Claims Analyst

Full Time
Overland Park, KS
Posted
Job description

Intrepid Direct Insurance (IDI) is a rapidly growing innovative property and casualty company and a member of the W. R. Berkley Corporation, a fortune 500 company, rated A+ (Superior) by A.M. Best. Our vision is to create the most efficient insurance experience for our customers leveraging technology and our deep knowledge of our customer’s needs. Our team is comprised of “A” level talent and innovative thinkers. You will be part of a highly collaborative team of talented and focused professionals. Join a group that enjoys working together, trusts each other, and takes pride in our hard-earned success.

Responsibilities

The Claims Analyst role is responsible for establishing commercial automobile, property, workers compensation and general liability claims. In addition, the Claims Analyst will assist in developing and maintaining impeccable documentation standards for SOX compliance. This position helps to work with our customers to solve problems, participate in projects to help the department evolve, and most importantly, make Intrepid better.

Claims Operations

  • Newly Reported Claim Triage, Set Up and Assignment. This includes understanding coverage application and interacting with external customers to secure additional facts of loss.
  • Maintain a processing accuracy of 99% or better which includes effectively and efficiently triaging claims to the appropriate team members.
  • Review customer inquiries and, when appropriate, seek out answers and solutions using experience, department resources and research. Respond and/or provide solutions accordingly.
  • Lead CMS compliance initiatives, in partnership with the claim leadership team.
  • Serve as the claims point of contact for the OU’s Operations Team which includes triaging requests and respond with urgency to Ops needs while looping in management when necessary
  • Translate departmental needs into solutions through collaboration with internal departments, other operating units, Berkley resources and external vendors
  • Write, Edit and Maintain Claims Department Operational Standards on Confluence
  • Serve as the subject matter expert for Claim System needs and issues, collaborating with the System Admin Team when necessary and keeping the department apprised.
  • Manage business processes, data analysis and reporting metrics by utilizing reporting applications to produce ad hoc reports, design and create department metrics, with support of claims team.
  • Manage the execution of the corporate quality assurance programs, including best practice and claims reviews
  • Independently implement corporate strategic objectives as they pertain to claims operations

Vendor Management

  • Manage vendor relations, contract language, terms and pricing. Work closely with in-house legal counsel and Medical Director when necessary. Vendors/contracts may include: structured settlements brokers, MSA vendors, bill negotiation vendors, PBM vendors, DME vendors, etc.
  • Manage IDI Vendor Documentation on Confluence, keeping detail current and ensuring all vendors are accounted for in WRB’s TPRM system

Compliance

  • Lead special projects to strengthen the company's compliance program and mitigate compliance exposures.
  • Knowledge of regulatory/statutory guidelines including but not limited to Department of Insurance and SOX Compliance
  • Develop, communicate, and ensure compliance with corporate policies and procedures.

Qualifications

  • 2 years of claim handling experience or claim operation experience
  • Excellent organizational, verbal, and written communication as well as interpersonal and relationship building skills with the ability to influence and add value to the organization.
  • Ability to use mathematics to adjudicate claims.
  • Detail oriented with a high degree of accuracy and ability to multitask.
  • Ability to take direction from next level of supervision or above.
  • Ability to accept changing priorities with a minimum of disruption.
  • Strong problem solving, decision-making, reporting and analytical skills. Must possess good judgment and work effectively with internal business areas, peers and co-workers.
  • Demonstrated proficiency in Microsoft Office software, including Microsoft Word and Excel.
  • Ability to work independently, prioritize, organize and assign own work to meet deadlines.
  • Must exhibit professional behavior at all times while representing or being identified as an employee of Intrepid Direct Insurance.
  • Must be fully vaccinated and remain fully vaccinated against COVID-19 *, unless prohibited by law.

Education

  • Bachelor’s degree required
  • Insurance related designation (AIC, SCLA and/or CPCU) is a plus
  • Have, or the ability to obtain, adjuster licenses in required states

Additional Company Details

We do not accept any unsolicited resumes from external recruiting agencies or firms.

The company offers a competitive compensation plan and robust benefits package for full time regular employees.

The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.

Additional Requirements

While performing the duties of this job, the employee is regularly required to be seated for sustained periods of time; be able to pick up, pinch, twist, or keyboard; must be able to communicate detailed or important information accurately; distinguish sounds at normal levels (with or without correction) and be able to receive detailed information orally. The employee is occasionally required to move about the office to accomplish tasks; ability to reach in any direction; raise or lower objects or move objects from place to place; and hold onto objects. Occasionally, the employee may need to move or exert force up to 10 pounds. The employee is regularly required to operate a computer and other office equipment (phone, copier and printer).

Job Type: Full-time

Pay: $50,000.00 - $65,000.00 per year

Benefits:

  • 401(k)
  • Health insurance
  • Paid time off
  • Tuition reimbursement

Schedule:

  • 8 hour shift
  • Monday to Friday

Supplemental pay types:

  • Bonus pay

Ability to commute/relocate:

  • Overland Park, KS: Reliably commute or planning to relocate before starting work (Required)

Experience:

  • Microsoft Office: 1 year (Preferred)
  • Customer service: 1 year (Preferred)

Work Location: In person

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