Claims Management Analyst

Northwell•New York, NY

16h

About The Position

Analyzes, identifies and provides timely and accurate review and adjustment of claims. Supports administration of claims resultant from the organization insurance programs.

Requirements

Bachelor's Degree required, or equivalent combination of education and related experience.
1-3 years of relevant experience, required.

Responsibilities

Analyzes, identifies and administers various property and casualty insurance claims including reporting and processing of claims.
Coordinates the administration of claims with insurance broker’s claim department and Third Party Administrators (TPAs); liaises with other departments and facilities to gather claim related documentation for discovery and related investigations.
Participates in claim conferences; maintains electronic and hard copy claim files.
Gathers and analyzes claims data in support of preparing reports and presentations for management; maintains and reviews loss runs for assigned insurance lines to determine trends.
Coordinates with management and insurance team on insurance policy placement including, but not limited to analyzing claim trends.
Provides analysis of impact if any of change in insurance program; participates in renewal strategy meeting.
Provides input for risk minimization and loss control to management.
Coordinates with assigned defense counsel to ensure compliance with litigation and billing guidelines, and to facilitate effective and efficient litigation and resolution strategies.
Participates in site visits, as needed.
Operates under general guidance and work assignments are varied and require interpretation and independent decisions on course of action.
Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.
Serve as a liaison, facilitating communication and collaboration between internal stakeholders/departments and external vendors/partners to drive initiatives, program enhancements, and ensure effective service delivery.
Ensures timely follow-up on identified action items collaborating with internal departments and external partners to drive resolution and successful outcomes.
Assist in the development and maintenance of tracking systems and dashboards to monitor the progress of claims initiatives, strategic recommendations, and key performance indicators for the department.
Assist with projects aimed at enhancing vendor and partner operations, including defining scope, objectives, and deliverables.