Claims Analyst

The Claims Analyst, Senior Claims Analyst independently adjudicates multi-state workers’ compensation indemnity, EL and subrogation claim files that are generally non-catastrophic in nature.
 

ESSENTIAL FUNCTIONS
1. Receives lost time assignments. Verifies and determines applicability of coverage. Completes 24 
hour contact with employer, employee and attending physician inclusive of telephonic contact, 
recorded statements and/or in person interviews with insured, employee, physician, and witnesses.
2. Reviews all coverage issues and determines compensability within Midwest standards. 
3. Aggressively manages all aspects of the workers’ compensation claims management process inclusive 
of litigation, and providing direction to defense counsel.
4. Responsible for customer relations management, consistently establishing and maintaining high levels of trust and confidence with clients, through constant contacts, prompt response and resolvin...