Claims Analyst

The Claims Analyst is responsible for processing insurance claims according to company’s guidelines and customer service standards.

Principal Duties and Responsibilities :

• Adheres to claims policies, procedures and standards, reports on breaches and advises the supervisor on deviations.
• Advises clients/brokers/agents on claims processing/settlement requirements and general claims status.
• Reviews claims documentation for proper completion and logs information physically and electronically with continuous updates to facilitate efficient claim settlement.
• Appoints approved adjusters and investigators and follows-up on all matters to facilitate completion of timely and accurate reports and service delivery.
• Liaises with repairers and suppliers to determine appropriate pricing.
• Maintains and updates claims physical and electronic documentation for proper record and reserve management to facilitate easy retrieval, clarity in reviews, and to aid in decision making and ensuring accuracy of payments.
• Advises Insurers of Third-Party Claims reported and records settled claims.
• Act as key interface with intermediaries, accountable for overall achievement of customer service goals by actively ensuring the delivery of all TRINRE customer service standards by demonstrating professionalism, promptness, accuracy, courtesy and helpfulness.
• Adjust reserves or provide recommendations to ensure that reserve activities are consistent with corporate guidelines and within designated levels of authority.
• Accountable for fair, prompt processing and payment of valid claims. Verify, investigate and analyze data used in settling claims to ensure that claims are valid and disposed of within designated authority levels. Timely response to all incoming inquiries