Senior Workers Comp Adjuster

Risk StrategiesSt. Louis, MO
Onsite

About The Position

The Senior Claims Analyst is responsible for managing and analyzing complex or high-severity claims across multiple lines of business. They act as a subject matter expert, provide guidance to junior staff, and ensure accurate and timely claim resolution in accordance with policy terms and company standards. The role involves analyzing complex claims data to identify discrepancies, trends, and areas for improvement. The Senior Claims Analyst will review and assess claims for compliance with company policies and industry regulations, prepare detailed reports, and present findings to management. Collaboration with claims teams to resolve issues and implement best practices is key, as is mentoring and supporting junior analysts in their development and workload management.

Requirements

  • Bachelor's degree in Business, Insurance, or related field.
  • 5+ years of relevant claims experience.
  • Strong analytical and negotiation skills.
  • Proficiency in claims systems and insurance regulations.

Responsibilities

  • Analyze complex claims data to identify discrepancies, trends, and areas for improvement.
  • Review and assess claims for compliance with company policies and industry regulations.
  • Prepare detailed reports and present findings to management.
  • Collaborate with claims teams to resolve issues and implement best practices.
  • Mentor and support junior analysts in their development and workload management.
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