Claims Analyst

Summary 

MS Transverse is looking for a Claims Analyst in our Warren, NJ area office, with flexibility to work remotely. Under the direction of Claims Program Management, the role is responsible for claims administration including reporting and governance.

In addition to engaging with Claims Third Party Administrators, you will also work closely with team members from Program Management, Underwriting, Actuarial, Finance, and Reinsurance.

Responsibilities 

• Day-to-day review and execution of claims correspondence including but not limited to claims authority and payment requests, large loss reviews, escrow funding
• Maintain internal claims best practices related to file management to ensure accurate and organized internal claims documentation for all Claims, Data, Complaints, Denials & Reservation of Rights, Large Losses and Large Loss tracking, Prefunds & Replenishments, etc.
• Analyze and facilitate initial escrow setup, monitor cash flow and monthly or interim replenishment for escrow accounts, obtain approval for and send requests for prefunds (aka cash calls) or other escrow adjustments
• Participate in preliminary review and Due Diligence of TPAs
• Work on various claims related projects
• Field and answer questions related to the above from MS Transverse staff

Qualifications

• Associate degree or equivalent; 4-year degree preferred
• Post-graduate degree and/or industry certifications or designations a plus
• Minimum of 3+ years relevant claims experience
• Knowledge and understanding of property/casualty insurance principles and practices
• Prior claims experience involving TPAs and delegated claims authority preferred
• Excellent computer skills – including advanced proficiency using Microsoft Office Suite with an emphasis on Word, Excel, PowerPoint and SharePoint
• Strong desire and comfort working with data
• Familiarity with various claims management systems preferred
• Demonstrated success working collaboratively in a matrix environment
• Ability to establish priorities and to plan, coordinate, and monitor personal work plan
• Strong interpersonal skills and ability to establish and maintain effective working relations with internal and external people
• Excellent listening, written, and verbal communication skills
• Strong customer focus and service oriented