Claim Sys Ops Analyst

Crawford & Company • Lake Zurich, IL

119d

About The Position

Under general supervision, provides a variety of critical operational support services to the Claim Department, its business partners and its clients. The role involves managing and participating in various projects assigned to Claim Operations, such as Take Overs, Reverse Take Overs, and Novations/Buybacks. The position requires effective customer relations skills, sound analytical skills, and a comprehensive knowledge of claim system functions and the relationship of client information to accurate claim processing and reporting.

Requirements

• Education equivalent to graduation from college or equivalent in related work experience.
• Two or more years of experience in BSI Claim Systems/Operations or equivalent.
• Demonstrates effective customer relations skills.
• Demonstrates sound analytical skills.
• Demonstrates comprehensive knowledge of claim system functions.
• Ability to work accurately with attention to detail and customer expectations.
• Effective and diplomatic oral and written communication skills.

Responsibilities

• Manages and participates in various projects assigned to Claim Operations for handling to completion.
• Initiates the Break Payment Process within Focus at the request of the Finance Department.
• Sends notification to field claim offices regarding effective dates of break payments and when they are lifted.
• Monitors the break payment report and maintains a list of clients on break payment and the reasons.
• Handles all Prefund requests from the Finance Department.
• Updates the contract number table with Clients Large Check Limits.
• Notifies claim offices of prefund requests and approval/release of pending payments.
• Monitors daily all payments still pending and follows up with Finance on outstanding items.
• Attends weekly prefund meetings with Manager, Claim Exec, and Finance.
• Manages the Priorities List and weekly priority meeting.
• Formats, tags, uploads, and maintains required State forms in various claim systems.
• Creates and maintains form letters and templates in various claim systems.
• Maintains all indexes and reports related to forms, letters, templates, and state attachments.
• Creates, updates, and maintains manuals and provides assistance/input for Claim Department Manuals.
• Provides backup coverage to others in Claim Operations as needed.
• Assists in the analysis of internal operational procedural changes/workflows and requirements.
• Determines business impact and recommends or initiates appropriate action.
• Assists in the research, writing, publishing, and maintenance of operating procedures and user manuals.
• Provides guidance and training to Claim Offices on existing claim systems and procedures.
• Assists various BSI and Kemper Departments in identifying, researching, and correcting data errors.
• Develops and maintains favorable working relationships with internal and external customers.
• Keeps abreast of internal claim system changes and developments that impact the Claim System/Operations area.

What This Job Offers

• Industry: Insurance Carriers and Related Activities
• Education Level: Bachelor's degree