FULLY REMOTE Claims Analyst opportunity

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  • Location:

    Jacksonville, Florida

  • Job type:

    Contract

  • Job ref:

    353244

  • Published:

    about 2 months ago

  • Expiration date:

    02/09/2022

  • Start date:

    ASAP

Job Summary:

Signature Consultants is seeking a 100% REMOTE Claims Analyst for an opportunity with a client located in Jacksonville, FL.

Responsibilities:

  • Manage workers entire claim compensation process
  • Review all requests for claim denial, clear data and claim exceptions, and ensure deficiencies are flagged correctly
  • Ensure eligibility for claims is reasonable and correct by analyzing claims and supporting documentation
  • Responsible for sending process claimant responses, including deficiency and rejection letters
  • Provide support in handling general liability, property, builders' risk, and auto claims where applicable
  • Responsible for managing all claims related activities with TPA /adjusters on a daily basis
  • Responsible for analyzing claims and interpreting insurance policies
  • Work in coordination with the legal department to resolve all claims and non-litigated matters
  • Assess and authorize claim settlements when provided with a given limit of authority
  • Communicate updates, claim information requests, and recommendations to all relevant units
  • Responsible for the review and tracking of all incidents reports, and ensure to follow up for additional information where necessary
  • Responsible for managing, reviewing, and approving legal referrals to ensure consistency with established claims management protocols
  • Utilize client relationship software (e.g. Salesforce.com) to document client conversations
  • Attend claim review with senior manager on quarterly basis or as needed
  • Responsible for escalating claim quality concerns and outcomes to senior manager or the appropriate unit

Requirements/Skills/Knowledge, and Abilities:

  • Minimum of High School Diploma, but a Bachelor's degree with emphasis on risk management, business or finance, or a field relevant to the industry of the recruiter may be preferred
  • Fraud or Billing Dispute Claim processing experience
  • Working knowledge of financial products (e.g. stocks, bonds, and options)
  • Ability to comprehend, explain, and apply court approved, complex plans of allocation
  • Working knowledge of corporate actions (e.g. stock splits, mergers, bond conversions, and employee stock options)
  • Knowledge of Microsoft applications, but advanced knowledge of Excel and ability to work with relational databases and statistical modeling software (e.g. SAS, SPSS, etc.) is preferred
  • Excellent verbal and written communication skills to communicate effectively with employees at all levels of the organization
  • Ability to undertake mathematical manipulations such as discounts, interests, commissions, proportions, percentages, and volume

About Signature Consultants, LLC

Headquartered in Fort Lauderdale, Florida, Signature Consultants was established in 1997 with a singular focus: to provide clients and consultants with superior staffing solutions. For the ninth consecutive year, Signature was voted as one of the "Best Staffing Firms to Work For" and is now the 14th largest IT staffing firm in the United States (source: Staffing Industry Analysts). With 28 locations throughout North America, Signature annually deploys thousands of consultants to support, run, and manage their clients' technology needs. Signature offers IT staffing, consulting, managed solutions, and direct placement services. For more information on the company, please visit www.sigconsult.com. Signature Consultants is the parent company to Hunter Hollis and Madison Gunn.

EEO Employer

Signature Consultants is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Signature will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law. If you have visited our website in search of information on employment opportunities or to apply for a position, and you require an accommodation in using our website for a search or application, please contact our Employee Services Department at or 888.838.1020.