Analyst Complex Claims
Core
Manage tourist policy cases and complex auto claims, handling 60 new claims per month and maintaining a caseload of 210 claims.
Role type
Claims Analyst (Complex Auto)
Builds
Timely, accurate, and cost-effective closure of insurance claims for commercial and personal customers.
Domain
Insurance (Property Casualty / Auto)
Required skills
Claims investigation and settlement, Policy interpretation, Reserve setting, Subrogation identification, Fraud detection, Vendor and litigation management, Negotiation and mediation, Multi-tasking in fast-paced environments
Preferred skills
Adjuster licensing, Technical auto appraisal knowledge, Legal/regulatory knowledge, Team management experience
Technologies
Diary systems, Desk Management software
Responsibilities
Review and analyze claim documentation and policy provisions; Determine and set appropriate reserves within authority limits; Identify subrogation opportunities and fraud potential; Manage key claims handling enquiries including coverage determination and liability assessment; Coordinate with internal and external stakeholders including medical providers and repair centers; Contribute to best practice procedures and quality assurance reviews.
Seniority
Individual Contributor (IC), mid-level specialist