Associate Analyst - Claims or Claims Sr - Beaumont TX

Military Spouse Corporate Career Network • Beaumont, TX

4d • Onsite

About The Position

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 (Specialists, etc.) by setting-up claim files, performing data-entry, setting-up payees as 'vendors,' processing claim payments, attaching documents to claims electronically, etc. This role is 'On-Site' at the location detailed in the job post.

Requirements

• High School Diploma or equivalent required.
• 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.
• 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.

Nice To Haves

• Associates degree.
• Licensed Claims Adjuster (may be secured after period of employment begins).
• Claims, paralegal, administrative, secretarial, etc. certifications.

Responsibilities

• Investigates and either denies or negotiates/settles smaller Liability, Workers' Compensation or Public-Damage-Recovery (subrogation) claims (generally 'Fast track' claims) in accordance with best practices and company guidelines.
• Creates claim files in database for self and Specialists, perform data-entry, process claim payments to vendors and claimants, properly credit money received through Accounts Receivable process.
• Documents investigation results and all activity in appropriate claims management database.
• Scans and attaches documents to claims electronically for self and Specialists within team (Liability, Workers' Compensation or Public-Damage-Recovery).
• Interacts with vendors regularly (i.e.: those that repair vehicle rut damage, review medical bills for adherence to State workers' comp fee schedules).
• Interacts with internal field employees during claim investigations.
• Handles 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.
• Participates in Safety training/reporting programs, on process improvement teams, on storm response teams and in acts of volunteerism.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED