Claims Business Analyst

Full Time
Remote
$16 - $35 an hour
Posted
Job description
  • Able to manage the full-life cycle of all assigned claims files.
  • Analyzes coverage and determines defense obligations.
  • Independently conducts thorough analysis and investigations necessary to determine claims exposure and recommend appropriate settlement strategies and action plans.
  • Creates reservation of rights and coverage denial letters.
  • Negotiates settlements with clients, client attorneys, and Public Adjusters.
  • Interacts extensively with various parties involved in the claims process, and may recommend retaining the advice of outside experts as necessary.
  • Prepares reserve and settlement authority requests for client and carrier approval.
  • May act as a client advocate with carriers to ensure proper claims handling, including any necessary scoping, estimating, and addressing of coverage.
  • Has a solid understanding of claims processing and the insurance brokerage business.
  • Has an in-depth understanding of the terminology and case law associated with their specialized claims niche/industry.
  • Handles claims consistent with clients' and corporate policies, procedures and "best practices" and also in accordance with any statutory, regulatory and ethical requirements.
  • Provides guidance and/or supervision to lower level adjusters. Incumbents at this level should be able to work at full case load capacity

Job Types: Contract, Full-time

Pay: $16.00 - $35.00 per hour

Schedule:

  • 8 hour shift

Experience:

  • Claims: 4 years (Required)

Work Location: Remote

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