Senior Claims Analyst

Senior Claims Analyst

Requirements

• Bachelor’s degree in business, Insurance, or related field.
• Minimum 7 years’ experience handling large employer claims.
• Expertise in handling multi-state WC claims, preferably in manufacturing.
• Experience in self-insured and insured programs.
• Ability to build and maintain relationships with internal and external stakeholders.

Responsibilities

• File and manage claims.
• Collaborate with external brokers and carriers to resolve coverage questions for internal teams.
• Manage approvals for claim reserves and settlements.
• Manage claims process and administrative functions for all claims.
• Ensure accuracy and completeness of illness and Injury reports and workers compensation forms.
• Provide training to ensure understanding of processes and timely reporting.
• Coordinate with clinics and health care providers to ensure proper processing of claims.
• Acts as liaison between internal and external teams.
• Develop and implement claims processes and training programs.
• Partners and manage processes, relationships, and agreement with Nordson’s TPA.
• Ensure injured employees receive proper medical treatment and follow up care.
• Work with management and TPAs to facilitate the return of injured employees to work.
• Review open claims and monitors reserves.
• Assess reserve changes and settlement recommendations.
• Analyze data to support loss control initiatives.
• Organize and lead claim review meetings, vendor meetings and other training programs.
• Works within a team environment to accomplish departmental goals and company goals.
• Monitors and responds to mail and email daily, follows up appropriately and in a timely matter.
• Communicate regularly with business unit operations regarding work comp metrics and costs.
• Adhere to state specific workers’ compensation requirements. Keep current State laws affecting claims, specifically Workers Compensation claims.
• Prepare and manage annual self-insurance filings and renewal applications.
• Ensure proper maintenance of claim files.
• Review and process loss funding invoices.
• Assist with project initiatives and other duties as assigned.

Preferred Qualifications

• Preferred experience working in insurance risk/claims for larger organizations.