Claims Analyst

Clear Blue Insurance Services Puerto Rico
Charlotte, NC
Category Finance
Job Description
The Claims Analyst will utilize experience within commercial property and casualty claims to manage, monitor and assess complex claims activity of Third-Party Administrators (TPAs); use direct systems to access and monitor claim files, denials, reservations of rights, and settlements conducted by TPAs; ensure that the TPAs are performing within their authority, pursuant to agree upon processes and practices, within the agreed upon territories and market segments; ensure compliance with internal policies and regulations; consult with the Chief Risk Officer, Legal, Compliance, Finance, Underwriting, and IT departments to identify specific trends or problems within a program; keep records of all monitoring activity and report to the management team, support data-driven decision making with quantitative and qualitative measures and assessments.

Requirements

  • Bachelor’s degree in business, Finance, Risk Management, Insurance, or equivalent related experience
  • Three (3) to Five (5)+ years of experience in claims analysis or a related role, experience in claim handling, relevant litigation, or TPA management
  • Industry certifications (e.g., AIC) preferred
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