.