Associate - Accidental Claims Analyst

As an Accident Claims Analyst In this fast-paced environment, every single day offers new challenges and the ability to use excellent analytical, multitasking, prioritization, and interpersonal skills to assist with clients’ Accident Claims.

• Acquire, analyze, and investigate medical, financial and contractual information to make effective and timely claim decisions.
• Connect with employers, employees and medical providers via phone, email, text, and letters.
• Provide customers with updates regarding medical conditions, restrictions & limitations, job duties, group short term disability policy provisions, claim decisions, status, and all other aspects of the claim process to ensure they fully understand the company's position.
• Supervise and follow up on outstanding items to ensure compliance with regulations, service timing, and quality guidelines.

• PHRN with Claims Experience
• Claim Processing Experience – reviewing and gathering information, making phone calls, and making the actual claim decision.
• Legal and policy experience - being able to read, interpret policies, policy provisions and industry regulations to accurately interrupt and apply them to claims situations is preferred.
• Basic math skills.
• Ability to actively listen while you collect information on the telephone and provide strong customer service, providing empathy to the customers going through tough situations.
• Ability to accept & apply feedback.
• Ability to maintain a high degree of accuracy, pay strict attention to detail, maintain confidentiality, and work within the grey.
• Excellent analytical, interpersonal, problem solving, decision-making, and multi-tasking skills.
• Computer skills and typing proficiency – Microsoft Outlook, Word, Excel experience is preferred.
• Work independently as well as in a team environment.