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Company

Original Job Post

Broadspire · 6 days ago

Senior Claims Operations Analyst

Lake Zurich, IL

Full-time

Onsite

Senior Level

3+ years exp

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Responsibilities

Provides subject matter expertise on various complex projects assigned to Business Support Services

Coordinates and monitors tasks among operational areas for complex projects

Acts as subject matter expert for analysis and evaluation of claim systems and programs

Assists in the development, testing, and implementation of programs and procedures

Develops and maintains working relationships with internal and external customers

Coordinates claim system tasks with Finance team, including Break Payment items

Provides user access to Lotus Notes User Distribution Groups

Provides guidance to Claim department on Prefund requests and claim system processes

Provides expertise to ICT Help Desk Support for claim system issues

Oversees ISOVerisk Vendor relationship and manages related tasks

Analyzes, researches, and writes internal procedural changes and workflows

Participates in writing and maintaining operating procedures and user manuals

Provides guidance and training to Claim Offices on claim systems and procedures

Assists various departments in identifying and correcting data errors

Maintains log books and applies reimbursements to claim files

Provides backup coverage in Claim Operations as needed

Maintains relationship with File Storage Vendor and responds to related issues

Participates in ad hoc assignments and special projects

Upholds the Crawford Code of Conduct

Qualification

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Broadspire Business Support ServicesClaim SystemsClaim Operations Claim System FunctionsClient Information ManagementProblem-SolvingCustomer RelationsAnalytical SkillsAttention to DetailCommunication Skills

Required

Three or more years of experience in Broadspire Business Support Services, Claim Systems or Claim Operations or the equivalent, demonstrating a good knowledge of claim systems and field operations.

Education equivalent to graduation from college or the equivalent in related work experience.

Demonstrates effective customer relations skills.

Demonstrates sound analytical skills.

Demonstrates a comprehensive knowledge of claim system functions and the relationship of client information to accurate claim processing and reporting.

Demonstrate ability to work accurately with attention to detail and customer expectations.

Demonstrate effective and diplomatic oral and written communications skills