Crum & Forster Services India Private Limited · 2 days ago
Senior Claims Analyst
Brookfield, WI
Full-time
Hybrid
Mid, Senior Level
$36K/yr - $68K/yr
6+ years expCrum & Forster is a well-established insurance company with a strong focus on customer service and employee satisfaction. The Senior Claims Analyst is responsible for handling medical only Workers Compensation claims, ensuring timely processing, accurate determination of amounts due, and providing superior customer service throughout the claims handling process.
Information Technology & Services
Responsibilities
Verify, identify coverage, compensability issues and conduct limited investigations
Identify subrogation, second injury fund and fraud situations and develop information to pursue
Conduct timely initial and ongoing contacts and investigation based on best practices guidelines
Maintain proper file on all activities and issues
Obtain medical records relating to the claim
Review claim for necessity and relatedness
Provide case management to files with ongoing treatment using authorized outside resources where needed
Prepare and submit appropriate state and agency forms timely
Assist with account coordination and claims reviews
Timely process bills and other benefit payments
Work closely and communicate regularly with Underwriting, Risk Engineering, and Account Executives
Address questions, concerns and issues from outside parties: insured’s, agents, state agencies, injured employees, attorneys
Provide superior customer service to agents, insured’s and others during the claims handling process
When appropriate and necessary, consults with manager or director of claims to obtain authority for activities and settlements that exceed assigned authority
Document all significant activities and contacts in the claims file, in accordance with established best practices, company claims handling procedures and applicable state regulations
Assist with account coordination and claims reviews
Timely process bills and other benefit payments
Obtain non-resident adjuster licenses for mandatory states
Take continuing education courses to maintain license
Qualification
Required
High school diploma and 6+ years of relevant experience required
Excellent written and verbal communication skills
Strong working knowledge of the Microsoft Office suite of programs and an aptitude to learn new programs
Preferred
College degree is preferred but may be waived based on prior claim or business experience
General knowledge of insurance and/or claims is a plus
Benefits
Competitive compensation package
Generous 401K employer match
Employee Stock Purchase plan with employer matching
Generous Paid Time Off
Excellent benefits that go beyond health, dental & vision. Our programs are focused on your whole family’s wellness, including your physical, mental and financial wellbeing
Tuition reimbursement
Industry-related certifications
Professional training to keep you progressing on your chosen path
Matching donation program
Volunteer opportunities
Employee-driven corporate giving program that lets you participate and support your community
Company
Crum & Forster Services India Private Limited
Crum & Forster Services India (CFSI) is India subsidiary of Crum & Forster Inc, a Fairfax Company based in Morristown, New Jersey, USA.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Ramesh Jaganathan
Chief Operating Officer
Company data provided by crunchbase