Claims Analyst, North American Claims Group

Allied World Assurance Company • Farmington, NM

3d • $80,000 - $90,000

About The Position

The Claims Analyst investigates, evaluates, and resolves insurance and reinsurance claims across multiple lines of business. The role manages a broad and vigorous claims caseload, assesses coverage and reserves, investigates matters, and prepares coverage correspondence. It also involves managing litigation and settlements, collaborating with insureds, brokers, counsel, underwriters, reinsurers, and other internal departments, and providing service to internal and external customers. The Claims Analyst prepares claim and management reports, supports audits, attends industry meetings, and contributes to cross-functional projects involving areas such as underwriting, finance, accounting, actuarial, operations, and technology.

Requirements

• University degree.
• 0–3+ years of claims experience.
• Excellent communication skills and an independent work style.
• Strong writing and organizational skills.
• Strong negotiation skills and technical writing experience.
• Ability to multitask, prioritize, and interact with all levels inside and outside the company.
• Proficiency in Microsoft Word, Excel, and Outlook.
• Knowledge of claims, legal, and coverage issues across jurisdictions.
• Compliance with multi-state adjuster licensing requirements.

Responsibilities

• Efficiently manage a vigorous caseload of claims across a broad spectrum of accounts and coverages.
• Analyze claims across multiple lines of business.
• Review incoming documents to verify coverage and establish case reserves and, where necessary, Additional Case Reserves (ACRs).
• Promptly investigate matters, analyze coverage, and draft accurate and timely coverage correspondence.
• Verify financial information and process payment requests, applying reinstatement offsets where appropriate.
• Manage litigation by interacting effectively with insureds, brokers, defense counsel, and other parties as required.
• Instruct and collaborate with counsel regarding litigation strategy and claim resolution.
• Negotiate and resolve claims within delegated authority.
• Represent the company in claim resolution and participate in legal proceedings, including mediations.
• Conduct claim reviews at ceding companies when requested.
• Interact with underwriters concerning renewals, prospective accounts, and individual claims.
• Meet with existing or prospective insureds and brokers.
• Liaise with other departments and provide assistance as needed.
• Prepare claim summaries, executive reports, and other management reports as necessary.
• Generate reports and work on special projects as needed.
• Attend and/or present at relevant industry conferences and meetings.
• Assist with claims-related queries in internal and external audits.
• Work with reinsurers as needed.

Benefits

• Health insurance
• Dental insurance
• Disability insurance
• Company match 401(k) plan
• Group term life insurance
• Annual incentive compensation rewards may be included as part of the total reward package
• Structured coaching program
• Learning and development tools and resources

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level