What are the responsibilities and job description for the Claims Analyst position at World Insurance Associates LLC?
Summary
World Insurance Associates is a unique insurance organization offering top products and services from major providers, combined with attentive service from local agents.
Founded in 2011, World is one of the fastest-growing insurance brokers in the U.S. with over 2,200 employees in over 260 offices across North America. We specialize in personal and commercial insurance lines, surety and bonding, employee benefits, financial and retirement services, and human capital management solutions.
Our rapid growth and market leading presence has created opportunities throughout the state and we offer top talent the choice to work from one of our multiple offices throughout the region.
Position Overview:
- A Hamond Claims Analyst will perform an extensive review on each claim periodically to determine if the medical and compensation reserves are at a reasonable level; if there is a discrepancy we go directly to the insurance claims adjuster to request a change.
- For a questionable claim, we work with our group members to determine if there are grounds to dispute and the best defense, and present our findings to the insurance carrier. We also work to prepare the employer witnesses for testimony.
- A Hamond associate will assist you through the filing procedures and discuss with you your options on all new claims.
- Any questions or concerns our group members have will be reviewed by a Hamond associate with high priority.
- Investigate ways to mitigate our group members’ liability, such as prior medical apportionment, legal apportionment, and third party litigation.”
- Work to push claims to resolution for a fast retirement, thus improving the experience modification.
- Prepare synopses of claims when requested.
- Hamond provides claimant activity checks, above and beyond what the insurance carrier would find necessary, when indicated.
- Face-to-face meetings with employers and their brokers to discuss claims and claims issues.
- Periodically review your experience modification to ensure your policy is charged correctly, and when necessary, we request for adjustments to be made which can save you money on your premium.
- Hamond performs an annual actuarial review on each claim prior to renewals to ensure all group claims are at the lowest reasonable amount, and our group claims are not being charged for unnecessarily. The goal of this is to secure the best possible dividend for our group members.
Equal Employment Opportunity
At World Insurance Associates (WIA), we celebrate and support our differences. We know employing a team rich in diverse thoughts, experiences, and opinions allows our employees, our products, and our community to flourish. WIA is honored to be an equal opportunity workplace. We are dedicated to equal employment opportunities regardless of race, color, ancestry, religion, sex, national orientation, age, citizenship, marital status, disability, gender identity, sexual orientation, or Veteran status. In addition, WIA makes reasonable accommodations to known physical or mental limitations of an otherwise qualified applicant or employee with a disability, unless the accommodation would impose an undue hardship on the operation of our business.
