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Claims Analyst

WTW
Posted 2 months ago, valid for 16 days
Location

Miami, FL 33111, US

Salary

$40,000 - $48,000 per year

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Contract type

Full Time

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Sonic Summary

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  • We are looking for a Claims Analyst to join our Miami-based team, requiring a minimum of 3 years of relevant experience.
  • The role includes managing, analyzing, and resolving claims while ensuring effective communication between clients, reinsurers, and external providers.
  • Key responsibilities involve data analysis, documentation review, and coordination across departments to maintain claims process efficiency.
  • The position offers a competitive salary of $70,000 per year, with additional duties including claims reporting and compliance assurance.
  • Candidates must have strong analytical skills, the ability to identify coverage issues, and maintain professional relationships for efficient claims resolution.

We are seeking a highly motivated individual to join our Company as a Claims Analyst based in Miami. The candidate will have multiple claims responsibilities such as supporting the effective management, analysis, and resolution of claims, ensuring accurate processing and timely communication between clients, reinsurers, and external providers (adjusters, engineers, surveyors, attorneys, etc.) The role involves detailed data analysis, documentation review, and coordination across departments to maintain the integrity and efficiency of the claims process across multiple lines of business.

The Role

Claims Administration & Reporting

  • Receive, register, and review incoming claim notifications.
  • Prepare claim summaries, bordereaux, and loss advices for reinsurers and internal use.
  • Monitor the progress of claims, coordinate settlements, follow up on recoveries, and reconcile balances with Accounts and Settlements team. 
  • Ensure accurate and timely entry of claims data into the claims management system.

 

Analysis & Processing

  • Perform analytical reviews of claims data to identify trends and analyze portfolio-level loss for Management review and escalation.
  • Identify and flag potential coverage issues, ambiguities, or emerging challenges.
  • Analyze policy coverage of multiple lines including but not limited to Property, Marine, Casualty, and Financial Lines in various LatAm jurisdictions and the Caribbean.
  • Support the preparation of claims reports and presentations for internal and external stakeholders.

Liaison

  • Communicate with clients, reinsurers, and external providers to resolve queries and obtain required documentation.
  • Assist in negotiating and securing claim settlements from reinsurers.
  • Maintain strong professional relationships with key parties to facilitate efficient claims resolution.

Compliance & Quality Assurance

  • Ensure adherence to internal policies, market regulations, and reinsurance contract terms.
  • Maintain knowledge of coverage wordings, legal and compliance requirements, and industry claim practices.
  • Support internal audits and compliance checks by providing documentation and responding to inquiries.
  • Contribute to continuous improvement initiatives within the local and regional claims team to enhance efficiency and accuracy



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