Claims Analyst Jobs

Job Title: Property Claims Analyst Company: York Insurance Services Group, Inc. Location: Longwood, FL Description: PROPERTY CLAIMS ANALYSTYork Claims Service, Inc., a third party administrator providing property claims services for self insured’s and insurance carriers has an immediate employment opportunity for a Property Analyst in its Longwood, FL office. Property Analysts directly handle both residential and commercial property claims of varying size and complexity for a variety of unique clients, with a focus on continually improving the quality of service.Ideal applicants will possess the following qualifications:• Have a minimum five (5) years of inside claims handling experience of first party residential and commercial property losses.• Possess a working knowledge and understanding of residential and commercial insurance policies, including interpretation and evaluation of insurance to value requirements.• An ability to evaluate losses objectively, set and maintain proper claim reserves.• Ability to prepare professional business correspondence to both policyholders and clients.• Prior experience in assigning and managing assignments to field adjusters and other experts.• Ability to handle large caseloads, particularly following catastrophic events.• Computer proficiency, including the use of Word and Excel programs.• Willingness to work in a team atmosphere with direct supervision.• Be computer literate, including the use of Word and Excel programs.• Possess, or be capable of obtaining a resident adjusting license in the State of Florida within six (6) months from date of hire.• Be self motivated, and open minded with a high initiative and energy level.Responsibilities of the position include but are not limited to:• Making timely initial contact with policyholders.• Interpreting and evaluating insurance contracts for a variety of carrier clients.• Retaining and providing oversight for field adjusters, cause and origin experts, building consultants, engineer and other trade experts so claims can be properly investigated and adjusted.• Ensuring electronic claim data is properly maintained in a paperless working environment.• Establishing and maintaining adequate claim reserves, including expense budgets.• Evaluating claim presentations, verifying for accuracy and compliance with policy provisions.• Issuing indemnity and expense payments.• Preparing and issuing timely status letters to policyholders.• Preparing written claim reports, which vary by client.• Participation in client file reviews to discuss reserve development and claim status.• Respond to client audits.• Other duties as required to comply with industry specific Best PracticesBenefits include:• Healthcare, including medical, dental, and vision.• Flexible Spending Account• 401k with Company match.• Paid vacationIf you are a qualified candidate, interested in a challenging career with a growing organization, please email your resume and salary requirements to Register to View York is an Equal Opportunity Employer.

Job Title: Commercial Claims Analyst Company: Mohawk Industries  Location: Chattanooga, TN Description: Commercial Claims Analyst Chatsworth, GA If you don't know Mohawk Industries, you can learn more about us at www.mohawkflooring.com. We're the world's largest flooring manufacturer--carpet, ceramic tile, laminate, hardwood, rugs...we do it all. We have more than 30,000 employees in the US, Canada, Mexico, Europe and Asia, and our products are sold to more than 30,000 customers. The quality of our products is one of our key competitive advantages, and it's also a source of great corporate pride. Your talents could help us to maintain our high standards of quality! Become a member of our excellent team solving tomorrow's challenges today! The Commercial Claims Analyst monitors and adjusts claims from start to finish by verifying and updating information on submitted claims, reviewing the policy to determine which charges are eligible for reimbursement, negotiating payment to all parties, and following up to ensure that payments are made. Ensures effective and efficient coordination between the Company and its customers with a high level of service and support. Establishes and maintains positive business relationships both internally and externally to promote company goals. Provides point of contact for filing non-manufacturing related claims. Performs duties following documented guidelines and processing standards. Works under direct supervision and follows standard procedures and/or written instructions to perform job duties. Specifically, the Commercial Claims Analyst: Investigates all claims submitted by customers to determine if credit should be issued based upon nature of complaint, warranty, inspection report, lab results, input from dealer, etc. Handles all necessary paperwork associated with the claims process. Investigates chargebacks and disputed invoices resulting in an appropriate resolution. Interface with Sales to settle replacement claims, allowances, and returns due to non-manufacturing errors. Resolves pricing claims with Customer Services and Sales within the specific Guidelines of Mohawk's pricing claims policy. Coordinates customers' shipping requirements for delivery of replacement orders caused by internal errors. Researches and confirms all documentation and makes payments on approved Specification Fees. Assists the Credit Department in resolving outstanding issues that may potentially prohibit the shipment of non-claims related orders. Prepares and maintains reports and records for processing. Analyzes and answers inquiries regarding claim adjudication including method of payment. Coordinates customers' shipping requirements for delivery of replacement orders caused by internal errors. Performs other duties as required. Qualifications include: High school diploma/GED plus a minimum of 3 years of progressively responsible related work experience. Must include at least one-year experience as Claims Analyst I. Basic knowledge of Customer Service functions related to the research and resolution of claims. Working knowledge of computers / AS400 system as well as Word, Excel, and PowerPoint. Accurate data entry skills. Excellent verbal and written communication, interpersonal, organizational and multitasking skills. Good voice quality that is both conversational and professional. Ability to project a positive image on behalf of the organization. Ability to interpret and follow verbal and written instructions, policies, guidelines, and processing standards. Must be detail-oriented with good organizational skills. Ability to manage time effectively. Ability to calculate figures and amounts such as discounts, interest, commissions, and percentages. Experience in the carpet/flooring industry a plus. We provide a strong compensation package including a broad array of benefits (pick and choose to customize a plan to suit your needs). If you've always wanted to use your talents to help others achieve their goals and if being a part of a creative, dedicated team of learning professionals excites you, then this could be the perfect job for you! We can't wait to hear from you! Submit your application, résumé, and salary requirements online at www.mohawkjobs.com. Mohawk is a committed Equal Opportunity/Affirmative Action Employer (M/F/D/V) and a proud Drugs Don't Work participant. We're proud of our commitment to sustainability. We're growing greener every day! Learn more at www.mohawkgreenworks.com. Apply Online Modify / Close Posting

Job Title: Benefits Analyst - Lead Company: Alliant Insurance Services Location: Phoenix, AZ Description: Alliant Insurance Services, a company with more than 1100 employees and $3 billion in premiums, is the 2nd largest privately-held insurance brokerage operation in California and 11th overall in the nation. We continue to build on our vision of becoming the premier specialty insurance brokerage in the country.We currently have several open positions and are seeking qualified individuals to join our team! You can visit our website to see all of our positions available by location at: http://www.alliantinsurance.com/careers ****POSITION SUBJECT TO BUDGETARY APPROVAL****SUMMARYResponsible for providing customer service and supporting producers by servicing existing accounts and soliciting new business. Independent responsibility for servicing and retention of assigned customers/policies in self-funding, Public Entity and large markets.ESSENTIAL DUTIES AND RESPONSIBILITIES*Works with Producer and/or Account Executive to determine bid and/or renewal strategy;*Works with client or prospective client to identify the group's specific characteristics including; benefit needs, design, benchmarking/trend analysis, group demographics and/or employee census;*Gathers information and provides analysis and recommendations to client's existing coverages;*Prepares RFPs for client renewal or prospective groups, to include employee census, current/renewal plan design/rate information, and historical claims experience data;*Selects employee benefit markets for solicitation and negotiates with incumbent and bidding carriers for benefit and premium considerations;*Analyzes market proposals for verification of benefits, premium, and competitiveness;*Performs self-funding analysis;*Negotiates with incumbent and bidding carriers to ensure most competitive rates/products for clients and prospective clients;*Serves as a technical expert, assisting other team members to resolve complex issues;*Prepares proposals for client presentation;*Reviews coverage contracts for accuracy of policy provisions;*Other duties as assigned to support producer and service team.QUALIFICATIONSEDUCATION / EXPERIENCEBachelor's degree or equivalent combination of education and experience 6 - 8 years related work experience; Valid insurance license Must continue to meet Continuing Education requirements for license renewalEncouraged to complete Career Path requirements as communicated by supervisorSKILLSExcellent oral and written communication skills Excellent customer service skills, including telephone and listening skillsProficient in Microsoft Office SuiteExcellent problem solving and time management skillsIntermediate typing skills (30-35 wpm)Ability to work within a team and to foster teamwork Proficient in Agency Management SystemAbility to prioritize work for multiple projects and deadlinesWe are proud to provide comprehensive, high quality employee programs to meet employees' needs now and in the future, including a very competitive financial package. We encourage you to explore what we have to offer.For immediate consideration for this position, please click on the "Apply" button below.Keywords: Employee Benefits, Benefits Analyst, Client Services, Life and Health LicenseApply Online

Job Title: Technical Claims Analyst/ Insurance Adjuster Company: Manpower Location: Miami, FL Description: Job Duties:One of our clients in the Real Estate Development industry in the Downtown Miami area is looking for an Technical Claims Analyst/ Insurance Adjuster. Job Duties:- Reviews drawings and documents.- Works with design engineers, construction engineers, cost estimators, and project schedulers to analyze the cost and schedule aspects of project claims and change orders. - Provide court ready examples and participates in altrenate disputes resolution efforts on projects.- Reports to Senior Technical Claims Analyst, Construction Manager, Prject Manager, or Program Manager, depending on project organization.Requirements:- 10 years of experience as an Claims Adjuster.- Associates degree in Engineering Technology, Construction Management, Business Management, or related field. The schedule will be Monday- Friday from the hours of 8:00am- 5:00pm. Manpower is an Equal Opportunity Employer (EOE/AA)

Job Title: Medical Claims Analyst EmblemHealth Company: New York's Job Exchange Location: New York, NY Description: Medical Claims Analyst Register to View EmblemHealth Job Description The responsibilities of this position include: •Performs and documents root-cause analyses in order to determine underlying reasons for claim suspensions â?¢Conducts Medical & Hospital claims systems studies, recommends enhancements in methods, procedures and policies. â?¢Presents recommendations and specification in formal reports and presentations â?¢Supports the implementation and ongoing operational maintenance of Exceptions Reduction. â?¢Organizes user test cases, develops training material and facilitates departmental Informational sessions. â?¢Develops, modifies and issues workflows, claims policies and procedures based on new/revised policies, new legislation via our online Instructional Repository, and Microsoft Office. Performs analytical review of claim reconciliation files received from Provider Groups/Hospitals, verifying claim dispositions and outcome. â?¢Monitors and documents post-settlement adjustments and file reconciliations â?¢Work with BTS and IT in matters relating to Medical & Hospital system logic. Skills and Abilities: â?¢Strong communication skills (written and verbal) •Demonstrated ability to conduct research, analyze data, categorize and report findings and determine operational needs â?¢Ability to multi-task in a fast paced environment with deadlines â?¢Outstanding conceptual and organizational skills The qualifications for this position are: â?¢Bachelorâ??s degree preferred â?¢Three (3) plus years of supervisory and/or training experience in a health care industry, customer service or claims environment â?¢Plus three (3) plus years in claims processing â?¢Strong knowledge of contracts, procedures and systems as well as medical terminology, ICD-9, CPT and HCPS coding formats Job Benefits Dental Insurance Health Insurance Holidays Life Insurance 401K / Retirement Plan Sick Leave Vacation Vision Insurance Tuition Reimbursement Job Summary AJE Reference Number: 530069560 Job Title: Medical Claims Analyst Company: EmblemHealth Location: US - NY, New York, 10041 Job Start/End Date: not provided Job Type: Regular Job Classification: Full Time Hours/Week: 35 hrs/week Salary Range: not provided N/A Education: Bachelors Degree Required Degree/ Formal Training: not provided Required Licenses/ Certificates : not provided Experience: Mid-Career (2 - 15 years) Company Homepage: http://www.emble... More Information

Job Title: Insurance Claims Analyst Company: Kelly Services Location: Memphis, TN Description: Insurance Claims Analyst Kelly Services has a 6 month contract opportunity for Insurance Claims Analysts.  This is not temp-to-hire.  Candidates must have at least one year experience in the insurance industry reviewing, analyzing, and investigating claims.  Must also have experience corresponding with agents, policy holders, hospitals, doctors, and claimants.  Other duties include reviewing and analyzing mitigation claim reports, submit claims for clients, estimating and pricing claims, recording billed items.  Experience with JD Edwards and MS Office required.  Bachelors' Degree preferred.  If you have at least 1 year experience please send your resume as a Word attachment to Register to View .  No phone calls of faxes please.  EOE Kelly Services is an Equal Opportunity Employer.

Job Title: Workers Comp Claims Analyst Company: Liberty Mutual Agency Markets Location: Centennial, CO Description: Liberty Mutual Agency Markets, a business unit of Liberty Mutual Group, consists of property/casualty and specialty insurance carriers that distribute their products and services primarily through independent agents and brokers. The companies of Liberty Mutual Agency Markets provide a broad array of core property and casualty products, including a comprehensive set of personal and commercial coverage, which are available in most states. As of December 31, 2007, Liberty Mutual Group had $94.7 billion in consolidated assets, $82.3 billion in consolidated liabilities and $25.9 billion in annual consolidated revenue. Liberty Mutual ranks 94th on the Fortune 500 list of largest U.S. corporations based on 2007 revenue, and is the sixth-largest property and casualty insurer in the U.S. based on 2006 direct written premium. Liberty Mutual Group today employs over 41,000 people in more than 900 offices throughout the world.Advance your Claims career at Colorado Casualty- A Liberty Mutual Fortune 100 Company!  The Workers Comp Claims Analyst is responsible for the review, analysis and processing of complex claims within assigned authority limits and consistent with policy and legal requirements.  These claims are typically high exposure and often entail litigation.  The goal of the position is to ensure the delivery of quality service to customers while protecting the assets of the company.   Responsibilities Assesses policy coverage and determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim.Plans and conducts investigations of high exposure WC claims to analyze and confirm coverage and to determine liability, compensability and damages; determines need for, and engages independent adjusters, cause and origin experts and independent medical examiners as appropriate.Coordinates the litigation activities associated with assigned claims to ensure a timely and cost-effective resolution; attends trials as a representative of the company.Works with underwriting, marketing and/or risk management regarding questionable risks encountered to ensure that potential hazards are clearly documented Qualifications:  BS/BA degree 8 + years experience as a Claims Representative. Claims experience required in Arizona, Colorado, and Utah Industry certifications preferred (e.g. AEU, IIA, CPCU) Thorough knowledge of claims investigation techniques as well as medical and legal aspects of the claim Financial settlement knowledge  Benefits:   We recognize that talented people are attracted to companies that provide competitive pay, comprehensive benefits packages and outstanding advancement opportunities. For this reason we offer a Comprehensive Benefits Plan that includes the following: 401K and Company paid pension plan Medical coverage Dental coverage Paid time-off Pay-for-Performance Discounts on automobile and homeowner's insurance Discount fitness memberships Flexible spending accounts Tuition reimbursement Vision care coverage Work/Life resources Credit Union membership Employee and Dependent life insurance Disability insurance Long-term care insurance  Overview: We believe strongly that commercial success can be achieved in a manner consistent with principles and ideals that bind us together as one company, that set us apart from our competitors, and that in the end will allow us to say we have succeeded commercially by doing the right thing the right way.   We believe that the Company's success is inextricably linked to our employees' satisfaction and success: satisfaction that they work for an industry leader committed to improving safety, satisfaction that they work for a company that does the right thing, and satisfaction that the company will reward them for their contributions and provide opportunities for personal growth and success.   We believe our employees take pride in knowing that they help people live safer more secure lives everyday.   Responsibility. What's your policy?

Job Title: Commercial Claims Analyst Company: Mohawk Industries Inc Location: Chatsworth, GA Description: Commercial Claims AnalystChatsworth, GAIf you don't know Mohawk Industries, you can learn more about us at www.mohawkflooring.com . We're the world's largest flooring manufacturer--carpet, ceramic tile, laminate, hardwood, rugs...we do it all. We have more than 30,000 employees in the US, Canada, Mexico, Europe and Asia, and our products are sold to more than 30,000 customers. The quality of our products is one of our key competitive advantages, and it's also a source of great corporate pride. Your talents could help us to maintain our high standards of quality! Become a member of our excellent team solving tomorrow's challenges today!The Commercial Claims Analyst monitors and adjusts claims from start to finish by verifying and updating information on submitted claims, reviewing the policy to determine which charges are eligible for reimbursement, negotiating payment to all parties, and following up to ensure that payments are made. Ensures effective and efficient coordination between the Company and its customers with a high level of service and support. Establishes and maintains positive business relationships both internally and externally to promote company goals. Provides point of contact for filing non-manufacturing related claims. Performs duties following documented guidelines and processing standards. Works under direct supervision and follows standard procedures and/or written instructions to perform job duties.Specifically, the Commercial Claims Analyst: Investigates all claims submitted by customers to determine if credit should be issued based upon nature of complaint, warranty, inspection report, lab results, input from dealer, etc. Handles all necessary paperwork associated with the claims process. Investigates chargebacks and disputed invoices resulting in an appropriate resolution. Interface with Sales to settle replacement claims, allowances, and returns due to non-manufacturing errors. Resolves pricing claims with Customer Services and Sales within the specific Guidelines of Mohawk's pricing claims policy. Coordinates customers' shipping requirements for delivery of replacement orders caused by internal errors. Researches and confirms all documentation and makes payments on approved Specification Fees. Assists the Credit Department in resolving outstanding issues that may potentially prohibit the shipment of non-claims related orders. Prepares and maintains reports and records for processing. Analyzes and answers inquiries regarding claim adjudication including method of payment. Coordinates customers' shipping requirements for delivery of replacement orders caused by internal errors. Performs other duties as required.

Job Title: Property Claims Analyst Company: York Insurance Services Group, Inc. Location: Parsippany, NJ Description: PROPERTY CLAIMS ANALYSTYork Claims Service, Inc., a third party administrator providing property claims services for self insured’s and insurance carriers has an immediate employment opportunity for a Property Analyst in its Parsippany, NJ office. Property Analysts directly handle both residential and commercial property claims of varying size and complexity for a variety of unique clients, with a focus on continually improving the quality of service.Ideal applicants will possess the following qualifications:• Have a minimum five (5) years of inside claims handling experience of first party residential and commercial property losses.• Possess a working knowledge and understanding of residential and commercial insurance policies, including interpretation and evaluation of insurance to value requirements.• An ability to evaluate losses objectively, set and maintain proper claim reserves.• Ability to prepare professional business correspondence to both policyholders and clients.• Prior experience in assigning and managing assignments to field adjusters and other experts.• Ability to handle large caseloads, particularly following catastrophic events.• Computer proficiency, including the use of Word and Excel programs.• Willingness to work in a team atmosphere with direct supervision.• Be computer literate, including the use of Word and Excel programs.• Possess, or be capable of obtaining a resident adjusting license in the State of New York within six (6) months from date of hire.• Be self motivated, and open minded with a high initiative and energy level.Responsibilities of the position include but are not limited to:• Making timely initial contact with policyholders.• Interpreting and evaluating insurance contracts for a variety of carrier clients.• Retaining and providing oversight for field adjusters, cause and origin experts, building consultants, engineer and other trade experts so claims can be properly investigated and adjusted.• Ensuring electronic claim data is properly maintained in a paperless working environment.• Establishing and maintaining adequate claim reserves, including expense budgets.• Evaluating claim presentations, verifying for accuracy and compliance with policy provisions.• Issuing indemnity and expense payments.• Preparing and issuing timely status letters to policyholders.• Preparing written claim reports, which vary by client.• Participation in client file reviews to discuss reserve development and claim status.• Respond to client audits.• Other duties as required to comply with industry specific Best PracticesBenefits include:• Healthcare, including medical, dental, and vision.• Flexible Spending Account• 401k with Company match.• Paid vacationIf you are a qualified candidate, interested in a challenging career with a growing organization, please email your resume and salary requirements to Register to View York is an Equal Opportunity Employer.

Job Title: Benefits Analyst Company: Equity Residential Location: Chicago, IL Description: We are currently searching for a Benefits Analyst to join our corporate office in Chicago. The Benefits Analyst will report to the Benefits Manager. The Benefits Analyst will be charge of researching, analyzing, evaluating, and administering the company benefit programs including medical, dental, vision, flex plans, life insurance, disability insurance, and 401(k) plan for all employees in compliance with Federal and State requirements. Bachelors degree in liberal arts or human resources preferred. The ideal candidate will have a minimum of 2-4 years Human Resource experience, preferably in Benefits. PHR, CBP or CEBS classes preferred. The Benefits Administrator should be proactive with exceptional interpersonal and communication skills including writing and verbal skills. This position must be able to work with minimal supervision, and work independently, as well as in a team environment. In addition, the Benefits Analyst will demonstrate: • Knowledge of Federal and State laws and programs that impact benefit administration • Strong knowledge of PeopleSoft including query and HRMS set up • Highly proficient in Microsoft Word, Excel and PowerPoint • Ability to perform job functions in a competent, professional, customer-oriented and confidential manner • High level of interpersonal skills, excellent oral and written communication skills • Ability to work professionally with all levels of employees, vendors and Field HR • Must be able to anticipate problems and develop contingencies and preventive remedies in place • Effectively reprioritize plans and activities to deal with unexpected changes • Ability to gather pertinent information needed to assess/understand problems • Ability to establish links between multiple problems and then select the best actions for resolution. • Ability to consider all relevant factors and implications for actions and uses independent judgment to consistently make the best decisions • Provid