insurance claims analyst

FalconPrime Insurance Services

Claims AnalystFalconPrime Insurance Services &ndash; Doha, Qatar Full-timeAbout FalconPrime Insurance ServicesFalconPrime Insurance Services is a Doha-based insurance and risk management company providing comprehensive coverage solutions for individuals and businesses. The company focuses on efficient claims processing, customer satisfaction, and maintaining strong compliance with industry regulations.Job DescriptionFalconPrime Insurance Services is seeking a detail-oriented and analytical Claims Analyst to review, evaluate, and process insurance claims. The role involves ensuring claims are accurate, valid, and compliant with policy terms while supporting timely resolution and customer satisfaction.Claims Analysts play a key role in analyzing claim data, verifying coverage, and ensuring fair and accurate payouts while protecting company interests.Responsibilities<ul><li>Review and analyze insurance claims for accuracy, completeness, and eligibility</li><li>Evaluate policy coverage and determine claim validity</li><li>Investigate claims by gathering information from clients, adjusters, and relevant parties</li><li>Process claims and recommend approval, denial, or adjustment of payments</li><li>Identify discrepancies, errors, or potential fraudulent claims</li><li>Communicate with policyholders regarding claim status and requirements</li><li>Maintain accurate records of claims, documentation, and decisions</li><li>Prepare reports on claims trends, costs, and performance metrics</li><li>Ensure compliance with company policies and regulatory standards</li><li>Collaborate with internal departments such as underwriting, legal, and finance</li></ul>Qualifications<ul><li>Bachelor&rsquo;s degree in Finance, Business Administration, or related field</li><li>Previous experience in insurance claims, finance, or analysis preferred</li><li>Strong analytical and problem-solving skills</li><li>High attention to detail and accuracy</li><li>Good communication and interpersonal skills</li><li>Proficiency in Microsoft Excel and data analysis tools</li><li>Ability to manage multiple claims and deadlines</li></ul>Preferred Qualifications<ul><li>Experience in insurance, healthcare claims, or financial services</li><li>Knowledge of insurance policies, claims processing, and regulations</li><li>Familiarity with claims management systems or ERP software</li><li>Experience in fraud detection or risk analysis</li></ul>Why Join FalconPrime Insurance Services?<ul><li>Work in a structured and professional insurance environment</li><li>Gain hands-on experience in claims analysis and risk management</li><li>Opportunity to develop analytical and decision-making skills</li><li>Exposure to real-world insurance operations and compliance processes</li><li>Career growth opportunities within the insurance sector</li></ul>Work Setup &amp; Benefits<ul><li>Standard office working hours</li><li>Competitive salary (based on experience)</li><li>Health insurance and paid leave</li></ul>Job Types: Full-time, Contract, Permanent Contract length: 12 monthsPay: QAR270.00 per hourExpected hours: 20 per weekWork Location: In person

Claims Analyst

Munich Re

<div><div>Location Dubai, United Arab Emirates Job type Full-Time Work mode Hybrid Job level Professional Job ID 12761 Company Munich Re Employment type Regular Area of expertise Claims &amp; Underwriting</div></div>
 <div><div>The Medical Claims Analyst provides specialized support to the Munich Re Health Team across the Middle East Region, conducting comprehensive analysis of health insurance claims through both prospective and retrospective review methodologies. This position is essential to upholding clinical quality standards, enhancing operational cost-efficiency, and maintaining the integrity of billing and claims processes across all claim categories.
Your role:<ul><li>
Monitor and review pre-approvals in coordination with the insurance team, ensuring timely and clinically appropriate feedback on case management interventions.</li><li>
Conduct comprehensive coding reviews on all inpatient approvals to ensure compliance with ICD, CPT, and DRG standards.</li><li>
Implement evidence-based cost containment strategies, including provider negotiations, second medical opinions, and home country referral facilitation in collaboration with the insurance team.</li><li>
Periodically analyze outpatient claims to identify utilization trends, provider performance patterns, and document suspected fraud, waste, and abuse for escalation.</li><li>
Establish and maintain approval thresholds for different Third-Party Administrators (TPAs) in collaboration with insurance partners to ensure alignment with clinical quality and cost efficiency objectives.</li><li>
Provide clinical expertise and assistance in health insurance medical underwriting processes as required</li><li>
Review medical evidence and recommend appropriate coverage determinations</li><li>
Support risk assessment activities in collaboration with the underwriting team</li></ul>
Your Profile:<ul><li>
Bachelor's degree in Medicine (MD/MBBS) or equivalent medical qualification</li><li>
Current Certification in Medical Coding and Billing (e.g., AAPC, ICD-10, or equivalent regional certification)</li><li>
Minimum 3 years of hands-on experience in health insurance claims management in the UAE market</li><li>
Additional insurance qualifications (e.g., AICL, RPA) are highly desirable.</li><li>
Excellent problem-solving and time management skills</li><li>
Good interpersonal and communicational skills</li><li>
Team player, motivated, dependable, and open-minded</li><li>
Assertive, reliable and business-minded with good negotiation skills.</li></ul><ul><li>Munich Re not only stands for fairness with regard to its clients; it is also an equal opportunities employer.</li></ul></div></div>
 <div><div><div><h2 class="jobSectionHeader">Your Benefits</h2>
With us, you get more than just an exciting job. Enjoy a wide range of employee benefits tailored to your wellbeing and development. Please note that regional differences may apply.
</div><div><div>Competitive Salary
We provide fair and competitive compensation that reflects your performance and commitment.
</div><div>Company performance-based Incentives
In addition to your salary, our variable compensation approach allows you to share in Munich Re's success.
</div><div>Recognition and Special Rewards
We recognise outstanding individual contributions through a variety of targeted rewards and incentives.
</div><div>Retirement Planning
We support your long-term financial wellbeing with retirement solutions aligned with local regulations.
</div><div>Inclusive Workplace Culture
We foster a respectful, inclusive, and values-driven environment.
</div><div>Learning &amp; Development
We offer tailored learning opportunities with a strong focus on core skills and business-critical knowledge.
</div><div>Work-Life-Balance
Supporting your ability to balance family, leisure, and your career.
</div><div>Health &amp; Wellbeing
We support your physical and mental health through a range of programs and activities in each location.</div></div></div></div>

Medical Claims Analyst

Harbor Claims LLC

<div>Description: Job Overview
Our Claims Analyst I&rsquo;s are our entry-level team members who are selected for, participate in and earn the opportunity to graduate from our Harbor Claims College. During Claims College, they are considered students and learn how to handle basic claims the Harbor Claims way in both a classroom and hands-on environment. After successful completion of Harbor Claims College, our Claims Analysts I initially focus their attention on providing constant, top-quality and highly-responsive service to our customers in order to successfully handle first notice of loss (FNOL) communications and or routine claims inquiries and/or issues from policyholders, agents and other Company team members. Concurrently, in order to expose the Claims Analyst I&rsquo;s to the &ldquo;nuts and bolts&rdquo; of the Harbor Claims way, our Claims Analyst I&rsquo;s provide other administrative and technical assistance in support of their team. Eventually, as their knowledge base expands, our Claims Analyst I&rsquo;s are tasked with handling routine claims files within minimum levels of authority and then receive increased exposure to more challenging files as they demonstrate mastery and ability. Our Claims Analyst I&rsquo;s have varied backgrounds, but all come to the job ready, willing and able to quickly and thoroughly learn the &ldquo;ins and outs&rdquo; of Cabrillo claims handling from their team leaders and specialists.
Job Responsibilities
Under close 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, appropriately and correctly responds via telephone and email interactions to claimants&rsquo;, agents&rsquo; and third party representatives&rsquo; routine claims, policy and other related inquiries and issues; handles first notice of loss communication and/or communicates with customers on assigned pending claims files on an ongoing basis.
Within minimum levels of authority and required time frames and with close 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.
Within minimum authority levels and time frames, with close supervision, and adeptly utilizing assigned tools, analyzes claims information to determine appropriate settlement; communicates with claimant regarding settlement; settles claim and closes files; when outside scope of authority, clearly communicates pertinent information regarding files and works with other assigned analysts and/or leaders to ensure prompt resolution of claims.
Maintains 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.
As requested by leaders and/or other analysts, assists in review of designated files for subrogation potential; as warranted, identifies potential subrogation opportunities; clearly communicates findings to leaders, other analysts and/or subrogation specialist and provides follow-up assistance and support, as necessary.
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.
Participates in and/or assists with &ldquo;special&rdquo; Company projects, including CAT planning, organization, and preparation as directed.
Dynamically enhances Company&rsquo;s success by taking advantage of learning and development opportunities and personally integrating positive actions to improve individual performance.
Job Family Overview
Our Harbor Claims team provides direct, prompt, courteous and professional service to our policyholders, their agents, legal counsel and/or other third party representatives in the unfortunate event that the policyholders&rsquo; residential property is damaged or lost due to a covered event. To that end, our claims team members apply their technical know-how on a daily basis to review, investigate, evaluate and settle claims in a timely and equitable manner while also successfully and responsively handling claims inquiries and/or issues from many different people, including policyholders, agents, claimants&rsquo; third party representatives, as well as internal customers or carrier representatives, as assigned.
Most of our employees on our Harbor Claims team are in positions that are included in our claims analyst progressive job series, comprised of Claims Analyst I, II and III. By utilizing a progressive job series, our claims analysts are able to learn and consequently earn advancement on the claims team and in the Company. We provide clear criteria that defines what represents demonstrated mastery at each level. Once an incumbent has mastered that position in the progressive job series, he/she, with his/her claims team leader&rsquo;s active input and agreement, is eligible to advance to the next level in the series, increasing his/her responsibility, authority and pay levels as a result. At Harbor Claims, along with our claims analysts&rsquo; progressive job series, we also have a field adjusters&rsquo; job series. A claims analyst is differentiated from a field adjuster in that the claims analyst is our internal &ldquo;desk&rdquo; adjuster located at our headquarters office who might, depending on the type, severity and/or location of claim, request a field adjuster or an independent adjuster go out and investigate a claim on the Company&rsquo;s behalf while the field adjuster is out in the field on a day-to-day basis examining claims.
The other positions on our claims team include our claims team leaders and claims team specialists. These positions, respectively, are the supervisory and expert level positions on the team. Both types of positions require incumbents who are exceedingly well-versed in - and passionate about - their chosen profession of claims and additionally require incumbents with a remarkable understanding of, deep appreciation and respect for and ability to flourish in the Company&rsquo;s unique culture and work environment. Our claims team leaders serve a vital role in our Company&rsquo;s success by utilizing their demonstrated and dynamic leadership strengths to provide front-line day-to-day coaching, supervising &amp; leading of assigned claims analysts and/or field adjusters, while also continuing to carry out their respective day-to-day claims handling duties as working claims analysts. Comparable to our claims team leaders, our claims team specialists are also expected to carry out their assigned day-to-day claims handling or field adjusting duties as working claims analysts, while also continually demonstrating an exceptional depth and/or breadth of technical knowledge and claims expertise. Due to the breadth of their knowledge, they serve as the Go-To for the claims and customer support teams in those niche areas. Furthermore, as a result of the breadth of their knowledge, they are the team members who, at a moment&rsquo;s notice due to fluctuating business needs, can also be open, flexible, willing and adroitly able to take on additional pending and/or new claims files as needed. Our team specialists are expected to train team members on a recurring basis by teaching new hires how to do things our way (aka, the right way the first time), training current team members about new information and/or tasks and/or teaching multiple team members on a large-scale, even Company-wide, basis about a discipline in which the incumbent demonstrates proven expertise and knowledge. Finally, both our team leaders and specialists may spearhead a myriad of special projects producing important results and positive impact for the Company.
Requirements: Skills and Expertise
Qualities: 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.
Strong skill sets in the following areas: effective decision-making; time management/working under tight deadlines; information and financial review and analyses; organization; problem analyses/solving; active listening; asking good questions to learn about claims handling; oral and written communication; interpersonal communication.
Strong knowledge of: 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 and MS PowerPoint a plus.
Licenses, Education and/or Experience
Bachelor&rsquo;s Degree or equivalent work experience. Insurance-related degree or residential property claims customer service experience is highly desirable. A current 6-20 adjuster license, other applicable states&rsquo; adjuster license/s and/or required obtainment of specified license/s within three months of hire, specific to the job opening, is required.</div>

Claims Analyst I/II (Residential Property)

<div><div>What you&rsquo;ll need to succeed as an Analyst, Claims at XPO</div><div>
Minimum qualifications:</div><ul><li>
Bachelor&rsquo;s degree or equivalent related work or military experience</li><li>
1 year of experience as a cargo claims examiner, analyst or in a similar capacity working with liability and risk</li></ul><div>
Preferred qualifications:</div><ul><li>
2 years of related experience</li><li>
Knowledge of Common Law Liability, Code of Federal Regulations, Rules and Tariffs, Transportation Contracts and Agreements and the National Motor Freight Classification system</li><li>
Knowledge of risk reduction and claims process</li><li>
Exceptional customer service skills</li><li>
Able to communicate with executive management regarding the decision-making process of claims declined and/or paid</li><li>
Excellent written, verbal and telephone communication skills</li><li>
Demonstrated ability to work under strict deadlines utilizing good planning and organizational skills</li></ul><div></div><div> 
About the Analyst, Claims job</div><div>
Pay, benefits and more:</div><ul><li>
Competitive compensation package</li><li>
Full health insurance benefits available on day one</li><li>
Life and disability insurance</li><li>
Earn up to 15 of PTO over your first year
</li><li>9 paid company holidays</li><li>
401(k) option with company match</li><li>
Education assistance</li><li>
Opportunity to participate in a company incentive plan</li></ul><div></div><div> 
What you&rsquo;ll do on a typical day:</div><ul><li>
Understand and qualify the type of claims filed; investigate and analyze cargo claims for loss, damage and delays to determine company liability and costs for damage or loss while protecting company and customer interests</li><li>
Understand and interpret legal limits of liability as stipulated in the contracts and applicable governing publications such as the National Motor Freight Classification; negotiate cargo liability</li><li>
Collaborate with Sales, Pricing, Operations and customers regarding disposition of claims</li><li>
Compose professional claims correspondence</li><li>
Manage claims inventory to meet individual, team and company goals; process claims according to company policies and procedures</li><li>
Handle customer inquiries and complaints</li><li>
Provide claim prevention techniques and tips to the field</li></ul> 
About XPO
XPO is a top ten global provider of transportation services, with a highly integrated network of people, technology and physical assets. At XPO, we look for employees who like a challenge and can communicate effectively in all situations. We want to leverage your skills and years of experience to drive positive results while ensuring a bright future for yourself and XPO. If you&rsquo;re looking for a growth opportunity, join us at XPO. 
We are proud to be an Equal Opportunity employer. Qualified applicants will receive consideration for employment without regard to race, sex, disability, veteran or other protected status. 
All applicants who receive a conditional offer of employment may be required to take and pass a pre-employment drug test. 
The above statements are not an exhaustive list of all required responsibilities, duties and skills for this job classification.</div>

Analyst, Claims - Hybrid

Liquid Environmental Solutions

Risk AnalystLiquid Environmental Solutions (LES)Join a Company That Protects More Than Just the EnvironmentAt Liquid Environmental Solutions (LES), we are the nation&rsquo;s leader in non-hazardous liquid waste management&mdash;protecting people, businesses, and the environment every day. Behind every safe operation is a strong risk management team.We&rsquo;re looking for a Risk Analyst who thrives on solving problems, analyzing data, and driving real financial and operational impact. If you enjoy owning the full lifecycle of claims, working cross-functionally, and influencing outcomes at a strategic level&mdash;this is a high-visibility opportunity to make a difference.What You&rsquo;ll DoIn this role, you&rsquo;ll take ownership of LES&rsquo;s insurance and claims management process, ensuring effective resolution, cost control, and continuous improvement.Core Responsibilities<ul><li>Manage the full lifecycle of Workers&rsquo; Compensation, Auto Liability, and General Liability claims</li><li>Oversee all insurance-related incidents from initial report through resolution</li><li>Partner with key insurance providers including Sedgwick (TPA), Alliant (Broker), and carriers</li><li>Monitor and challenge claim reserves to ensure accurate financial exposure</li><li>Identify cost-saving opportunities through:</li><li>Subrogation</li><li>Settlement strategy</li><li>Medical management</li><li>Analyze claims data and dashboards to identify risk trends and operational improvement opportunities</li><li>Participate in serious incident reviews to assess exposure and litigation risk</li><li>Collaborate with leadership to implement solutions that reduce claim frequency and severity</li><li>Serve as a liaison between LES, legal teams, insurance partners, and external stakeholders</li><li>Prepare executive-level summaries and support insurance case reviews</li><li>Conduct monthly claim reviews to ensure timely progress and closure</li><li>Partner with Finance on reserves, reporting, and cost tracking</li><li>Support acquisitions integration into LES insurance programs</li><li>Manage Certificates of Insurance (COIs) and renewal support</li><li>Maintain accurate incident reporting in internal systems and claims portals</li><li>Work closely with Fleet on vehicle-related claims and recovery efforts</li><li>Support safety reporting through accurate exposure data (hours, miles, etc.)</li></ul>What Makes This Role Different<ul><li>High impact: Direct influence on company cost structure and risk exposure</li><li>Cross-functional visibility: Work with Legal, Finance, Operations, and Executive Leadership</li><li>Data-driven environment: Use analytics to drive smarter decisions&mdash;not just process claims</li><li>Growth opportunity: Be part of a fast-growing, acquisition-driven company</li></ul>What We&rsquo;re Looking ForExperience &amp; Skills<ul><li>5+ years of experience in Workers&rsquo; Compensation, Risk Management, or Claims</li><li>Strong understanding of:</li><li>Workers&rsquo; Compensation laws and regulations</li><li>Commercial Auto and General Liability claims</li><li>Experience working with TPAs, brokers, and insurance carriers</li><li>Ability to analyze:</li><li>Loss runs</li><li>Reserve reports</li><li>Claims dashboards</li><li>Strong analytical thinking and decision-making skills</li><li>Excellent communication skills (written and verbal)</li><li>Highly organized with the ability to manage multiple claims and priorities</li><li>Proficiency in Microsoft Office (Excel, Outlook, Word)</li><li>Comfortable working across departments and influencing outcomes</li></ul>Preferred<ul><li>Bachelor&rsquo;s degree</li><li>Experience with claims analytics and reporting tools</li></ul>Work Environment<ul><li>Office-based role with standard business conditions</li><li>Primarily sedentary with occasional light lifting</li><li>Approximately 10% travel</li></ul>Why LES?<ul><li>Industry leader in environmental services</li><li>Stable, growing company with strong national presence</li><li>Opportunity to drive real impact on safety, cost, and operations</li><li>Collaborative, team-oriented culture</li></ul>Apply TodayIf you&rsquo;re ready to take ownership of risk management in a role where your expertise directly impacts business performance&mdash;we want to hear from you.Pay: $90,000.00 - $95,000.00 per yearBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Health insurance</li><li>Health savings account</li><li>Life insurance</li><li>Paid time off</li><li>Parental leave</li><li>Referral program</li><li>Vision insurance</li></ul>Experience:<ul><li>end-to-end insurance claim management: 3 years (Required)</li></ul>Ability to Commute:<ul><li>Irving, TX 75063 (Required)</li></ul>Work Location: In person

Risk Analyst - Insurance Claims

Salem Township Hospital

Join the Salem Township Hospital business services department as a claims analyst. This position assists with patient registration and billing tasks as needed, accepts patient payments, and performs clerical duties such as filing, typing, and scanning documents. Responsible for providing excellent customer service.Schedule<ul><li>Full-time</li><li>Monday &ndash; Friday</li><li>8:00 am &ndash; 4:30 pm</li></ul>Hourly Pay Range<ul><li>$19.00&ndash;$22.80</li><li>Actual hourly pay rate depends on experience (DOE).</li></ul>Qualifications<ul><li>High School graduate or equivalent, with courses in accounting, business, coding or medical billing, and English.</li><li>A general understanding of accounting principles is desired.</li><li>Must be efficient, productive, and fast-moving.</li><li>Able to make impactful decisions efficiently based on insurance and revenue cycle guidelines.</li><li>Outstanding organization and computer skills.</li><li>Proficient in Microsoft software products including Word, Excel, and Outlook.</li><li>Ability to handle multiple tasks simultaneously, meet time-sensitive deadlines, and organize workload with general supervision.</li></ul>Responsibilities<ul><li>Maintains and keeps current with relevant hospital rules and regulations, as well as all insurance billing requirements.</li><li>Must have independent judgment and decision-making abilities, as well as analytical skills.</li><li>Demonstrates competency in working with computer software such as Epic, demonstrates competency in working conflicting claims, identifying system issues, and managing claim workload.</li><li>Claim submission; claim re-submission when necessary due to edits and/or rejected claims; and completing the necessary research to correct rejected claims.</li><li>Works to ensure that claims are billed efficiently and accurately to promote timely reimbursement and management of Salem Township Hospital&rsquo;s accounts receivable.</li></ul>View benefits offered to employees of Salem Township Hospital: https://salemtownhosp.com/employee-benefits/ Salem Township Hospital is an Equal Opportunity Employer. Salem Township Hospital is committed to provide excellence in health care and promote wellness for our community through compassionate care, personalized service, and teamwork.Job Type: Full-timePay: $19.00 - $22.80 per hourBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Employee assistance program</li><li>Employee discount</li><li>Flexible spending account</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Tuition reimbursement</li><li>Vision insurance</li></ul>Education:<ul><li>High school or equivalent (Required)</li></ul>Work Location: In person

Acrisure LLC

<div><h2 class="jobSectionHeader">Job Description</h2>
About Acrisure 
A global fintech leader, Acrisure empowers millions of ambitious businesses and individuals with the right solutions to grow boldly forward. Bringing cutting-edge technology and top-tier human support together, we connect clients with customized solutions across a range of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services, and more.
In the last twelve years, Acrisure has grown in revenue from $38 million to almost $5 billion and employs over 19,000 colleagues in more than 20 countries. Acrisure was built on entrepreneurial spirit. Prioritizing leadership, accountability, and collaboration, we equip our teams to work at the highest levels possible.
JOB SUMMARY
Acrisure is seeking a Claims Analyst II to manage multi-state workers&rsquo; compensation claims, including indemnity, employer&rsquo;s liability, and subrogation exposures. This role is responsible for independently handling claims from assignment through resolution, ensuring timely, accurate, and compliant claim outcomes.
The Claims Analyst II will evaluate coverage, determine compensability, manage litigation, and coordinate all aspects of the claims process. This position is well suited for an experienced claims professional who is comfortable working in a fast paced environment and managing multiple files with a high level of autonomy.
Responsibilities<ul><li>
Manage a caseload of multi-state workers&rsquo; compensation claims, including indemnity, employer&rsquo;s liability, and subrogation exposures</li><li>
Conduct initial claim investigation, including coverage verification, compensability determination, and timely contact with involved parties</li><li>
Communicate with injured workers, employers, medical providers, attorneys, and other stakeholders to support claim resolution</li><li>
Set and manage reserves to ultimate probable cost within established authority levels</li><li>
Ensure timely delivery of benefits and required notices in accordance with jurisdictional requirements</li><li>
Coordinate return to work efforts in alignment with medical guidance and employer programs</li><li>
Manage litigation, including directing defense counsel and attending hearings or depositions as needed</li><li>
Negotiate settlements with injured workers, attorneys, and other parties</li><li>
Identify and pursue subrogation opportunities and manage third party recoveries</li><li>
Review medical and expense bills for accuracy, causation, and appropriateness</li><li>
Maintain accurate and timely documentation within the claims system</li><li>
Prepare claim status reports and participate in claim review meetings</li><li>
Assign and coordinate nurse case management resources when appropriate</li><li>
Collaborate with leadership on complex claims requiring additional support or escalation</li></ul>
Requirements<ul><li>
Experience handling workers&rsquo; compensation claims required</li><li>
2 to 5 years of relevant claims experience or equivalent experience required</li><li>
Strong understanding of workers&rsquo; compensation laws, claims processes, and jurisdictional requirements</li><li>
Experience managing indemnity claims, litigation, and claim resolution strategies</li><li>
Strong analytical skills, decision making ability, and attention to detail</li><li>
Strong communication and negotiation skills</li><li>
Ability to manage multiple claims in a fast paced environment</li><li>
Strong organizational and time management skills</li><li>
Proficiency with Microsoft Office and claims management systems</li><li>
Ability to work independently with limited supervision</li><li>
Litigation experience beneficial</li></ul>
Education and Licenses<ul><li>
High school diploma required, bachelor&rsquo;s degree beneficial</li><li>
Relevant state licensing beneficial or ability to obtain as required</li></ul>
Pay Details:
The base compensation range for this position is $60,000 - $71,050. This range reflects Acrisure's good faith estimate at the time of this posting. Placement within the range will be based on a variety of factors, including but not limited to skills, experience, qualifications, location, and internal equity.
Candidates should be comfortable with an on-site presence to support collaboration, team leadership, and cross-functional partnership. 
Why Join Us:
At Acrisure, we&rsquo;re building more than a business, we&rsquo;re building a community where people can grow, thrive, and make an impact. Our benefits are designed to support every dimension of your life, from your health and finances to your family and future.
Making a lasting impact on the communities it serves, Acrisure has pledged more than $22 million through its partnerships with Corewell Health Helen DeVos Children's Hospital in Grand Rapids, Michigan, UPMC Children's Hospital in Pittsburgh, Pennsylvania and Blythedale Children's Hospital in Valhalla, New York. 
Employee Benefits
We also offer our employees a comprehensive suite of benefits and perks, including:<ul><li>
Physical Wellness: Comprehensive medical insurance, dental insurance, and vision insurance; life and disability insurance; fertility benefits; wellness resources; and paid sick time.</li><li>
Mental Wellness: Generous paid time off and holidays; Employee Assistance Program (EAP); and a complimentary Calm app subscription.</li><li>
Financial Wellness: Immediate vesting in a 401(k) plan; Health Savings Account (HSA) and Flexible Spending Account (FSA) options; commuter benefits; and employee discount programs.</li><li>
Family Care: Paid maternity leave and paid paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage.</li><li>
&hellip; and so much more!</li></ul>
This list is not exhaustive of all available benefits. Eligibility and waiting periods may apply to certain offerings. Benefits may vary based on subsidiary entity and geographic location. 
Acrisure is an Equal Opportunity Employer. We consider qualified applicants without regard to race, color, religion, sex, national origin, disability, or protected veteran status. Applicants may request reasonable accommodation by contacting leaves@acrisure.com.
Final candidates will be required to complete post-offer verification processes related to the role and in accordance with applicable laws. 
California Residents: Learn more about our privacy practices for applicants by visiting the Acrisure California Applicant Privacy Policy. 
Recruitment Fraud: Please visit here to learn more about our Recruitment Fraud Notice. 
Welcome, your new opportunity awaits you.</div>

Claims Analyst II

Search 10000+ Insurance claims analyst jobs near you this May. New roles added regularly across leading industries. Apply today.

10000 insurance claims analyst jobs Near Me

Claims Analyst

Medical Claims Analyst

Claims Analyst I/II (Residential Property)

Analyst, Claims - Hybrid

Risk Analyst - Insurance Claims

Claims Analyst

Claims Analyst II