Senior Claims Analyst
About The Position
The Senior Claims Analyst is a vital member of our team, requiring: Evaluate claim exposures and calculate loss/expense reserves. Monitor and direct third-party claims staff handling workers compensation and liability claims. Analyze claims for determination of coverage. Ensure that claims handling is conducted in compliance with applicable statutes, regulations, and other legal requirements, and that all applicable company procedures and policies are followed. Provide technical advice to third party claims staff positions and other functional areas. Review and analyze program loss runs and claims data. Conduct claim audits and prepare audit reports reviewing the claims handling, compliance, and effectiveness of our third-party claims partners. Review insurance contracts (coverage, special clauses, retentions/SIRs/deductibles, terms, and conditions). Communicate and collaborate with our ASCS division including actuarial, underwriting, finance and compliance. Communicate with brokers, agents, and insureds to provide support and resolve claim issues.
Requirements
- 5 - 10 years of workers' compensation claims adjusting or claims management experience with higher exposure claims is required.
- Must be a great communicator, in both written and verbal form, and be able to work with a variety of internal and external contacts.
Nice To Haves
- Additional liability claims adjusting or claims management experience is a plus.
- Industry designations including CPCU, Associate in Claims etc.
Responsibilities
- Evaluate claim exposures and calculate loss/expense reserves.
- Monitor and direct third-party claims staff handling workers compensation and liability claims.
- Analyze claims for determination of coverage.
- Ensure that claims handling is conducted in compliance with applicable statutes, regulations, and other legal requirements, and that all applicable company procedures and policies are followed.
- Provide technical advice to third party claims staff positions and other functional areas.
- Review and analyze program loss runs and claims data.
- Conduct claim audits and prepare audit reports reviewing the claims handling, compliance, and effectiveness of our third-party claims partners.
- Review insurance contracts (coverage, special clauses, retentions/SIRs/deductibles, terms, and conditions).
- Communicate and collaborate with our ASCS division including actuarial, underwriting, finance and compliance.
- Communicate with brokers, agents, and insureds to provide support and resolve claim issues.
Benefits
- Education and development programs
- Comprehensive and competitive benefits
- Organizational structure that's 42% owned by employee shareholders
- Opportunity to volunteer within Amwins through a wide range of committees
- Opportunity to volunteer in your community through the Amwins Foundation and Summer of Service
- Eligibility for performance-based bonuses
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
