Verified Job
Work from home
Claims Analyst
Work from home
#669713
Remote / WFH
Job Description
Crum & Forster Company Overview:
Travel Insured International (TII), a Crum & Forster company, is hiring for a Claims Analyst.
Travel Insured International is a leading travel insurance provider with more than 25 years in business. As a key component of our Small Business Unit, within the Accident & Health division, TII provides travel protection plans to help each individual travel confidently. Travel Insured International is proud to offer products to consumers and to agency partners of all sizes. We're committed to providing dependable coverage, great value, and end-to-end satisfaction for all customers.
This is an entry to mid-level position designed to allow the appropriate candidate to grow and develop skills and expertise and transition to more complex claim handling responsibilities. Works under general supervision and reports to a Team Leader and/or Manager.
Achieve superior customer service and claim handling at the most reasonable cost/efficiency by completing essential claim adjudication tasks including denying, settling, or requesting payments for claims based on coverage and proof of loss.
Job Description:
What you will do:
Corresponds through verbal/written communication with policyholders, claimants, travel coordinators, etc. to gather important information to support claim decision.
Serve as a customer advocate in all interactions to provide an outstanding customer experience.
Review, assess, and process claims with adhering to established SLAs
Prompt responses to all status calls (next business day standard)
Maintain SLAs on DOI, Attorney Demand and BBB complaints
Deliver complete, timely, and accurate work
Thoroughness of file documentation of spreadsheets and diary
Minimum number of claim appeals overturned due to analyst error
Manage work queue independently
Take ownership of claim decisions and work queue
Communicate effectively both written and verbal
Recognize fraud and subrogation opportunities and refer to appropriate expert
Consistently provide high-level customer service
Adhere to documented procedures
Demonstrate reliability (attendance, punctuality, time management)
Show respect for co-workers and external contacts (customers, agents, third party providers, etc.)
Show commitment to supporting team goals (e.g. eliminating backlogs, adherence to Work Force Management)
Participate in Operations and Companywide initiatives (Focus Groups, Pilots, System Enhancements)
Be a positive influence in the unit and exhibit professionalism
Leadership (willingness to put forth ideas to improve unit performance)
Willingness to accept constructive criticism (coachable)
Support of Team TII or other community initiatives
Continuous acquisition, development, and refinement of your skills as a claim professional
What YOU will bring to C&F:
Customer Focus: Demonstrates a customer-first approach, consistently prioritizing customer needs and satisfaction in all interactions and decisions.
Solid knowledge of principles and processes for claim examination, evaluation, and disposition
Strong problem solving and decision-making skills
Ability to adjust readily to multiple demands and constituencies, shifting priorities, and rapid change
Active listening skills
Ability to communicate in a clear, concise manner appropriate to the audience via phone, email, and in writing
Demonstrated ability to work independently
Requirements:
Bachelor’s degree or equivalent work experience preferred, high school diploma/GED and 3+ years of experience required
Strong computer literacy with demonstrated keyboard skills, solid knowledge of technology used for claims administration, and familiarity with Microsoft office software and Cloud base systems
Prior customer service experience, within a claim environment a plus
Travel Insured International (TII), a Crum & Forster company, is hiring for a Claims Analyst.
Travel Insured International is a leading travel insurance provider with more than 25 years in business. As a key component of our Small Business Unit, within the Accident & Health division, TII provides travel protection plans to help each individual travel confidently. Travel Insured International is proud to offer products to consumers and to agency partners of all sizes. We're committed to providing dependable coverage, great value, and end-to-end satisfaction for all customers.
This is an entry to mid-level position designed to allow the appropriate candidate to grow and develop skills and expertise and transition to more complex claim handling responsibilities. Works under general supervision and reports to a Team Leader and/or Manager.
Achieve superior customer service and claim handling at the most reasonable cost/efficiency by completing essential claim adjudication tasks including denying, settling, or requesting payments for claims based on coverage and proof of loss.
Job Description:
What you will do:
Corresponds through verbal/written communication with policyholders, claimants, travel coordinators, etc. to gather important information to support claim decision.
Serve as a customer advocate in all interactions to provide an outstanding customer experience.
Review, assess, and process claims with adhering to established SLAs
Prompt responses to all status calls (next business day standard)
Maintain SLAs on DOI, Attorney Demand and BBB complaints
Deliver complete, timely, and accurate work
Thoroughness of file documentation of spreadsheets and diary
Minimum number of claim appeals overturned due to analyst error
Manage work queue independently
Take ownership of claim decisions and work queue
Communicate effectively both written and verbal
Recognize fraud and subrogation opportunities and refer to appropriate expert
Consistently provide high-level customer service
Adhere to documented procedures
Demonstrate reliability (attendance, punctuality, time management)
Show respect for co-workers and external contacts (customers, agents, third party providers, etc.)
Show commitment to supporting team goals (e.g. eliminating backlogs, adherence to Work Force Management)
Participate in Operations and Companywide initiatives (Focus Groups, Pilots, System Enhancements)
Be a positive influence in the unit and exhibit professionalism
Leadership (willingness to put forth ideas to improve unit performance)
Willingness to accept constructive criticism (coachable)
Support of Team TII or other community initiatives
Continuous acquisition, development, and refinement of your skills as a claim professional
What YOU will bring to C&F:
Customer Focus: Demonstrates a customer-first approach, consistently prioritizing customer needs and satisfaction in all interactions and decisions.
Solid knowledge of principles and processes for claim examination, evaluation, and disposition
Strong problem solving and decision-making skills
Ability to adjust readily to multiple demands and constituencies, shifting priorities, and rapid change
Active listening skills
Ability to communicate in a clear, concise manner appropriate to the audience via phone, email, and in writing
Demonstrated ability to work independently
Requirements:
Bachelor’s degree or equivalent work experience preferred, high school diploma/GED and 3+ years of experience required
Strong computer literacy with demonstrated keyboard skills, solid knowledge of technology used for claims administration, and familiarity with Microsoft office software and Cloud base systems
Prior customer service experience, within a claim environment a plus
