Description
The Claims Analyst will monitor and assess Third-Party Administrator (TPA) claims activity, review claim files, denials, reservations of rights, settlements, and loss-run trends, audit TPA operations, and report quantitative and qualitative findings to management. The role also coordinates with Credit Risk, Legal, Compliance, Finance, Underwriting, IT, agents, brokers, reinsurers, and other stakeholders to identify program issues and opportunities, while maintaining relationships with TPA staff and third-party reinsurance panels. The position requires an associate’s or bachelor’s degree in insurance, finance, or risk management or equivalent experience, one to three years of relevant experience, and strong communication, analytical, and organizational skills.
