Senior Claims Analyst 2

The Enlyte Family of Businesses

Mitchell | Genex | Coventry

Enlyte is the parent brand of Mitchell, Genex and Coventry, an organization unlike any other in the Property & Casualty industry, bringing together three great businesses with a shared vision of using technology innovation, clinical services and network solutions to help our customers and the people they serve. Our suite of products and services enable our employees to help people recover from challenging life events, while providing opportunities for meaningful impact and career growth.

• Promptly investigate all assigned claims for coverage, liability assessment and damages.
• Understands concepts of coverage, policy interpretation, exposure recognition and liability determination to analyze and move claims toward resolution using Best Practices.
• Investigate claims by interviewing claimants and witnesses, establish claim reserves, handle evidence, obtain evidence, obtain and interpret official reports, medical reports and claim forms, and attend/participate at mediation, trials or hearings.
• Negotiate and settle claims, set reserves and manage litigation within client service parameters and authority levels by obtaining demands and making offers to claimants.
• May present evidence at legal proceedings.
• Direct appraisal and/or inspection of damaged property.
• Report all serious injuries/liability issues and potential large loss claims to the client and/or reinsurer based upon the criteria provided by the client.
• Document plan of action in the claim system and set appropriate diaries.
• Manage diary and complete tasks to ensure that cases move to the best financial outcome and timely resolution.
• Close all files as appropriate in a timely and complete manner.
• Maintain closing ratio as directed by management team.
• Attend/participate at mediation, trials or hearings.
• Attend external client meeting/seminars
• Routinely interact with clients, claimants, attorneys, investigators, experts and other vendors.
• Complete PARs (payment authorization request) when applicable.
• Comply with all excess and reinsurance reporting requirements; manage self-insured retention reporting.
• Communicate effectively, verbally and in writing with internal and external parties on a wide variety of claims and account-related issues.
• Provide a high degree of customer service to clients, including face to face interactions during claim reviews, meetings and similar account-specific sessions.
• Provide assistance with company education and training.
• Perform other duties as required.

• High School Diploma
• 5 years of experience in an insurance, and/or legal related industry
• 5 years of experience handling liability claims required; more experience may be required depending upon complexity of claim pending.
• Completion of liability training courses internally and/or externally in all significant
• Areas affecting liability claims handling and practices.
• Liability licenses, certifications, awards preferred.

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