Claims Analyst

Cynet Systems•San Diego, CA

About The Position

This Level I claims role investigates, analyzes, and resolves recovery and subrogation claims when third parties damage company facilities, property, or equipment. The position may also handle general liability and property damage claims, including assessing potential liability for personal, casualty, bodily injury, business-loss, and property-loss or damage claims and working toward settlement with claimants. The role oversees claims processing and payments to third-party providers, monitors charges, verifies payment accuracy, issues denial letters, and requests follow-up information. It also sets up claims and reviews payment reports for accuracy and compliance. The position has settlement authority up to $15,000.

Requirements

  • At least 3 years of claims administration or investigation, liability analysis, and case-management experience.
  • A bachelor's degree in Business or a related field, or equivalent training and/or experience.
  • Strong claims investigation and liability-analysis skills.
  • Strong verbal and written communication skills and the ability to handle difficult conversations professionally.
  • Strong organization, attention to detail, responsiveness, and ability to work independently.

Nice To Haves

  • Subrogation and multi-line casualty experience.

Responsibilities

  • Investigate, analyze, and resolve recovery and subrogation claims, and potentially liability and property damage claims.
  • Determine appropriate claim resolutions and assess the extent of insurance liability.
  • Gather and analyze evidence and interview involved parties.
  • Maintain claim documentation and support claim setup and other administrative claims functions.
  • Negotiate resolutions with customers, claimants, and insurers, including attempting to settle claims.
  • Pursue recovery when third parties damage company property, facilities, or equipment.
  • Oversee claims processing and payments to third-party providers, monitor charges, and verify that claims are paid correctly.
  • Send claim denial letters and follow-up requests for information.
  • Review payment reports for accuracy and compliance.
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