Claims Analyst - Veteran Talent Development Program

Jobtailor; Colorado; On-site; USD 36,000 - 60,000; Full time

Job summary

Jobtailor is seeking a claims adjuster to proactively manage a low complexity caseload, confirm coverage, and coordinate with vendors to resolve claims efficiently. You will analyze information to determine coverage and prepare estimates using claims platforms while ensuring documentation is complete.

Responsibilities include supporting regulatory coordination, negotiating settlements, and assisting with CAT operations as needed.

Qualifications

• Up to 1 year of customer service experience anticipating customer needs and resolving escalations OR military experience.
• Ability to prioritize and multi-task, including navigating through multiple business applications
• Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts
• Successful completion of a job-related assessment may be required

Responsibilities

• Proactively manages assigned claims caseload comprised of low complexity claims that require commensurate knowledge and understanding of claims coverage.
• Partners with vendors and internal business partners to facilitate low complexity claims resolution
• May also involve external regulatory coordination to ensure appropriate documentation and compliance
• Investigates claim damages by conducting research from various sources, including the insured, third parties, and external resources
• Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit (SIU) referrals, when appropriate
• Determines coverage through analyzing information involving low complexity policy terms and contingences
• Determines and negotiates low complexity claims settlement
• Maintains accurate, thorough, and current claim file documentation throughout the claims process
• Applies fundamental knowledge of estimating technology platforms; utilizes platforms to prepare claims estimates to manage low complexity property insurance claims
• Supports workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential evening, weekend, and/or holiday work outside normal work hours
• May be assigned CAT deployment travel with minimal notice during designated CATs
• Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed
• Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures

Skills

Customer service

Prioritization

Multi-tasking

Platform navigation

Education

Insurance adjuster license

Tools

Claims platforms

Job description

Jobtailor is seeking a claims adjuster to proactively manage a low complexity caseload, confirm coverage, and coordinate with vendors to resolve claims efficiently. You will analyze information to determine coverage and prepare estimates using claims platforms while ensuring documentation is complete.

Responsibilities include supporting regulatory coordination, negotiating settlements, and assisting with CAT operations as needed.