Insurance & Claims Analyst

Teichert, Inc.
United States, California, Sacramento
Sep 29, 2024
Purpose To perform a variety of routine administrative and technical work in accepting, coordinating and administering casualty claims under the supervision and guidance of the Risk Management Supervisor. Responsibilities include investigations into the claims, evaluation, and subsequent settlement of claims within the guidelines set by the company. Maintains proper file composition to support payment of claims. This position works under supervision of the Risk Management Supervisor and guidance Senior Claims Specialist Focus & Scope Essential duties and responsibilities, i.e. those which are basic, necessary, and an integral part of the job, are indicated below. Technical/Specialty Area Correspond with or interview employees, witnesses or other involved parties to compile information Approve payment of Claims within a certain monetary limit All tasks are to be performed with the goal of demonstrating superior claims handling expertise Under technical direction, works within significant limits and authority on assignments of higher technical complexity and coordination Responsible for claims management of assigned cases within guidelines of performance standard. Opens new claims, completes contact with appropriate employee, their supervisors, and appropriate Safety team to perform needed investigations to determine compensability as well as possible subrogation or apportionment according to state and/or Company guidelines. Understand the reserving assigned by the third-party administrators (TPA) Follows appropriate procedures for system documentation to preserve data integrity Maintains regular contact with TPA, attorneys, appropriate employee's management team to develop positive relationships and establish credibility. Process invoices associated with the Risk Dept. Apply principles of logical thinking to define problems, collect data, establish facts and draw valid conclusions Works productively and harmoniously with others on a consistence basis Respond positively to direction and criticism of performance Ensure accuracy of claim data with the appropriate Teichert database used for monthly and quarterly reporting Relationships, Qualifications, and Requirements & Competencies Key Relationships Reports to: Insurance and Claims Manager Direct Reports: None External Clients: The public, third-party claims administrator (TPA) Claims adjusters and Claims Manager, defense attorneys, law enforcement and other individuals involved in the claims process Internal Clients: Finance Management, Departments Managers, Superintendents, Project Managers, Executive Management, Mobile Equipment Role Qualifications & Requirements Education: Bachelor's Degree or Four Years Equivalent Experience. Specific Job Requirements: Successful completion of pre-employment drug, alcohol, and background investigation Valid Driver's License Demonstrate ability to handle confidential material and information in an ethical and professional manner. Ability to learn quickly and grasp new information Basic technical Auto Liability and General Liability claims knowledge Strong verbal and written communication skills with emphasis on telephone communication required Strong math and reading skills required Ability to communicate and work with a diverse group of people in a professional manner that demonstrates sensitivity and tact Competencies Relationship Management Business Awareness Communications Analytical Thinking Excellent Phone Skills Organization and Management Learning Orientation/Innovation Judgment and Decision Action Oriented