Claims Analyst

Risk StrategiesKansas City, MO
3d

About The Position

The Claims Specialist plays a key role in delivering an exceptional customer experience by thoroughly investigating, evaluating, and processing insurance claims within established authority levels. This individual collaborates closely with policyholders, providers, and internal partners to drive timely, accurate, and compliant claim resolutions. Your Impact: Evaluate and process claims by reviewing documentation for accuracy, completeness, and adherence to policy and regulatory requirements. Analyze claim trends and data to identify discrepancies, patterns, and opportunities for improvement. Prepare clear, actionable reports that summarize findings, insights, and recommendations for leadership. Partner with cross-functional teams to resolve complex claim issues, streamline workflows, and enhance the customer experience. Stay current on industry regulations, guidelines, and best practices to ensure ongoing compliance and operational excellence.

Requirements

  • Bachelor’s degree or equivalent work experience.
  • 2–4 years of claims handling or related insurance experience.
  • Strong understanding of claims processes, industry standards, and regulatory requirements.
  • Exceptional attention to detail, analytical thinking, and customer service skills.

Responsibilities

  • Evaluate and process claims by reviewing documentation for accuracy, completeness, and adherence to policy and regulatory requirements.
  • Analyze claim trends and data to identify discrepancies, patterns, and opportunities for improvement.
  • Prepare clear, actionable reports that summarize findings, insights, and recommendations for leadership.
  • Partner with cross-functional teams to resolve complex claim issues, streamline workflows, and enhance the customer experience.
  • Stay current on industry regulations, guidelines, and best practices to ensure ongoing compliance and operational excellence.
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