Claims Analyst jobs in Milwaukee, WI

Claims Analyst analyzes and reviews insurance claims for accuracy, completeness, and eligibility. Reviews claims for eligibility to be reimbursed. Being a Claims Analyst maintains updated records and prepares required documentation. Assists in controlling the cost of processing claims. Additionally, Claims Analyst contacts policyholders about claims and may provide information regarding the amount of benefits. May require a bachelor's degree or its equivalent. Typically reports to a supervisor or manager. The Claims Analyst gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Claims Analyst typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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Senior Claims Analyst - Workers Compensation
  • Crum & Forster
  • BROOKFIELD, WI FULL_TIME
  • Crum & Forster Company Overview

    Crum & Forster (C&F)  with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a financial strength rating of "A" (Excellent) by AM Best and is proud of our superior customer service platform. Our claims and risk engineering services are recognized as among the best in the industry.

     

    Our most valuable asset is our people: more than 2000 employees in locations throughout the United States. The company is increasingly winning recognition as a great place to work, earning several workplace and wellness awards, including the October 2022 Great Place to Work® Award for our employee-first focus and our steadfast commitment to diversity, equity and Inclusion.

     

    C&F is part of Fairfax Financial Holdings, a global, billion dollar organization.  For more information about Crum & Forster, please visit our website: www.cfins.com.

    Job Description

     

    The Senior Claims Analyst is responsible for providing superior customer service to policyholders, agents, claimants and others encountered during general claims handling.

     

    The Senior Claims Analyst is responsible for the handling of medical only Workers Compensation claims to ensure timely and accurate processing and top notch customer service. The Senior Analyst is accountable for the accurate determination of the proper amount due the insured or claimant within assigned authority limits and for the compliance with company policies and procedures.

     

    What you will do for C&F:

     

    • Verify, identify coverage, compensability issues and conduct limited investigations.
    • Identify subrogation, second injury fund and fraud situations and develop information to pursue.
    • Conduct timely initial and ongoing contacts and investigation based on best practices guidelines.
    • Maintain proper file on all activities and issues.
    • Obtain medical records relating to the claim.
    • Review claim for necessity and relatedness.
    • Provide case management to files with ongoing treatment using authorized outside resources where needed.
    • Prepare and submit appropriate state and agency forms timely.
    • Assist with account coordination and claims reviews.
    • Timely process bills and other benefit payments.
    • Work closely and communicate regularly with Underwriting, Risk Engineering, and Account Executives.
    • Address questions, concerns and issues from outside parties: insured’s, agents, state agencies, injured employees, attorneys.
    • Provide superior customer service to agents, insured’s and others during the claims handling process.
    • When appropriate and necessary, consults with manager or director of claims to obtain authority for activities and settlements that exceed assigned authority.
    • Document all significant activities and contacts in the claims file, in accordance with established best practices, company claims handling procedures and applicable state regulations.
    • Assist with account coordination and claims reviews.
    • Timely process bills and other benefit payments.
    • Take continuing education courses to maintain licenses.

     

    What you will bring to C&F:

     

    • College degree is required but may be waived based on prior claim or business experience.
    • Excellent written and verbal communication skills.
    • General knowledge of insurance and/or claims is a plus.
    • Strong working knowledge of the Microsoft Office suite of programs and an aptitude to learn new programs.

     

    Crum & Forster is committed to ensuring a workplace free from discriminatory pay disparities and complying with applicable pay equity laws. Salary ranges are available for all positions at this location, taking into account roles with a comparable level of responsibility and impact in the relevant labor market and these salary ranges are regularly reviewed and adjusted in accordance with prevailing market conditions. The annualized base pay for the advertised position, located in the specified area, ranges from a minimum of $33,800.00 to a maximum of $56,400.00. The actual compensation is determined by various factors, including but not limited to the market pay for the jobs at each level, the responsibilities and skills required for each job, and the employee’s contribution (performance) in that role. To be considered within market range, a salary is at or above the minimum of the range. You may also have the opportunity to participate in discretionary equity (stock) based compensation and/or performance-based variable pay programs.

     

    #LI-AV1

    #Remote

     

     

    What C&F will bring to you

    Competitive compensation package

    Generous 401K employer match

    Employee Stock Purchase plan with employer matching

    Generous Paid Time Off

    Excellent benefits that go beyond health, dental & vision. Our programs are focused on your whole family’s wellness, including your physical, mental and financial wellbeing

    A core C&F tenet is owning your career development, so we provide a wealth of ways for you to keep learning, including tuition reimbursement, industry-related certifications and professional training to keep you progressing on your chosen path

    A dynamic, ambitious, fun and exciting work environment

    We believe you do well by doing good and want to encourage a spirit of social and community responsibility, matching donation program, volunteer opportunities, and an employee-driven corporate giving program that lets you participate and support your community.

     

     

    At C&F you will BELONG

     

    We value inclusivity and diversity. We are committed to equal employment opportunity and welcome everyone regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, or Veteran status. If you require special accommodation, please let us know.

  • 1 Month Ago

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WI - 1099 Property Adjuster
  • Copper Claims Services, Inc.
  • Milwaukee, WI FULL_TIME
  • 1099 Property Claims Adjuster Copper Claims Services is a quickly growing independent loss adjusting firm based out of Irvine, CA with offices in California, Arizona, Oregon, Nevada, Washington, Utah,...
  • 1 Month Ago

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Trainee (Claims)
  • AF Group Careers Section
  • Berlin, WI FULL_TIME
  • SUMMARY: This is an entry level position that is part of a formal training program. This job is foundational and expected to be a starting point within a specific discipline (Claims) and is expected t...
  • 11 Days Ago

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Claims Adjuster Trainee
  • Progressive Casualty Insurance Company
  • Muskego, WI FULL_TIME
  • Claims Adjuster Trainee Job Number: 224588 Join Forbes’ 2023 Best Employer for Diversity! As a claims adjuster trainee, you’ll learn how to help customers get back on the road after an accident. This ...
  • 9 Days Ago

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Claims Adjuster Trainee
  • Progressive Insurance
  • Grafton, WI FULL_TIME
  • Join Forbes’ 2023 Best Employer for Diversity! As a claims adjuster trainee, you’ll learn how to help customers get back on the road after an accident. This is not a field position which means you’ll ...
  • 9 Days Ago

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Claims Adjuster Trainee
  • Progressive Casualty Insurance Company
  • Milwaukee, WI FULL_TIME
  • Claims Adjuster Trainee Job Number: 224585 Join Forbes’ 2023 Best Employer for Diversity! As a claims adjuster trainee, you’ll learn how to help customers get back on the road after an accident. This ...
  • 9 Days Ago

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0 Claims Analyst jobs found in Milwaukee, WI area

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Applications Analyst Sr - Epic Billing
  • Children's Wisconsin
  • Milwaukee, WI
  • At Children's Wisconsin, we believe kids deserve the best. Children's Wisconsin is a nationally recognized health system...
  • 3/19/2024 12:00:00 AM

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Remote Licensed Insurance Representative
  • Teleperformance USA
  • Milwaukee, WI
  • Category : Customer Service/Support About TP Teleperformance is a global, digital business services company. We deliver ...
  • 3/19/2024 12:00:00 AM

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Telesales Life Insurance Sales Agent - remote (work from home) position.
  • Security National Life Insurance Company
  • Milwaukee, WI
  • *This offer is only intended for licensed life insurance agents with final expense experience. If your a licensed life i...
  • 3/19/2024 12:00:00 AM

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Technical Support Technician
  • Connect Search, LLC
  • Milwaukee, WI
  • Technical Support Technician Direct Hire Technical Support Technician opportunity with one of my clients based out of th...
  • 3/18/2024 12:00:00 AM

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Remote Insurance Agent
  • Symmetry Financial Group The Clayton Agency
  • Milwaukee, WI
  • Simple Solutions Financial Service needs the right agents to help our growing clientele build an asset and not a liabili...
  • 3/17/2024 12:00:00 AM

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Loss Prevention Officer must be prior Corrections / L.E. / Loss Prevention / Military
  • Metro One LPSG
  • Milwaukee, WI
  • Description Metro One is the nation's premier Loss Prevention and Security Organization, with more than 100 National Cli...
  • 3/16/2024 12:00:00 AM

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HR Analyst
  • Nephele Consulting
  • Hartland, WI
  • Description I'm adding this so you can see how the system tracks changes made to the JD via the Download option. This ch...
  • 3/15/2024 12:00:00 AM

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Property Field Claims Adjuster (Milwaukee, WI)
  • American Family Insurance
  • Milwaukee, WI
  • Job Family Summary You will investigate and maintain property claims. You will determine liability, secure information, ...
  • 3/2/2024 12:00:00 AM

Milwaukee lies along the shores and bluffs of Lake Michigan at the confluence of three rivers: the Menomonee, the Kinnickinnic, and the Milwaukee. Smaller rivers, such as the Root River and Lincoln Creek, also flow through the city. Milwaukee's terrain is sculpted by the glacier path and includes steep bluffs along Lake Michigan that begin about a mile (1.6 km) north of downtown. In addition, 30 miles (48 km) southwest of Milwaukee is the Kettle Moraine and lake country that provides an industrial landscape combined with inland lakes. According to the United States Census Bureau, the city has ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Analyst jobs
$38,085 to $48,840
Milwaukee, Wisconsin area prices
were up 1.8% from a year ago

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