Claims Analyst

Crum & Forster; Oregon; Hybrid; USD 33,000 - 62,000; Full time

Benefits offered by this job

Competitive compensation package

401K employer match

Employee Stock Purchase plan

Generous Paid Time Off

Comprehensive benefits

Job summary

Crum & Forster is hiring a Claims Analyst to manage claim adjudication tasks from information gathering to decision-making. You will work under supervision to deny, settle, or request payments based on coverage and proofs of loss.

The role emphasizes customer advocacy, timely responses, and adherence to procedures within a supportive team environment. Growth opportunities exist within the Specialty Unit.

Qualifications

• Bachelor's degree or equivalent work experience required/preferred with 3+ years in claims or customer service.
• Solid knowledge of claims examination processes and disposition.
• Proficient with Microsoft Office and cloud-based systems.

Responsibilities

• Gather information from policyholders, claimants, and coordinators to support claim decisions.
• Advocate for customers to provide an outstanding experience.
• Review, assess and process claims adhering to SLAs.
• Respond promptly to status calls and maintain file documentation.
• Identify potential fraud or subrogation opportunities and refer to experts.

Skills

Customer focus

Claim evaluation

Problem solving

Adaptability

Active listening

Clear communication

Independent work

Education

Bachelor's degree or equivalent

Tools

Microsoft Office

Cloud-based systems

Job description

Crum & Forster Company OverviewTravel Insured International , a Crum & Forster company, is hiring for a Claims Analyst.Travel Insured International is a leading travel insurance provider with more than 30 years in business. As a key component of our Specialty Business Unit, within the Accident & Health division, TII provides travel protection plans to help each individual travel confidently. Travel Insured International is proud to offer products to consumers and to agency partners of all sizes. We're committed to providing dependable coverage, great value, and end-to-end satisfaction for all customers.This is an entry to mid-level position designed to allow the appropriate candidate to grow and develop skills and expertise and transition to more complex claim handling responsibilities. Works under general supervision and reports to a Team Leader and/or Manager. Achieve superior customer service and claim handling at the most reasonable cost/efficiency by completing essential claim adjudication tasks including denying, settling, or requesting payments for claims based on coverage and proof of loss.

Job Description

What you will do:

• Corresponds through verbal/written communication with policyholders, claimants, travel coordinators, etc. to gather important information to support claim decision.
• Serve as a customer advocate in all interactions to provide an outstanding customer experience.
• Review, assess, and process claims with adhering to established SLAs
• Prompt responses to all status calls (next business day standard)
• Maintain SLAs on DOI, Attorney Demand and BBB complaints
• Deliver complete, timely, and accurate work
• Thoroughness of file documentation of spreadsheets and diary
• Minimum number of claim appeals overturned due to analyst error
• Manage work queue independently
• Take ownership of claim decisions and work queue
• Communicate effectively both written and verbal
• Recognize fraud and subrogation opportunities and refer to appropriate expert
• Consistently provide high-level customer service
• Adhere to documented procedures
• Demonstrate reliability (attendance, punctuality, time management)
• Show respect for co-workers and external contacts (customers, agents, third party providers, etc.)
• Show commitment to supporting team goals (e.g. eliminating backlogs, adherence to Work Force Management)
• Participate in Operations and Companywide initiatives (Focus Groups, Pilots, System Enhancements)
• Be a positive influence in the unit and exhibit professionalism
• Leadership (willingness to put forth ideas to improve unit performance)
• Willingness to accept constructive criticism (coachable)
• Support of Team TII or other community initiatives
• Continuous acquisition, development, and refinement of your skills as a claim professional

What YOU will bring to C&F:

• Customer Focus: Demonstrates a customer-first approach, consistently prioritizing customer needs and satisfaction in all interactions and decisions.
• Solid knowledge of principles and processes for claim examination, evaluation, and disposition
• Strong problem solving and decision-making skills
• Ability to adjust readily to multiple demands and constituencies, shifting priorities, and rapid change
• Active listening skills
• Ability to communicate in a clear, concise manner appropriate to the audience via phone, email, and in writing
• Demonstrated ability to work independently

Requirements:

• Bachelor's degree or equivalent work experience preferred, high school diploma/GED and 3+ years of experience required
• Strong computer literacy with demonstrated keyboard skills, solid knowledge of technology used for claims administration, and familiarity with Microsoft office software and Cloud base systems
• Prior customer service experience, within a claim environment a plus

What C&F will bring to you

What C&F will bring to YOU:

• Competitive compensation package
• Generous 401K employer match
• Employee Stock Purchase plan with employer matching
• Generous Paid Time Off
• Excellent benefits that go beyond health, dental & vision. Our programs are focused on your whole family's wellness including your physical, mental and financial wellbeing
• A core C&F tenant is owning your career development so we provide a wealth of ways for you to keep learning, including tuition reimbursement, industry related certifications and professional training to keep you progressing on your chosen path
• A dynamic, ambitious, fun and exciting work environment
• We believe you do well by doing good and want to encourage a spirit of social and community responsibility, matching donation program, volunteer opportunities, and an employee driven corporate giving program that lets you participate and support your community

At C&F you will BELONG

We value inclusivity and diversity. We are committed to equal employment opportunity and welcome everyone regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. If you require a special accommodation, please let us know.

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Crum & Forster is committed to ensuring a workplace free from discriminatory pay disparities and complying with applicable pay equity laws. Salary ranges are available for all positions at this location, taking into account roles with a comparable level of responsibility and impact in the relevant labor market and these salary ranges are regularly reviewed and adjusted in accordance with prevailing market conditions. The annualized base pay for the advertised position, located in the specified area, ranges from a minimum of $32,700 to a maximum of $61,500. The actual compensation is determined by various factors, including but not limited to the market pay for the jobs at each level, the responsibilities and skills required for each job, and the employee's contribution (performance) in that role. To be considered within market range, a salary is at or above the minimum of the range. You may also have the opportunity to participate in discretionary equity (stock) based compensation and/or performance-based variable pay programs.