Claims Analyst: Collaborative, Impactful Resolution

AWAC; Farmington (NM); On-site; USD 80,000 - 90,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Disability insurance

401k plan

Group term life insurance

Job summary

Allied World in Farmington, NM seeks a professional to investigate, evaluate, and resolve insurance and reinsurance claims across multiple lines of business. You will support underwriting, finance, accounting, actuarial, operations, and technology through collaborative projects and timely, accurate claim handling.

The role requires a university degree, up to 3 years claims experience, strong writing and negotiation skills, and proficiency with Microsoft Office.

Qualifications

• University degree.
• 0-3+ years claims experience.
• Excellent communication skills and independent work style.
• Strong writing and organizational skills.
• Strong negotiation skills and technical writing experience.
• Proficient in Microsoft Word, Excel and Outlook.
• Knowledge of claims, legal and coverage issues across jurisdictions.
• Compliance with multi-state adjuster licensing requirements.

Responsibilities

• Efficiently manage a vigorous caseload of claims involving a broad spectrum of accounts and coverages.
• Analyse claims on multiple lines of business.
• Review incoming documents to verify coverage and establish case reserves and where necessary Additional Case Reserves (ACRs).
• Promptly investigate matters, analyze coverage, and draft accurate and timely coverage correspondence.
• Verify financial information and process payment requests with reinstatement offset where appropriate.
• Manage litigation by effectively interacting with insureds, brokers, defense counsel and other parties as required.
• Instruct and collaborate with counsel regarding litigation strategy and claim resolution.
• Negotiate and resolve claims within scope of delegated authority.
• Represent Company in resolution of claims and participate in legal proceedings, including mediations.
• Conduct claim reviews at ceding companies when requested.
• Interact with underwriters concerning renewals, prospective accounts, and individual claims.
• Meet with existing or prospective insureds and brokers.
• Liaise with other departments as required and provide assistance when needed.
• Prepare claim summaries, executive reports, and other management reports as necessary.
• Generate various reports as required and work on special projects as needed.
• Attend and/or present at relevant industry conferences/meetings.
• Assist with claims-related queries in internal and external audits.
• Work with reinsurers as needed

Skills

Claims experience

Communication skills

Negotiation skills

Technical writing

Microsoft Office

Organizational skills

Education

University degree

Tools

Microsoft Word

Excel

Outlook

Job description

Allied World in Farmington, NM seeks a professional to investigate, evaluate, and resolve insurance and reinsurance claims across multiple lines of business. You will support underwriting, finance, accounting, actuarial, operations, and technology through collaborative projects and timely, accurate claim handling.

The role requires a university degree, up to 3 years claims experience, strong writing and negotiation skills, and proficiency with Microsoft Office.