Senior Claims Analyst

Senior Claims Analyst

Requirements

• Minimum of 6 years of practical and relevant experience as a claims professional
• Chartered Insurance Professional (CIP) designation
• Extensive industry knowledge with hands-on experience managing complex liability claims
• Proficient in RMIS platforms and adaptable to new technologies and systems
• Excellent verbal and written communication skills, with strong negotiation abilities
• Self-motivated and capable of working independently with minimal supervision
• Strong analytical and organizational skills, with the ability to manage multiple priorities and meet tight deadlines
• High level of accuracy when handling large data volumes, including proficiency in creating and analyzing complex pivot tables in Excel

Responsibilities

• Evaluate, adjust, and negotiate self-insured claims (Property, Casualty, Auto) independently, including directing legal counsel and settling claims within delegated authority
• Engage field adjusters, TPAs, and other specialists to support timely and effective claim resolutions
• Lead resolution planning for complex, large-loss, and liability claims, using legal expertise and aligning with internal stakeholder needs
• Interpret insurance policies and endorsements (e.g., DE, LEG), submit loss notices, and manage coverage issues by collaborating with legal, risk, brokers, and insurers
• Conduct kickoff meetings with project teams, clarify claim procedures and responsibilities, and maintain regular communication with all stakeholders to ensure smooth claim handling
• Oversee claim intake, financial documentation, system updates, and reporting, ensuring accurate data management and timely resolution tracking
• Deliver data-driven insights on loss trends, recommend mitigation strategies, and lead implementation of system enhancements and process improvements
• Develop training materials, lead educational sessions, support SOP/manual development, and serve as a subject matter expert on complex claims
• Manage and coach team members to help foster a culture of accountability, technical excellence, and consistent claims handling practices

Preferred Qualifications

• Bachelor’s degree in Business, Finance, or Risk Management is preferred