Claims Solutions Analyst

Claims Solutions Analyst

Requirements

• Must have good business acumen (i.e. understand how an insurance company works and makes money, including how this role impacts both Argo Group and our customers’ ability to be profitable).
• A practical knowledge of the claims business environment in order to effectively discuss and prioritize reporting needs typically achieved through:
• A minimum of two years’ experience focused on data and compliance in a claims environment or other equivalent experience working with data gathering and analysis.
• Experience supporting specialty programs and partnering with TPAs, MGAs, or other outside vendors preferred.
• Bachelor’s degree from an accredited university strongly preferred. Two or more related designations or four additional years of related experience focused on data and compliance or other equivalent experience working with data gathering and analysis.
• Proficient in MS Office Suite (particularly Excel) and other business-related software.
• Prior experience with data profiling software is required, specifically: Ability to read, understand and develop SQL code / MS SQL Server / Oracle
• Experience with data mining and profiling along with an ability to perform analysis across data groups
• Understanding of claims compliance reporting and analysis
• Familiarity with ISO and NCCI or any other statistical agent preferred
• Ability to regularly exercise discretion and independent judgment with respect to matters of significance.
• A strong focus on execution in getting things done right. Proven ability to consistently produce and deliver expected results to all stakeholders by: Finding a way to achieve success through adversity. Being solution (not problem) focused
• Thinking with a global mindset first.
• Client focus – the ability to effectively determine specific client needs and to provide value added solutions.
• Successful traits (flexibility, ability to thrive in change, being resourceful on your own) necessary to work in a fast paced environment that is evolving constantly.
• Ability to develop and maintain productive relationships with clients, business partners and organizational peers with a focus on timely and meaningful exchanges of information.
• Exhibit natural and intellectual curiosity in order to consistently explore and consider all options and is not governed by conventional thinking.
• Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines.
• Demonstrates inner strength. Has the courage to do the right thing and demonstrates it on a daily basis.
• Uses listening and questioning techniques to effectively gather information from insureds and claimants
• Polished and professional written and verbal communication skills. Presents information clearly, concisely, and accurately.
• The ability to read and write English fluently is required.
• Must demonstrate a desire for continued professional development through continuing education and self-development opportunities.

Responsibilities

• Working under technical direction and within significant limits and authority, gather and manipulate claims data from multiple operating systems, conduct analysis, identify trends, and summarize findings to ‘tell the story behind the numbers’, with a direct impact on departmental results.
• Resolving issues that are generalized and typically not complex, but require understanding of a broader set of issues.
• Support U.S. Claims compliance with governance related directives and assist VP, Data Analytics & Compliance with projects on an as-needed basis.
• Manage the Reporting Calendar to ensure an equitable distribution of work within data team
• Serve as the key Claims business contact and liaison for reporting requests. This includes helping to diagnose/validate the business need and prioritize requests for analysis and reports
• Work directly with IT to ensure best practices are being followed in data collection, data accuracy, and data integrity
• Ability to quickly evaluate the accuracy of data and information.

Preferred Qualifications

• Experience supporting specialty programs and partnering with TPAs, MGAs, or other outside vendors preferred.
• Familiarity with ISO and NCCI or any other statistical agent preferred.