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WTW · 1 day ago

Claims Analyst

Miami, FL

Full-time

Onsite

Senior Level

5+ years exp

WTW is seeking a highly motivated individual to join their team as a Claims Analyst based in Miami. The role involves managing, analyzing, and resolving claims while ensuring effective communication between clients, reinsurers, and external providers.

ConsultingInformation TechnologyInsuranceMedicalService Industry

Hiring Manager

Daniela Hernandez Bosch

Responsibilities

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

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

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

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

Qualification

Claims managementData analysisInsurance knowledgeMS Office proficiencyBilingual EnglishBilingual SpanishAnalytical thinkingClient advocacyAttention to detailTime managementCollaboration

Required

Bachelor's 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

Preferred

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

Benefits

Health and Welfare Benefits : Medical (including prescription coverage), Dental, Vision, Health Savings Account, Commuter Account, Health Care and Dependent Care Flexible Spending Accounts, Group Accident, Group Critical Illness, Life Insurance, AD&D, Group Legal, Identify Theft Protection, Wellbeing Program and Work/Life Resources (including Employee Assistance Program)

Leave Benefits : Paid Holidays, Annual Paid Time Off (includes paid state/local paid leave where required), Short-Term Disability, Long-Term Disability, Other Leaves (e.g., Bereavement, FMLA, ADA, Jury Duty, Military Leave, and Parental and Adoption Leave), Paid Time Off

Retirement Benefits: Contributory Pension Plan and Savings Plan (401k). All Level 38 and more senior roles may also be eligible for non-qualified Deferred Compensation and Deferred Savings Plans.