Claims Associate Analyst
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Claims Associate Analyst providing analytical support in the evaluation and resolution of insurance claims. Investigating claims, negotiating settlements, and collaborating with various stakeholders for timely outcomes.
Responsibilities:
- Investigate and evaluate insurance claims by reviewing claim forms, documentation, and related records
- Determine coverage eligibility in accordance with policy terms and guidelines
- Use multiple methods of investigation to gather information and support claim resolution
- Negotiate claim settlements with claimants within established authority limits
- Communicate professionally with service providers, attorneys, policyholders, and other involved parties
- Prepare and complete required documentation, analyses, and claim-related outputs accurately and on time
- Identify trends or issues and provide recommendations for process improvements
- Prioritize assigned work, manage deadlines, and meet quality and productivity expectations
- Collaborate with Claims team members and escalate complex issues as appropriate
Requirements:
- Experience in claims processing, insurance, customer advocacy, or a related analytical or administrative role
- Strong attention to detail and ability to review and interpret documentation
- Effective written and verbal communication skills
- Ability to manage multiple priorities and meet deadlines
- Basic analytical and problem‑solving skills
- Prior experience working with insurance claims or coverage determinations (preferred)
- Familiarity with claims systems and documentation standards (preferred)
- Experience communicating with external parties such as providers or legal representatives (preferred)
Benefits:
- Health insurance
- Internet connection must be through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
Similar Jobs
General Liability Claims Adjuster
General Liability Claims Adjuster at Reserv insurtech focusing on automating claims processes and ensuring customer satisfaction. Responsible for managing claims inventory and collaborating with teams for optimal outcomes.
Senior Auto & General Liability Claims Adjuster
Senior Commercial Auto & General Liability Adjuster handling medium complexity claims for Amerisure insurance. Collaborating with stakeholders and managing litigated claims remotely.
Commercial Liability Claims Specialist
Handles complex commercial liability claims while working remotely for Erie Insurance. Exercises discretion in investigations and recommendations concerning coverage and litigated claims.
Claims Adjuster – Workers Compensation, Med Only, Indemnity exp
Analyzing mid- and higher-level workers compensation claims to determine benefits due. Managing claims and negotiating settlements while ensuring compliance with company standards and best practices.
Senior Claims Specialist, Professional Liability, E&O, D&O, EPL
Analyzing complex professional liability claims in a remote role at Sedgwick. Managing claims with a focus on customer service and compliance to company standards.
Bodily Injury Transportation Claims Adjuster
Transportation Claims Adjuster providing customer service and managing inventories for auto insurance claims at Reserv, an insurtech focused on automating claims processes.
Transportation Claims Adjuster – Auto Physical and Property Damage
Transportation Claims Adjuster in a tech-driven insurtech focused on automating claims processes. Handling customer inquiries and managing claims in an evolving environment.
Insurance Claims Specialist
Insurance Claims Specialist acting as primary contact for U.S. property claims. Reviewing documentation and ensuring compliance with regulations while working remotely from South Africa.
Senior Complex & Represented Claims Representative
Senior Claims Representative managing complex homeowner claims at a tech-focused insurance company. Providing a fast and friendly claims experience while negotiating with stakeholders for resolution.
Transportation Claims Adjuster – Auto and Property Damage
Transportation Claims Adjuster for Reserv, an insurtech company automating claims. Engaging with customers to resolve claims effectively while managing an inventory and ensuring compliance.
Senior Catastrophe Claims Adjuster
Senior Catastrophe Claims Adjuster resolving complex property claims and negotiating settlements. Join the growing Claims team in a profitable catastrophe-exposed property insurance company.
Claims Specialist II, PIP
Investigate and manage Personal Injury Protection (PIP) Claims while providing excellent customer service at Mercury Insurance. Requires knowledge of claims processes and medical terminology.
Senior Treasury Claims Analyst
Senior Treasury Claim Analyst managing claim payment processes at Prime Therapeutics. Responsible for complex analysis and regulatory compliance in pharmacy and member payments.
Claims Examiner, Auto – Recovery
Claims Examiner processing complex auto recovery claims requiring high exposure litigation expertise remotely for a leading risk management partner.
Claims Coordinator
Claims Coordinator managing insurance claims for damages and vehicle accidents at MasTec Communications Group. Supporting the Operations Department with reporting and coordination activities in a fast-paced environment.
Claims Adjuster – Liability, Property, Casualty
Claims Adjuster analyzing mid- and higher-level general liability claims for Sedgwick, the world’s leading risk and claims administration partner. Engage in claim adjudication and settlement negotiation.
Claims Examiner I, Workers Compensation
Analyzing complex workers' compensation claims and managing settlements for Sedgwick. Collaborating with clients to ensure timely and accurate claim resolutions.
Claims Examiner – Construction
Claims Examiner analyzing complex general liability claims for Sedgwick. Ensuring efficient claims resolution and risk management in a supportive environment.
Claims Examiner I
Claims Examiner assessing and processing complex insurance claims at Blue Cross and Blue Shield of Kansas City. Requires strong customer service skills and background in claims processing.
Senior Transportation Claims Examiner
Senior level Adjuster responsible for investigating and settling transportation claims in the US. Evaluating coverage, negotiating settlements, and managing adjusters as part of claims process.