Senior Claims Analyst - Workers Compensation

Crum & Forster • Brookfield, WI

64d • $36,000 - $67,800

About The Position

The Senior Claims Analyst is responsible for the handling of medical only Workers Compensation claims to ensure timely and accurate processing and superior customer service. The Senior Analyst is accountable for the accurate determination of the proper amount due the insured or claimant within assigned authority limits and for the compliance with company policies and procedures. This is a remote position, with a high preference for the candidate to be in the Wisconsin and surrounding area. Open to new graduates who is eager to start their insurance career.

Requirements

• High School diploma + 5 years of relevant experience or a bachelor’s degree strongly preferred.
• Excellent written and verbal communication skills.
• General knowledge of insurance and/or claims is a plus.
• Strong working knowledge of the Microsoft Office suite of programs and an aptitude to learn new programs.

Responsibilities

• Verify, identify coverage, compensability issues and conduct limited investigations.
• Identify subrogation, second injury fund and fraud situations and develop information to pursue.
• Conduct timely initial and ongoing contacts and investigation based on best practices guidelines.
• Maintain proper file on all activities and issues.
• Obtain medical records relating to the claim.
• Review claim for necessity and relatedness.
• Provide case management to files with ongoing treatment using authorized outside resources where needed.
• Prepare and submit appropriate state and agency forms timely.
• Assist with account coordination and claims reviews.
• Timely process bills and other benefit payments.
• Work closely and communicate regularly with Underwriting, Risk Engineering, and Account Executives.
• Address questions, concerns and issues from outside parties: insured’s, agents, state agencies, injured employees, attorneys.
• Provide superior customer service to agents, insured’s and others during the claims handling process.
• Consult with manager or director of claims to obtain authority for activities and settlements that exceed assigned authority.
• Document all significant activities and contacts in the claims file, in accordance with established best practices, company claims handling procedures and applicable state regulations.
• Obtain non-resident adjuster licenses for mandatory states.
• Take continuing education courses to maintain license.

Benefits

• Competitive compensation package
• Generous 401K employer match
• Employee Stock Purchase plan with employer matching
• Generous Paid Time Off
• Excellent benefits that go beyond health, dental & vision, focused on whole family’s wellness
• Tuition reimbursement, industry-related certifications and professional training
• Dynamic, ambitious, fun and exciting work environment
• Matching donation program, volunteer opportunities, and employee-driven corporate giving program

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees