Claims Segmentation Analyst

UAN Allied World National Assurance Company in; New York (NY); On-site; USD 60,000 - 90,000; Full time

Benefits offered by this job

Health insurance

401k match

Group term life insurance

Job summary

Allied World seeks a Claims professional to investigate, evaluate, and resolve insurance and reinsurance claims across multiple lines of business. You will collaborate with underwriting, finance, actuarial, operations, and technology, managing a vigorous caseload and drafting coverage correspondence.

You will verify financial information, participate in litigation and settlements, negotiate within authority, and prepare management reports.

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
• Ability to multi-task, prioritize, and interact with all levels inside and outside of the Company
• Proficient in Microsoft applications including Word, Excel and Outlook
• Knowledge of claims, legal and coverage issues across jurisdictions
• Compliance with multi-state adjuster licensing requirements

Responsibilities

• Claims Management - efficiently manage a vigorous caseload of claims involving a broad spectrum of accounts and coverages
• Analyze 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
• Litigation & Settlement - 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
• Stakeholder Collaboration - 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
• Reporting & Administration - 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

Communication skills

Independent work style

Writing skills

Organizational skills

Negotiation skills

Multi-tasking

MS Office

Claims knowledge

Licensing compliance

Education

University degree

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Job description

Allied World seeks a Claims professional to investigate, evaluate, and resolve insurance and reinsurance claims across multiple lines of business. You will collaborate with underwriting, finance, actuarial, operations, and technology, managing a vigorous caseload and drafting coverage correspondence.

You will verify financial information, participate in litigation and settlements, negotiate within authority, and prepare management reports.