Crawford & Company · 1 hour ago
Sr Claim System Ops Analyst
United States
Full-time
Remote
Mid, Senior Level
3+ years expCrawford & Company is a global leader in claims management and they are seeking a Senior Claim System Ops Analyst to provide critical operational support to their Claims Department. The role involves optimizing claims systems, leading projects, and offering subject matter expertise to enhance claims operations.
Insurance
Responsibilities
As Business Subject Matter Expert, participates in the analysis and evaluation of claim systems, equipment and programs; assists in developing system test criteria and participates in the testing and implementation of new and existing programs and procedures
Provides subject matter expertise on various projects that are assigned to Claim Operations for handling to completion
Develops and maintains a favorable working relationship with internal and external customers
Creates, update and maintain manuals and provides assistance/input for Claim Department Manuals
Manages and/or participates in various projects that are assigned to Claim Operations for handling to completion i.e., Take Overs, Reverse Take Overs, Novations/Buybacks
Provide backup coverage to others in Claim Operations as needed and/or requested
Initiates the Break Payment Process within Focus at the request of the Finance Department. Sends notification to the field claim offices of the effective date of the break payment as well as when the break payment has been lifted. Monitors the break payment report as well as maintains a list of clients that are on break payment and the reasons they are on break payment. Distributes the report monthly
Handles all Prefund requests as received from the Finance Department. Updating the contract number table with Clients Large Check Limits, notifying the claim offices of prefund requests and approval/release of pending payments. Monitor daily, all payments still pending and follow up with Finance as to the status of outstanding items. Attends weekly prefund meetings with Manager, claim Exec and Finance
Provides second level Help Desk Support for Claim Workstation Application
Researches, analyzes and writes business requirements for new system development, or existing system enhancements
Develops testing plans and scripts and executes system testing for system changes/enhancements for various claim systems as requested
Analysis, research and writes internal operational procedural changes/workflows and requirements. Determines business impact and recommends and/or initiates appropriate action
Assists and participates in the research, writing, publishing and maintenance of operating procedures and user manuals
Provides guidance and/or training to Claim Offices on existing claim systems and procedures
Provides assistance to various BSI and Kemper Departments identifying, researching and correction of indicative and financial data errors
May serve as DRP back up for Teleplus
May serve as back up for:
Process various vendor invoices via bulk pay file procedures
Provides assistance to the Printing Facilities in relation to damaged checks, checks requiring additional or corrective mailing information/instructions
Receives reimbursement checks to be applied to claim files and or miscellaneous checks for subpoena/copy fees. Maintains applicable log books as well as adheres to established guidelines of applying reimbursements to claim files and/or mailing of reimbursement/miscellaneous checks to appropriate lockbox
Ensures manual payments for Law Invoices for various law firms utilized by Kemper Insurance are applied to the claim files in a timely manner
May serve as back up for:
Formats, tags, uploads and maintains required State forms in various claim systems
Creates and maintains form letters in various claim systems
Creates, tags, formats and maintains templates in various claim systems
Maintain all indexes and reports related to forms, letters, templates and state attachments in various claim systems and public drives
Qualification
Required
Education equivalent to graduation from college or the equivalent in related work experience
Three or more years of experience in BSI Claim Systems/Operations or the equivalent, demonstrating a good knowledge of claim systems and field operations
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
Benefits
Excellent Crawford Benefits programs that empower financial, physical, and mental wellness
Generous Employee Referral Bonus Program
Multiple Employee Discounts
Pay and incentive plans that recognize performance excellence
Benefit programs that empower financial, physical, and mental wellness
Training programs that promote continuous learning and career progression while enhancing job performance
Sustainability programs that give back to the communities in which we live and work
A culture of respect, collaboration, entrepreneurial spirit and inclusion
Company
Crawford & Company
Based in Atlanta, GA Crawford & Company(R) (www.crawco.com) is the world's largest publicly listed independent provider of claims management and outsourcing solutions to carriers, brokers and corporates, with an expansive global network serving clients in more than 70 countries.
10001+ employees
H1B Sponsorship
Crawford & Company has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (1)
2024 (2)
2023 (7)
2022 (5)
2021 (2)
2020 (10)
Funding
Current Stage
Late StageLeadership Team
Larry Thomas
EVP - CEO Crawford U.S. Services
Bruce Swain
EVP - Chief Financial Officer
Recent News
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