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.
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
Responds to members’ risk management questions
Perform on site risk management/loss control consultations
Regularly attend and participate in staff meetings
Assist Director of Claims in all functions when requested
Attend conferences as necessary
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
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.
Frequent day and overnight travel
Drive a vehicle and have valid drivers’ license
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
Please complete this application and send with cover letter and resume to :
Rafaela Ortiz, Chief Operating Officer