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Senior Claims Analyst

Hankey Group

Los Angeles (CA)

Remote

USD 77,000 - 88,000

Full time

4 days ago
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Job summary

A leading insurance firm is searching for a Senior Claims Analyst to enhance claims strategy in a 100% remote role. The ideal candidate will possess extensive experience managing complex claims, ensuring compliance, and overseeing TPAs. This position offers a dynamic work environment and opportunities for significant impact and professional growth.

Benefits

Medical, Dental, and Vision benefits
Employer paid life insurance
Long term disability insurance
Flexible Spending Account (FSA)
Retirement plans: Employer match, 401(k)
Tickets at Work discounts

Qualifications

  • 5–7+ years of claims experience with a property and casualty insurer or TPA.
  • Strong working knowledge of multi-state claims handling.
  • Active adjuster license in home state; additional state licenses preferred.

Responsibilities

  • Oversee multiple Third-Party Administrators (TPAs) ensuring proper claim handling.
  • Analyze complex coverage issues applying sound judgment.
  • Participate in claim audits contributing to continuous improvement efforts.

Skills

Problem-solving
Attention to detail
Communication
Organizational
Time-management

Education

Bachelor's degree

Tools

Microsoft Office (Excel, Word)

Job description

Remote | Insurance Claims

Pay Range: $77,500-$87,500 Per Year.The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire and will be dependent on a wide range of factors, including but not limited to geographic location, skill set, experience, education, credentials, and licensure when applicable.

Are you an experienced claims professional who thrives on complex problem-solving, attention to detail, and working in a fast-paced environment? We're looking for a Senior Claims Analyst to support our Complex Claims Manager in overseeing TPA performance and handling a broad range of coverage issues across multiple lines of business.

This is a remote position with the opportunity to make a direct impact on claims strategy, auditing, and oversight in a collaborative, supportive team.

What You’ll Do:

  • Partner with the Complex Claims Manager to oversee multiple Third-Party Administrators (TPAs) to ensure proper claim handling, adherence to settlement authority, and regulatory compliance.
  • Review and approve coverage communications, including Reservation of Rights and declination letters.
  • Analyze complex coverage issues and apply sound judgment in high-exposure or litigated matters.
  • Review and evaluate large loss reports with a focus on accuracy, clarity, and timeliness.
  • Anticipate legal expenses and evaluate exposure with a balanced approach to risk and resolution.
  • Participate in claim audits and contribute to continuous improvement efforts.

What We’re Looking For:

  • 5–7+ years of claims experience with a property and casualty insurer or TPA.
  • Demonstrated experience managing claims and coverage issues across multiple lines of business, including:
    • Commercial Auto
    • Personal Auto
    • Construction Defect
    • Trucking
  • Strong working knowledge of multi-state claims handling.
  • Excellent written and verbal communication skills — especially when communicating complex coverage positions.
  • Solid understanding of litigation processes and defense strategy; litigation experience preferred.
  • Strong organizational and time-management skills; ability to manage competing priorities with minimal supervision.
  • Proficiency in modern claims systems, web-based tools, and Microsoft Office (Excel, Word).
  • Bachelor’s degree or equivalent work experience.
  • Active adjuster license in your home state; additional state licenses a plus.

Why Join Us?

  • 100% remote flexibility
  • Work with a dynamic, experienced team focused on innovation and continuous improvement
  • Be part of a growing organization with long-term vision and stability
  • Make a real impact on claims handling practices and outcomes

Benefits

What do we offer?

  • Medical, Dental, and Vision benefits.
  • Employer paid life insurance
  • Supplemental life insurance policies for you and your dependents
  • Long term disability insurance
  • Flexible Spending Account (FSA)
  • Retirement plans: Employer match, 401(k) and Employee Stock Ownership Plan (ESOP)
  • UKG Wallet (access to your pay before payday)
  • Tickets at Work- Discounts on parks, museums, movie tickets and much more
  • AT&T Wireless Discounts
  • Dell Member Purchase Program
Qualifications Education

Preferred

Bachelors

Experience

Preferred

5–7+ years of claims experience with a property and casualty insurer or TPA

Licenses & Certifications

Preferred

Claims Adjuster License

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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