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Claims Analyst

Claims Analyst

WTWMiami, Florida, USA
2 days ago
Job type
  • Full-time
Job description

Description

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
  • Qualifications

    The Requirements

    Essential :

  • Bachelors degree in Risk Management Finance Business Economics or a related discipline.
  • 5-year experience in an insurance or reinsurance environment ideally within a broker or (re)insurer claims setting.
  • Knowledge of multiple lines (as detailed above). Experience in Financial Lines is a plus.
  • Strong understanding of insurance and reinsurance structures.
  • Excellent analytical numerical and problem-solving skills.
  • High attention to detail with strong organizational skills.
  • Proficiency in MS Office (Word Excel) is required.
  • Bilingual English and Spanish required.
  • Desirable :

  • Engagement or progress toward a professional insurance qualification (e.g. CPCU Are AIC).
  • Key Competencies

  • Analytical thinking and accuracy
  • Client advocacy and relationship management
  • Initiative and attention to detail
  • Time management and prioritization
  • Collaboration and teamwork
  • Adaptability in a fast-paced environment
  • Equal Opportunity Employer

    Required Experience :

    IC

    Key Skills

    Corporate Paralegal,Baan,IT Sales and Marketing,Civil Quality Control,Activex,Jboss

    Employment Type : Full-Time

    Experience : years

    Vacancy : 1

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    Analyst • Miami, Florida, USA

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