Crum & Forster · 2 days ago
Senior Claims Analyst
Brookfield, WI
Full-time
Hybrid
Mid, Senior Level
$36K/yr - $68K/yr
6+ years expCrum & Forster is a historic insurance company providing specialty and standard commercial lines insurance products. The Senior Claims Analyst is responsible for handling medical only Workers Compensation claims, ensuring timely processing and superior customer service while complying with company policies and procedures.
Commercial InsuranceHealth CareInsuranceRisk Management
Responsibilities
Verify, identify coverage, compensability issues and conduct limited investigations
Identify subrogation, second injury fund and fraud situations and develop information to pursue
Conduct timely initial and ongoing contacts and investigation based on best practices guidelines
Maintain proper file on all activities and issues
Obtain medical records relating to the claim
Review claim for necessity and relatedness
Provide case management to files with ongoing treatment using authorized outside resources where needed
Prepare and submit appropriate state and agency forms timely
Assist with account coordination and claims reviews
Timely process bills and other benefit payments
Work closely and communicate regularly with Underwriting, Risk Engineering, and Account Executives
Address questions, concerns and issues from outside parties: insured’s, agents, state agencies, injured employees, attorneys
Provide superior customer service to agents, insured’s and others during the claims handling process
When appropriate and necessary, consults with manager or director of claims to obtain authority for activities and settlements that exceed assigned authority
Document all significant activities and contacts in the claims file, in accordance with established best practices, company claims handling procedures and applicable state regulations
Assist with account coordination and claims reviews
Timely process bills and other benefit payments
Obtain non-resident adjuster licenses for mandatory states
Take continuing education courses to maintain license
Qualification
Required
High school diploma and 6+ years of relevant experience required
Excellent written and verbal communication skills
Strong working knowledge of the Microsoft Office suite of programs and an aptitude to learn new programs
Preferred
College degree is preferred but may be waived based on prior claim or business experience
General knowledge of insurance and/or claims is a plus
Benefits
Competitive compensation package
Generous 401K employer match
Employee Stock Purchase plan with employer matching
Generous Paid Time Off
Excellent benefits that go beyond health, dental & vision. Our programs are focused on your whole family’s wellness, including your physical, mental and financial wellbeing
Tuition reimbursement
Industry-related certifications
Professional training to keep you progressing on your chosen path
Matching donation program
Volunteer opportunities
Employee-driven corporate giving program that lets you participate and support your community
Company
Crum & Forster
Crum & Forster specializes in commercial insurance, claims, risk assessments as well as accident and health insurance.
1001-5000 employees
H1B Sponsorship
Crum & Forster 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 (7)
2024 (10)
2023 (3)
2022 (12)
2021 (9)
2020 (12)
Funding
Current Stage
Late StageLeadership Team
David Thomas
Senior Vice President - Head of Surety Claims
David Webb
Senior Vice President, C&F Stop Loss
Recent News
2025-11-11
Company data provided by crunchbase