Senior Director of Analytics leading the analytics and BI practice at Corebridge Financial. Overseeing scalable BI output, team management, and providing actionable insights in life insurance and annuities.
About the role
- Claims Specialist responsible for managing complex claims, ensuring equitable resolution and exceptional service. Collaborating with stakeholders to drive claims resolution within company standards.
Responsibilities
- This Claims Specialist is responsible for handling complex claims with a focus on providing exceptional service for stakeholders in order to drive claims to an equitable resolution within Company standards.
- Manages all aspects of a complex claims inventory.
- Effectively communicates with policyholders, agents, attorneys, and witnesses to gather information and provide the highest possible level of customer service.
- Promptly investigates claims to determine exposure, works with appropriate experts and makes strategic recommendations.
- Utilizes appropriate resolution tactics (e.g., mediation, negotiation, denial, litigation or offer) to proactively drive outstanding results.
- Operates within the requirements of related state and/or the governing entity rules and regulations as well as internal claims handling policies and procedures.
- Directs defense counsel throughout the litigation process in line with ICW litigation guidelines while monitoring legal fees and costs.
- Consistently provides exceptional customer service.
- Effectively collaborates with team members from various departments for project and process discussions.
- Acts as a Subject Matter Expert for the department.
- Makes recommendations for streamlining processes and adopting the industry’s best practices.
- Ensures accuracy of data in claims system for compliance with applicable regulatory reporting.
- Provides knowledge transfer across the organization.
- Continuously seeks to improve technical skills by attending job-related training and tracking current case law.
- Acts as a mentor and provides training for less experienced team members.
- Prepares and presents claims status reports for internal and external stakeholders.
- Administers timely and appropriate benefits to injured workers; manages and approves payment of benefits within designated authority level.
- Works within applicable state rules, regulations as well as ICW Group’s internal claims handling policies and procedures.
- Creates and adjusts reserves in a timely manner to ensure reserving activities are consistent with company policies.
- Resolves claims fairly and equitably, acting in the best interest of the insured while providing timely benefits to injured workers as required by law.
Requirements
- Bachelor's degree from an accredited institution (or equivalent education and experience) along with 8-10 years of related claims experience.
- Certification that meets the minimum standards of training, experience, and skill required.
- WCCA and WCCP preferred.
- State Workers Compensation License is required in some branches.
- Thorough understanding of laws and jurisdictional restraints to manage injuries.
- Excellent verbal and written communication skills, time management, attention to detail and organizational skills required.
- Ability to read, analyze, and interpret technical journals, financial reports, and legal documents.
- Ability to write reports, business correspondence, and procedure manuals.
- Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community.
- Ability to effectively present information to management, public groups, and/or boards of directors.
- Must be adept at learning new technology and embrace change.
Benefits
- Competitive benefits package, with generous medical, dental, and vision plans as well as 401K retirement plans and company match
- Bonus potential for all positions
- Paid Time Off with an accrual rate of 5.23 hours per pay period (equal to 17 days per year)
- 11 paid holidays throughout the calendar year
- Want to continue learning? We’ll support you 100%
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