Senior Claims Analyst

EmPRO Insurance

City of Rochester (NY)

Hybrid

USD 75,000 - 115,000

Full time

14 days+
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Job summary

A leading insurance provider is seeking a Senior Claims Analyst to work onsite in Rochester, NY. The successful candidate will investigate and resolve claims while ensuring compliance with company and regulatory policies. Key responsibilities include maintaining claims files, negotiating settlements, and communicating effectively with stakeholders. Applicants should possess a Bachelor’s degree or JD, three years of claims experience, and strong analytical skills. This role may involve travel and offers a hybrid schedule after training.

Qualifications

  • Minimum of three years’ claims handling experience.
  • Strong ethical judgment and commitment to confidentiality.
  • Ability to work independently as well as collaboratively.
  • Strong analytical and problem-solving skills with attention to detail.
  • Proficient business writing and oral communication skills.
  • Ability to work independently as well as collaboratively within a team.
  • Strong ethical judgement and a commitment to maintaining confidentiality.
  • Must be able to work on site.
  • Travel required as needed; may include overnight travel.

Responsibilities

  • Investigate, evaluate, and resolve claims while ensuring compliance.
  • Follow standard claims protocols for documentation and coverage investigations.
  • Negotiate and bring claims to resolution through defense attorneys.
  • Negotiate and bring to resolution directly and through defense attorneys.
  • Attend trials and mediations when necessary.
  • Adhere to industry Best Practices for effective claim management.
  • Expand skills through participation in training and professional development courses.
  • Ensure exceptional data integrity.
  • Proactive communication with insureds, other departments and claims leadership.
  • Perform additional duties and responsibilities as assigned.

Skills

Analytical skills
Problem-solving skills
Business writing
Oral communication
Attention to detail
Attention to detail
Ethical judgement

Education

Bachelor’s degree or JD
Juris Doctor (JD)

Job description

This role is onsite at our Roslyn, NY, Rochester, NY, or Hamilton, NJ office, with the option for a hybrid schedule after the training period.

General Summary:

A Senior Claims Analyst will investigate, evaluate, and resolve claims while ensuring compliance with regulatory and company policies.

Essential Duties & Responsibilities:
  • Follow standard claims protocols for documentation, coverage investigations, and file management.
  • Maintain accurate and organized claims files.
  • Investigate and document incident particulars, setting appropriate indemnity and expense reserves
  • Negotiate and bring to resolution directly and through defense attorneys
  • Attend trials and mediations when necessary.
  • Adhere to industry Best Practices for effective claim management.
  • Expand skills through participation in training and professional development courses.
  • Ensure exceptional data integrity
  • Proactive communication with insureds, other departments and claims leadership.
  • Perform additional duties and responsibilities as assigned.
Education & Qualifications:
  • Bachelor’s degree or JD required
  • Three years’ claims handling experience
  • NY adjusters license required within the first 6 – 12 months of employment.
  • Strong analytical and problem-solving skills with attention to detail.
  • Proficient business writing and oral communication skills
  • Ability to work independently as well as collaboratively within a team.
  • Strong ethical judgement and a commitment to maintaining confidentiality.
  • Must be able to work on site
  • Travel required as needed; may include overnight travel

The actual compensation for this position will be determined by experience and other factors permitted by law.

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