Claims Analyst

Talent Software Services, Inc.; San Diego (CA); On-site; USD 60,000 - 85,000; Full time

Job summary

Talent Software Services, Inc. is seeking an experienced claims professional to investigate and resolve recovery/subrogation claims, liability and property damage cases, and support claim setup.

The position carries a $15,000 settlement authority threshold and requires strong investigative and analytical skills. Responsibilities include gathering evidence, interviewing involved parties, negotiating resolutions with claimants and insurers, and overseeing claim processing and payments to

Qualifications

• Bachelor's degree in Business or related field or equivalent training/experience.
• Three years of claims administration/investigation, liability analysis, and case-management experience.
• Subrogation and multi-line casualty experience is preferred.

Responsibilities

• Investigate and analyze claims to determine appropriate resolution.
• Document findings and negotiate with customers/claimants and insurers.
• Pursue recovery when third parties damage company property.
• Oversee claims processing and payments to third-party providers.
• Monitor charges and verify correct payment of claims.
• Send denial letters on claims and follow-up requests for information.
• Set up claims and review payment reports for accuracy and compliance.

Skills

Claims investigation

Liability analysis

Communication

Attention to detail

Education

Bachelor's degree in Business or related field

Job description

Job Description

Job Description

The position investigates, analyzes, and resolves recovery/subrogation claims and may also handle liability and property damage claims. Responsibilities include gathering and analyzing evidence, interviewing involved parties, maintaining claim documentation, negotiating resolutions, pursuing recovery for damage to company property, and supporting claim setup and other administrative claim functions. The position has a $15,000 settlement authority threshold.

Responsibilities

• Investigate and analyze claims to determine appropriate resolution.
• Document findings and negotiate with customers/claimants and insurers.
• Pursue recovery when third parties damage company property.
• Oversee claims processing and payments to third-party providers.
• Monitor charges and verify correct payment of claims.
• Send denial letters on claims and follow-up requests for information.
• Set up claims and review payment reports for accuracy and compliance.

Qualifications

• Bachelor's degree in Business or a related field, or equivalent training and/or experience.
• Three years of claims administration/investigation, liability analysis, and case-management experience.
• Subrogation and multi-line casualty experience is preferred.

Key Qualities

• Strong claims investigation and liability-analysis skills, particularly in subrogation or multi-line casualty experience.
• Excellent written/verbal communication and ability to handle difficult conversations professionally.
• Strong organization, attention to detail, responsiveness, and ability to work independently.

Experience Level

3 years of minimum experience in general liability, bodily injury, motor vehicle accidents, and/or subrogation insurance work. Responsible for investigating, analyzing, and pursuing recovery against entities that damage company facilities, property, equipment, and/or facilities. May also involve general liability claims including investigating, analyzing, and determining the extent of insurance company's liability concerning personal, casualty, bodily injury, loss of business, or property loss or damages, and attempting to effect settlement with claimants.