Claim Analyst

Hello,

Hope you are doing well.

We have an immediate requirement with our client and your skills and expertise seem to perfectly match our client requirement. This is a Long-term Contract Position.

Kindly review the job description below and send me your Updated Resume & Expected hourly rate.

Note

Open for C2C (W2 preferred)

Any visa is fine (except OPT, CPT)

Candidate must be local to MN

Title: Claim Analyst

Location: Hybrid in (Minneapolis, MN 55414)

Duration: 6-12 months contract

Job Description

claims analyst job description is shown, consisting of major tasks, duties, and responsibilities that commonly define the role:

• Manage workers entire claim compensation process
• Review all requests for claim denial, clear data and claim exceptions, and ensure deficiencies are flagged correctly
• Ensure eligibility for claims is reasonable and correct by analyzing claims and supporting documentation
• Responsible for sending process claimant responses, including deficiency and rejection letters
• Provide support in handling general liability, property, builders’ risk, and auto claims where applicable
• Responsible for managing all claims related activities with TPA /adjusters on a daily basis
• Responsible for analyzing claims and interpreting insurance policies
• Work in coordination with the legal department to resolve all claims and non-litigated matters
• Assess and authorize claim settlements when provided with a given limit of authority
• Communicate updates, claim information requests, and recommendations to all relevant units
• Responsible for the review and tracking of all incidents reports, and ensure to follow up for additional information where necessary
• Responsible for managing, reviewing, and approving legal referrals to ensure consistency with established claims management protocols
• Utilize client relationship software (e.g. Salesforce.com) to document client conversations
• Attend claim review with senior manager on quarterly basis or as needed
• Responsible for escalating claim quality concerns and outcomes to senior manager or the appropriate unit.
• Requirements- skills, knowledge, and abilities- for a Claims Analyst
• When hiring for the post of claims analyst, HR managers or recruiters typically give a list of requirements for interested persons for the job to meet to prove that they can effectively perform the purpose, obligations, and objectives of the claims analyst role as defined by the company.
  
  

Claims Analyst Requirements

• Education: Applicants for the claims analyst role require a minimum of High School Diploma, but a Bachelor’s degree with emphasis on risk management, business or finance, or a field relevant to the industry of the recruiter may be preferred
• Knowledge: They may be required to possess a working knowledge of financial products (e.g. stocks, bonds, and options). It is also essential that they possess the ability to comprehend, explain, and apply court approved, complex plans of allocation; and a working knowledge of corporate actions (e.g. stock splits, mergers, bond conversions, and employee stock options)
• Computer skills: They require intermediate knowledge of Microsoft applications, but advanced knowledge of Excel and ability to work with relational databases and statistical modeling software (e.g. SAS, SPSS, etc.) is preferred
• Communication skills: They require excellent verbal and written communication skills to communicate effectively with employees at all levels of the organization
• Mathematical skills: They require the ability to undertake mathematical manipulations such as discounts, interests, commissions, proportions, percentages, and volume
• Research skills: This is a crucial skill needed for claims analysts to undertake detailed research necessary for the verification of claims
• Presentation skills: This skill is essential for them to effectively present information to clients, managers, colleagues, and significant others
• Flexibility: They must be able to adapt to a fast-paced continually changing business and work environment while managing multiple priorities.