Claims Analyst

BCS Financial Corporation•Oakbrook Terrace, IL

9h•$62,500 - $78,100•Hybrid

About The Position

The Claims Analyst requires strong analytical skills, attention to detail, knowledge of claims processing, and the ability to interpret complex claim data and payment rules. The candidate must be able to identify discrepancies, resolve claim issues, communicate with internal teams or external parties, and maintain compliance with organizational and regulatory requirements. This position will report to the Claims Lead, Tiffany McKenzie.

Requirements

Bachelor’s degree required
5-7 years of claim handling experience

Nice To Haves

Completion of a major insurance designation, or actively pursuing insurance related courses is preferred.

Responsibilities

Accurately document claim files with all relevant claim documentation, correspondence and notes in compliance with company policies and applicable regulatory authorities
Verify, issue and review claim payments for accuracy, contractual adjustments and reinsurance treaty adjudicator.
Reconcile payment inaccuracies and process refunds.
Assist in the evaluation, development, and execution of the Specialty Risk Department claim programs bi-annual audits.
Support internal and external audit activities by preparing documentation, validating data, and assisting in audit responses.
Communicate with clients, brokers, and underwriters to gather information, clarify details, and provide claim loss report reports.
Contribute and assist in the implementation of a wide range of initiatives, discussion and action plans brought forth by management.
Assist and maintain workflow instructional material to support the Specialty Risk business continuity process.
Investigate insurance policy coverage, determine cause of loss, and document activity on each claim to come to a resolution quickly and accurately.
Participate in agent-related functions and meetings as required.