Claims Analyst Associate Professional - Flood BPO Job in OVERLAND PARK, Kansas US
Job Title: Claims Analyst Associate Professional - Flood BPOJob Number: 10002FOJob Category: Third Party AdministrationPrimary Location: USA-KS: KANSAS-OVERLAND PARKSchedule: Full-timeJob Type: RegularEmployee Status: RegularJob Posting: 2010-Mar-13 DescriptionEssential Job Functions Analyzes insurance and types of claims including matured endowment claims to ensure compliance with organizational and government guidelines.
Maintains an ongoing effort to determine and maintain equity with current claims trends.
Conducts analysis of current claims trends and investigates means to improve claim processes.
Researches and investigates claims systems to evaluate potential impact to organization.
Analyzes claims financial reporting practices and reconciliation for client companies.
Informs departmental supervisors of potential liabilities or process improvements related to current claims practices.
May review various types of claims such as property and casualty claims to ensure adherence to policies and guidelines.
Approves processing of appropriate payment in accordance with guidelines.
Rejects or partially rejects claims or documentation in accordance with appropriate policies and guidelines.
Negotiates with appropriate stakeholders including claimant, attorneys, vendors, etc. to ensure accurate processing.
Provides explanations or information regarding the policies, guidelines or documentation in order to ensure understanding.
May provide training to other appropriate stakeholders in relation to policies.
Provides analyis, support and documentation as necessary in relation to the claims appeal process.
Obtains expert opinions or documentation in relation to claims; analyzes to ensure appropriate application of claims.
Provides analysis, support and assistance to vendors or contractors when conducting the reinspection process.
P&C Qualification Basic Qualifications Bachelor's degree or equivalent combination of education and experience Bachelor's degree in insurance, business administration or related field preferred Zero or more years of claims processing experience Experience working with insurance software such as Lotus Notes, Vantage, DRPS, Life 70, Keymaster and CK4 Experience with investigating internal claims practices Experience working with appropriate claims processing procedures and documentation, and experience with administrative procedures, legislative requirements, and medical principles as they related to examination and approval of various types of claims such as property and casualty, life and disability insurance claims Other Qualifications Good analytical and problem solving skills Good interpersonal skills to interact with team members Good communication skills to communicate with clients Ability to keep sensitive and confidential material private Ability to work in a team environment Remote Work Location Authorized: No Relocation Assistance: Not Available Clearance Level: None
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