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Claims Analyst

Job Title: Claims Analyst

Reports to: Manager, Claims

Job Location: Glastonbury, CT

Job Description:

This is an entry to mid-level position designed to allow the appropriate candidate to grow and develop skills and expertise and transition to more complex claim handling responsibilities. Works under general supervision and reports to a Team Leader and/or Manager. Achieve superior customer service and claim handling at the most reasonable cost/efficiency by completing essential claim adjudication tasks including denying, settling, or requesting payments for claims based on coverage and proof of loss.

Job Responsibilities:

  • Corresponds through verbal/written communication with policyholders, claimants, travel coordinators, etc. to gather important information to support claim decision.
  • Serve as a customer advocate in all interactions to provide an outstanding customer experience.
  • Productivity (Review, assess, and process claims with adhering to established SLAs)
    • # completed per day, # checks written per week; Prompt responses to all status calls (next business day standard)
    • Maintain SLAs on DOI, Attorney Demand and BBB complaints
  • Quality (Deliver complete, timely, and accurate work)
    • Adhere to documented procedures and be thorough in file documentation of spreadsheets and diary
    • Minimum number of claim appeals or overturned due to analyst error
    • Manage work queue independently, Take ownership of claim decisions and work queue
    • Communicate effectively both written and verbal, Consistently provide high-level customer service
    • Recognize fraud and subrogation opportunities and refer to appropriate expert
    • In accordance with policy language, demonstrate open-mindedness as situation requires.
  • Teamwork
    • Demonstrate reliability (attendance, punctuality, time management)
    • Show respect for co-workers and external contacts (customers, agents, third party providers, etc.)
    • Be a positive influence in the unit and show commitment to supporting team goals (e.g., eliminating backlogs)
  • Demonstrated Other Measures
    • Leadership (willingness to put forth ideas to improve unit performance)
    • Willingness to accept constructive criticism (coachable)
    • Support of Team TII or other community initiatives
    • Continuous acquisition, development, and refinement of your skills as a claim professional
    • Embrace and practice Pete’s Principles

Job Qualifications:

  • Solid knowledge of principles and processes for claim examination, evaluation, and disposition
  • Strong problem solving and decision making , and active listening skills
  • Ability to adjust readily to multiple demands and constituencies, shifting priorities, and rapid change
  • Ability to communicate in a clear, concise manner appropriate to the audience via phone, email, and in writing
  • Strong computer literacy with demonstrated keyboard skills, solid knowledge of technology used for claims administration, and familiarity with Microsoft office software
  • Prior customer service experience, within a claim environment a plus
  • Bachelor’s degree or equivalent work experience preferred
  • Demonstrated ability to work independently

Full-time Travel Insured International associates are offered benefits including:
* 401(k) and profit-sharing plans with employer contributions
* Medical / Dental / Vision / Short Term Disability / Life Insurance /Educational assistance program
* Paid vacation and holidays
* Business casual dress
* Volunteer and Extracurricular opportunities – Team TII

Travel Insured International Inc. is An Equal Opportunity Employer.

To apply, upload your resume and complete an assessment.

Coverage is offered by Travel Insured International, California lic. no.0I13223, 855 Winding Brook Drive, Glastonbury, CT 06033. The plans contain insurance benefits underwritten by the United States Fire Insurance Company, 305 Madison Ave, Morristown, NJ 07960. C&F and Crum & Forster are registered trademarks of United States Fire Insurance Company. United states Fire Insurance Company is currently authorized to transact business in all states and the District of Columbia. NAIC No. 21113. The Crum & Forster group of companies is rated A (Excellent) by AM Best Company 2016. The plans also contain non-insurance Travel Assistance Services that are provided by an independent organization, and not by United States Fire Insurance Company or Travel Insured International. Coverages may vary and not all coverage is available in all jurisdictions. Your travel retailer may not be licensed to sell insurance, and cannot answer technical questions about the benefits, exclusions, and conditions of our plans. Louisiana residents looking to obtain additional information regarding the features and pricing of each travel plan component, please contact Travel Insured.