Claims Analyst

One80Remote - New Hampshire, NH

About The Position

The Claims Analyst will be responsible for meticulously reviewing, analyzing, and processing insurance claims to ensure accuracy, compliance, and timely resolution. This role requires a keen eye for detail and strong analytical skills.

Requirements

  • Bachelor's degree in Business Administration, Finance, or a related field; or equivalent work experience.
  • 1-3 years of experience in claims analysis or a related insurance role.
  • Knowledge of insurance principles, practices, and regulations is highly desirable.

Nice To Haves

  • Experience with Property, MTC (Motor Truck Cargo), Builder's Risk, Yacht, Rec Marine, Auto PD and Liability, and Casualty experience is preferred.

Responsibilities

  • Receive, review, and analyze incoming insurance claims, ensuring all necessary documentation is complete and accurate.
  • Investigate claim details, including policy coverage, liability, and damage assessment, to determine appropriate resolution.
  • Communicate effectively with policyholders, agents, adjusters, and other relevant parties to gather information and provide claim status updates.
  • Negotiate and settle claims within established authority limits, adhering to company guidelines and regulatory requirements.
  • Maintain accurate and thorough claim records, documenting all communications, decisions, and financial transactions.
  • Identify and report potential fraudulent claims, escalating as necessary.
  • Collaborate with underwriting and legal departments on complex or disputed claims.
  • Stay informed of industry trends, regulations, and best practices related to claims management.
  • Prepare and present claim reports and analyses to management as required.
  • Assist in the development and implementation of claims processing improvements.

Benefits

  • exclusive programs
  • in-house binding authority
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