Operations Analyst - Claims

at Crawford & Company in Lake Zurich, Illinois, United States

Job Description

Operations Analyst - Claims

Requisition ID 
2024-25085  

 Job Locations  
US-IL-Lake Zurich  

Position Type 
Regular Full-Time  

Category 
Finance & Accounting  

Business Unit 
BUS_TPA US
Excellence In Everything We Touch

Position Summary

HYBRID POSITION!
Candidates must be residing within Lake Zurich!
Under the general direction of the Claims Data Operations Manager, the Claim Sys Ops Analyst provides a variety of critical operational support services to the Claim Department, its business partners and its clients related to the handling of returned checks, processing of refunds, escheatment review, paying of invoices and fees, and analysis of Control request.

Responsibilities

Provides direction to the Claim department for any questions related to handling of Prefund requests and the claim system processes.

Manages the claim system enhancement Priorities List and weekly priority meeting with various other business and ICT partners

Responsible for accurate and timely tracking of Broadspire received returned checks, refunds, collection items, and vendor payments,

Responsible for accurate and timely application of payments and refunds received by Broadspire and ensures accurate financial result per affected claim.

Formats, tags, uploads and maintains required State forms in various claim systems.

Creates, tags, formats testes all templates in the claim systems

Monitors and maintains all indexes and reports related to forms, letters, templates and state attachments in various claim systems and on public drives

Monitors and reports to manager, various claim system generated reports for processing errors, user entry issues, training needs, and system defects.

Creates and maintains manuals and provides assistance/input for Claim Department Manuals

Analyzes Risk Tech Control Requests submitted by Claim Offices, Account Executives, and various other business groups for accuracy, completeness, and further routing according to defined processes.

Assists and participates in the analysis of 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 (redundant to 3 prior bullets?)

Provides assistance to various Broadspire Departments identifying, researching and correction of indicative and financial claim data errors

Develops and maintains a favorable working relationship with internal and external customers

Keeps abreast of internal claim system changes and developments that impact the Claim System/Operations area

Provides backup coverage to others in Claim Operations as needed and/or requested.

Upholds the Crawford Code of Conduct
Requirements

Two or more years of experience in Broadspire Business Support Services or Claim Systems/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.

About Us

Why Crawford?
Because a claim is more than a number - it's a person, a child, a friend. It's anyone who looks to Crawford on their worst days. And by helping to restore their lives, we are helping to restore our community - one claim at a time.
At Crawford, employees are empowered to grow, emboldened to act and inspired to innovate. Our industry-leading team pioneers new solutions for the industries and customers we serve. We're looking for the next generation of leaders to take this journey with us.
We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve. Though our reach is vast, we proudly... For full info follow application link.

Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V Crawford & Company is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford. No fee will be paid in the event the candidate is hired by Crawford as a result of the referral or through other means.