Claims Risk Analyst - Property and Liability

Description

 A large organization is seeking a Claims Risk Analyst responsibility for risk management including property recovery and general liability claims besides workers compensation. Must have three years’ experience administering the general liability or property damage claims. Duties include preparing statutory reports and administering department projects. Analyzes exposures and recommends appropriate levels of insurance coverage or loss control including risk. Administer workers compensation program by coordinating with employees, departments, Third Party Administrator (TPA).

Responsibilities:

• Resolves complex general liability and property damage claims processing by conducting field investigations and responding as necessary to accidents and incidents. Reviews, analyzes and investigates claims to determine cause and calculate liability or cost of damages. 
• Calculates and monitors reserves. Negotiates settlements, within established limitations, with insurance adjusters, claimants and attorneys or refers claims to Legal. 
• Provides information obtained from investigations involving employee injuries to workers’ compensation      staff and Third Party Administrator.
• Work with general liability claims of moderate complexity.
• Understand workers compensation system and Government tort claim acts
• Administer workers compensation program by coordinating with employees, departments, Third Party Administrator (TPA), and when necessary, legal counsel to ensure workers’ compensation program is managed to all standards required by law as well      as in accordance with policies. 
• Complete initial contact by performing intake interview and ensuring paperwork is completed according  to CA standards. 
• Coordinate all medical leave, return to work and accommodation requests that result from all doctor’s visits.
• Assists claimants, providers, and clients with problems or questions regarding their claims and/or policies. Reviews incoming      correspondence/reports/physician reports/return to work reports, responding to questions, inquiries, and requests.

Requirements

· Bachelor's degree or equivalent in Public Administration, Human Resources Management or Risk Management is helpful. 

· Four years of experience in general liability or property damage claims processing, contract insurance, or workers compensation administration.

· Work with general liability claims of moderate complexity.

· Understand Government tort claim acts

· Intermediate computer skills (Word, Excel, SAP, etc.).

· Analytical skills

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