Claims Analyst

Role

The Claims Analyst is an exempt position, which reports directly to the Director of Claims Management.

The Claims Analyst investigates, adjusts, and resolves the property and casualty claims and lawsuits for the pool.

The Claims Analyst responds to the members’ risk management needs.

Principal Functions

     Claims

  • Responsible for the resolution of liability and property losses; including investigation of facts, verification of damages, setting and monitoring reserves, settling claims and lawsuits and obtaining all documentation for claim files

  • Analyzes and confirms coverage interpretations with Director of Claims

  • Communicates and coordinates claim handling with members, claim vendors and general public

  • Creates and monitors litigation plans and budgets, directs defense firm attorneys

  • Directs and monitors contract claims adjusters including reviewing reports and responding to all questions

  • Performs field investigations and attends key depositions, trials, mediations, and settlement conferences

  • Coordinates case analysis and direction with Director of Claims regarding daily adjusting activity, mentoring and technical advice

  • Maintains complete electronic claim file

  • Prepares reports on the claims files and follows standards set out in the Claims Management Guidelines

     Risk Management

  • Responds to members’ risk management questions

  • Perform on site risk management/loss control consultations

     General Administration

  • Regularly attend and participate in staff meetings

  • Assist Director of Claims in all functions when requested

  • Attend conferences as necessary

Qualifications

  • Four year degree in business or related field
  • Five or more years of experience

  • Or equivalent combination of education and work experience sufficient to successfully perform the essential duties of the job

  • Excellent communications skills; written and verbal

  • Proficient in computer skills: Claim management system, MS Office, etc.

  • Ability to work well with others in the office and outside the office

Skills Required

  • Negotiating

  • Performing mathematical calculations

  • Analyzing data and using data to make decisions

  • Organizing and writing reports

  • Using a personal computer and other various type of office equipment

  • Communication, interpersonal skills as applied to interaction with coworkers, supervisor, the general public, etc. sufficient to exchange or convey information and to receive work direction.

Other Requirements

  • Frequent day and overnight travel

  • Drive a vehicle and have valid drivers’ license

Physical Activities

  • Talking. Must frequently convey detailed information and must interact with co-workers and other professionals

  • Finger Dexterity. Uses primarily just the fingers to make small movements such as typing, picking up small objects, or pinching fingers together

  • Repetitive Motions: Movements frequently and regularly required using the wrists, hands, and/or fingers

  • Physical strength. Often sedentary work; sitting or driving much of the time, although some walking, climbing, bending and lifting required. Exerts up to 5 lbs of force occasionally, and up to 40 lbs of force infrequently

To Apply

Please complete this application and send with cover letter and resume to :

Rafaela Ortiz, Chief Operating Officer

rortiz@enduris.us