financial lines claims analyst

The Hartford

<div>Sr Claims Analyst FL - CV08DE<p>
We&rsquo;re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals &ndash; and to help others accomplish theirs, too. Join our team as we help shape the future.<br>
</p><p></p><p>The Global Financial Lines Senior Claims Analyst - Allied Health Professional Liability manages complex primary and excess financial lines claims under claims‑made policies. This role applies strong technical expertise and sound judgment to evaluate, manage, and resolve claims in accordance with company standards and regulatory requirements.</p><p><b>
Job duties include:</b></p><p><b>
Claim File Management</b></p><ul><li><p>
Plan, recommend, reserve, and execute file strategies including investigation, valuation, disposition, and settlement of assigned claims of low to moderate exposure and/or complexity, in a manner consistent with corporate claim settlement policies and procedures, and statutory, regulatory and ethics requirements</p></li><li><p>
Appropriately escalate matters to Team Lead/management per escalation protocols</p></li><li><p>
Independently draft and issue timely reservation of rights letters on all files and independently draft denials for management review</p></li><li><p>
Properly assesses the exposure of assigned claims. Plan and organize, establish priorities, anticipate issues, determine realistic completion dates, know and communicate the status of assignments, appropriately manage vendors</p></li><li><p>
Demonstrate increasing ability and continued development with respect to appropriately interpreting and applying financial lines insurance coverage concepts, including how to trigger other insurance when indicated</p></li><li><p>
Demonstrate development regarding technical and jurisdictional expertise</p></li><li><p>
Maintain current knowledge of claim loss cost management initiatives, and utilize them appropriately and in a manner consistent with company practices and procedures</p></li><li><p>
Identify and properly utilize mitigation, subrogation, and other recovery opportunities</p></li></ul><p><b>
Customer Service</b></p><ul><li><p>
Maintain dedication to meeting or exceeding expectations and requirements of internal and external customers</p></li><li><p>
Obtain first-hand customer information; use it for improvements in products and services</p></li><li><p>
Establish and maintain effective relationships with customers, gaining their trust and respect. Demonstrate diplomacy and tact to effectively avoid or diffuse high-tension situations.</p></li></ul><p><b>
Business Acumen and Technical Expertise</b></p><ul><li><p>
Utilize verbal and numerical critical thinking skills to gather information, apply sound reasoning, and draw appropriate conclusions; make sound decisions based upon mixture of analysis, experience, and judgment.</p></li><li><p>
Accurately resolve coverage and compensability issues.</p></li><li><p>
Demonstrated experience investigating, evaluating, and successfully negotiating/mediating claims to appropriate disposition.</p></li><li><p>
Possess superior analytical and critical thinking skills.</p></li><li><p>
Excellent time management abilities</p></li><li><p>
Possess the technical knowledge to properly reserve claims</p></li><li><p>
Properly apply statutory laws and regulations of applicable jurisdiction</p></li><li><p>
Demonstrate advanced expertise to utilize claim management practices to effectively manage loss costs</p></li><li><p>
Contribute to loss cost management by recognizing potential for Subrogation and Special Investigation</p></li></ul><p><b>
Teamwork and Team Building</b></p><ul><li><p>
Support and help create a team environment that celebrates diversity and Inclusion</p></li><li><p>
Support and assist in building a high performing team with diverse characteristics, where individual differences are valued</p></li><li><p>
Build appropriate rapport and constructive and effective relationships with people inside and outside the organization</p></li><li><p>
This position will handle files in more than one claims systems</p></li></ul><p><b>
Qualifications</b></p><ul><li><p>
College degree required, J.D. strongly preferred</p></li><li><p>
At least two to three years of successful relevant experience handling third-party professional liability claims or litigation, with a career history of increasing responsibility</p></li><li><p>
Experience handling allied health or medical malpractice matters strongly preferred</p></li><li><p>
Technical expertise in managing claims</p></li><li><p>
Self-starter, resourceful and independent</p></li><li><p>
Ability to work in a fast-paced environment and ability to prioritize work</p></li><li><p>
Outside the box thinking to negotiate creative resolutions</p></li><li><p>
Strong computer proficiency in utilizing software programs, knowledge of ECOS claim system a plus</p></li><li><p>
Strong communication skills, oral, written, collaboration and negotiation</p></li><li><p>
Excellent time management and organizational skills</p></li><li><p>
Superior customer service skills</p></li><li><p>
Adept at managing conflict as an opportunity to listen and share information while negotiating a win/win outcome that supports The Hartford's and the insured&rsquo;s best interests</p></li><li><p>
State adjusting licenses will be required; a plus if already obtained</p></li><li><p>
Proficiency in using Microsoft Word and Excel</p></li><li><p>
Operate under the mindset of The Hartford's Behaviors: be courageous, break through, and better the experience</p></li></ul><p>
This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Phoenix, AZ, Naperville, IL, Alpharetta, GA) will have the expectation of working in an office 3 days a week (Tuesday through Thursday). Candidates who do not live near an office will have a remote work arrangement, with the expectation of coming into an office as business needs arise.</p><p><b>
Compensation</b></p><p>
The listed annualized base pay range is primarily based on analysis of similar positions in the external market. Actual base pay could vary and may be above or below the listed range based on factors including but not limited to performance, proficiency and demonstration of competencies required for the role. The base pay is just one component of The Hartford&rsquo;s total compensation package for employees. Other rewards may include short-term or annual bonuses, long-term incentives, and on-the-spot recognition. The annualized base pay range for this role is:</p>
$108,800 - $163,200<p>
Equal Opportunity Employer/Sex/Race/Color/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age</p></div>

Senior Claims Analyst - Allied Health Professional Liability

Zurich Insurance

<div><div>Zurich North America is currently hiring a Reinsurance Claims Expert to join the Reinsurance Finance &amp; Recoveries Team. The role supports end‑to‑end review and analysis of reinsurance claims across multiple treaty structures, including Group and Single Parent Captive Treaties, Cyber and Miscellaneous E&amp;O, and Large Property Treaties. This person will work out of our Schaumburg, IL North America Headquarters.</div><div></div><div><br>
Position Responsibilities:</div><br>
<div></div><ul><li>
Reviewing underlying claim and declaratory judgment files to assess notice and precautionary notice thresholds</li><li>
Analyzing policy and treaty wordings and providing treaty coverage assessments, including complex trigger applications (continuous, manifestation, date of injury), particularly for Captive contracts</li><li>
Supporting Reinsurance Accounting through detailed analyses involving basket, clash, and recovery application scenarios</li><li>
Providing technical claim and coverage insight to ensure accurate treaty application and financial reporting</li></ul><div></div><div><br>
Stakeholder and Operational Support:</div><br>
<div></div><ul><li>
The role also serves as a key liaison with internal and external stakeholders by:</li><li>
Responding to Reinsurer and Captive Consultant inquiries and managing treaty notices and updates</li><li>
Consulting with policy and treaty underwriters to confirm underwriting intent on complex coverage issues</li><li>
Participating in calls with Claims, Claims Legal, Brokers, and Underwriting, particularly for large losses and litigation matters</li><li>
Coordinating with Claims Legal on privileged communications and tracking litigation and DJ activity</li></ul><div></div><div><b><br>
The role will be filled at the Reinsurance Claims Analyst or Reinsurance Claims Expert level. The hiring manager will determine the appropriate level based upon the selected applicant&rsquo;s experience and skill set relative to the qualifications listed for this position.</b></div><div></div><div><br>
Basic Qualifications:</div><div></div><div><br>
Reinsurance Claims Expert:</div><br>
<div></div><ul><li>
Bachelor's Degree and 6 or more years of experience in the insurance claims area with exposure to the reinsurance business
<br>
OR</li><li>
High School Diploma and 8 or more years of experience in the insurance claims area with exposure to the reinsurance business
<br>
OR</li><li>
Zurich Certified Apprentice, including an Associate Degree and 6 or more years of experience in the insurance claims area with exposure to the reinsurance business<br>
AND</li><li>
Advanced knowledge of claims, reinsurance, and legal/coverage issues on direct and reinsurance claims for multiple lines of business</li><li>
Shows interest and ability to manage others</li><li>
Intermediate experience with Microsoft Office products</li></ul><div></div><div><br>
OR</div><div><br>
Reinsurance Claims Analyst:</div><br>
<div></div><ul><li>
Bachelor&rsquo;s Degree and 6 or more years of experience in the insurance claims area with exposure to the reinsurance business
<br>
OR</li><li>
High School Diploma and 8 or more years of experience in the insurance claims area with exposure to the reinsurance business
<br>
OR</li><li>
Zurich Certified Apprentice, including an Associate Degree and 6 or more years of experience in the insurance claims area with exposure to the reinsurance business<br>
AND</li><li>
Advanced knowledge of claims, reinsurance, and legal/coverage issues on direct and reinsurance claims for multiple lines of business</li><li>
Experience with Microsoft Office products</li></ul><div></div><div><br>
Preferred Qualifications:</div><br>
<div></div><ul><li>
Juris Doctor</li><li>
Advanced knowledge of claims, reinsurance, and legal/coverage issues on direct and reinsurance claims for multiple lines of business</li><li>
Member of the Bar</li><li>
Strong Microsoft Office skills</li><li>
Organizational skills</li><li>
Good analytical skills</li><li>
Strong verbal and written communication skills</li><li>
Ability to lead in a team environment</li><li>
Diversified claim experience</li></ul><p></p><div><p><br>
Your pay at Zurich is based on your role, location, skills, and experience. We follow local laws to ensure fair compensation. You may also be eligible for bonuses and merit increases. If your expectations are above the listed range, we still encourage you to apply&mdash;your unique background matters to us. The combined salary range for this position is $110,200.00 -$207,600.00. The proposed salary range for the Reinsurance Claims Analyst is $110,200.00 - $180,500.00, with short-term incentive bonus eligibility set at 15%. The proposed salary range for the Reinsurance Claims Expert is $126,700.00 - $207,600.00, with short-term incentive bonus eligibility set at 20%.</p></div><p></p><p><br>
We offer competitive pay and comprehensive benefits for employees and their families. [Learn more about Total Rewards here.]</p><p></p><p><b><br>
Why Zurich?</b></p><p>
At Zurich, we value your ideas and experience. We offer growth, inclusion, and a supportive environment&mdash;so you can help shape the future of insurance. Zurich North America is a leader in risk management, with over 150 years of expertise and coverage across 25+ industries, including 90% of the Fortune 500&reg;.</p><p></p><p><br>
Join us for a brighter future&mdash;for yourself and our customers.</p><p></p><p><br>
Zurich in North America does not discriminate based on race, ethnicity, color, religion, national origin, sex, gender expression, gender identity, genetic information, age, disability, protected veteran status, marital status, sexual orientation, pregnancy or other characteristics protected by applicable law. Equal Opportunity Employer disability/vets.</p><p></p><p><br>
Zurich complies with 18 U.S. Code &sect; 1033.</p><p></p><p><b><br>
Please note:</b> Zurich does not accept unsolicited CVs from agencies. Preferred vendors should use our Recruiting Agency Portal.</p><p></p><p><br>
Location(s): AM - Schaumburg, AM - Chicago<br>
Remote Working: Hybrid<br>
Schedule: Full Time<br>
Employment Sponsorship Offered: No
<br>
<br>
Linkedin Recruiter Tag: #LI-GR1 #LI-ASSOCIATE #LI-HYBRID</p></div><p></p>

Reinsurance Claims Expert (Expert or Analyst)

Harbor Claims LLC

<div>Description: <b>Job Overview</b><p>
Our Claims Analyst III&rsquo;s are highly-seasoned residential property (1st party) and/or liability (3rd party) claims professionals who are dedicated to doing an outstanding job of accurately and effectively handling a heavy claims file load of the full range of routine to complex claims for the Company. Additionally, our Claims Analyst III&rsquo;s provide constant, top-quality and highly-responsive service to successfully handle even the most advanced claims inquiries and/or issues from policyholders, agents, third party representatives and other Company team members.</p><b>
Job Responsibilities</b><p><i><br>
In the spirit of our Company&rsquo;s mission, values and culture, the duties listed below serve as illustrations of the various types of work that may be performed by our Claims Analyst II&rsquo;s. We may also expect our Claims Analyst II&rsquo;s to carry out other responsibilities that are similar, related or a logical assignment to this job class.</i></p><ul><li>
With minimal supervision, provides outstanding service to Harbor Claims external and internal customers; utilizes tact, diplomacy and professional communication skills to positively represent Harbor Claims in telephone and email contacts; per Company claims guidelines, Company quality and time standards and governmental regulations and with minimal supervision, appropriately and correctly responds via telephone and email interactions to a wide range of routine to complex claimants&rsquo;, agents&rsquo; and third party representatives&rsquo; claims, policy and other related inquiries and issues.</li><li>
Within designated levels of authority and required time frames and with minimal supervision, assigns applicable claims to independent and/or Harbor Claims field adjusters; provides professional and responsive assistance on pending claims to independent and/or Harbor Claims field adjusters; develops and maintains effective working partnerships with independent and field adjusters to ensure prompt and appropriate claims&rsquo; actions; correctly reviews, assesses and applies independent and/or field adjusters&rsquo; findings in order to appropriately handle the respective claims.</li><li>
Within designated authority levels and time frames, with minimal supervision and adeptly utilizing assigned tools, analyzes claims information to determine appropriate settlement; as required, requests, obtains, reviews and evaluates outside experts&rsquo; (including engineers, architects, construction contractors and attorneys) opinions and/or information and confers with experts; communicates with claimant regarding settlement and effectively negotiates, when necessary; as required, interviews and records statements of claimants and witnesses to gather pertinent information; communicates with claimant regarding settlement and effectively negotiates, as necessary; settles claim and closes a wide spectrum of files including those with increased complexity, severity and/or exposure and/or which may be attorney- or third-party-represented; when claim is outside scope of authority or is attorney or third-party represented, actively and professionally works the file while maintaining clear communication and ongoing interaction with management, internal legal counsel and/or outside legal counsel, as appropriate, to ensure prompt timely and fair resolution of claims; may participate in mediation and/or court proceedings.</li><li>
Maintains exceptionally thorough, accurate claims files in compliance with governmental regulations and Company standards; efficiently and effectively utilizes multiple Carrier and Harbor Claims Information Systems/Programs to accurately maintain Claims files and file diaries.</li><li>
Reviews assigned files for subrogation potential; as warranted, identifies potential subrogation opportunities; clearly communicates findings to subrogation specialist and provides follow-up assistance and support, as necessary.</li><li>
Actively contributes as a member of the Harbor Claims Team by providing assistance and support to assigned claims, underwriting, customer support, product, sales and/or other team members; as requested, researches routine to more difficult policy, coverage and eligibility provisions; develops and communicates provision findings, analyses and/or recommendations to appropriate internal and/or external contacts .</li><li>
Participates in and/or actively assists with &ldquo;special&rdquo; Company projects, including CAT planning, organization, and preparation, vendor management or others, as directed.</li><li>
Dynamically enhances Company&rsquo;s success by taking advantage of learning and development opportunities and personally integrating positive actions to improve individual performance.</li></ul>
Requirements: <b>Skills and Expertise</b><br>
<b>Qualities: </b>quality- oriented; detail-oriented; self-starter; team player; multi-tasker; adaptability; flexibility; strong work ethic; positive &ldquo;can do&rdquo; attitude; collaborator; financially-oriented; service-oriented; coachable; dependable.<p><b>
Strong skill sets in the following areas: </b>effective decision-making; time management/working under tight deadlines; information and financial review and analyses; organization; problem analyses/solving; active listening; asking productive questions with an ability to apply learned information to a variety of related or similar situations; oral and written communication; interpersonal communication.</p><p><b>
Strong knowledge of</b>: advanced understanding of personal lines products, including residential homeowners and personal umbrella products; depending on area of focus, advanced understanding of property-related (1st party) and/or liability-related (3rd party) principles, practices, processes and terminology; business writing, grammar and punctuation rules; telephone and email business etiquette rules; desktop computer operations; standard business software and web-based engine operations (e.g., Microsoft Word, Microsoft Excel, Microsoft Outlook and Internet Explorer). MS Access, MS PowerPoint a plus. Thorough knowledge of Xactimate required.</p><b>
Licenses, Education and/or Experience</b><p><b><br>
For external candidates applying to a Claims Analyst III position:</b> Bachelor&rsquo;s Degree and five or more years residential property (1st party) or liability (3rd party) experience or equivalent. Must hold a current 6-20 Claims Adjuster or equivalent (for other applicable states) license, as required by job opening.</p></div>

Claims Analyst III (Residential Property and/or Liability)

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10000 financial lines claims analyst jobs Near Me

Senior Claims Analyst - Allied Health Professional Liability

Senior Claims Analyst - Allied Health Professional Liability

Senior Claims Analyst - Allied Health Professional Liability

Senior Claims Analyst - Allied Health Professional Liability

Senior Claims Analyst - Allied Health Professional Liability

Reinsurance Claims Expert (Expert or Analyst)

Claims Analyst III (Residential Property and/or Liability)