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Claims Analyst

4 months ago


Mount Pleasant, United States Johnson & Johnson Full time
Job DescriptionJob DescriptionDescription:

This position is responsible for investigating, evaluating and negotiating settlement of claims to promote retention or purchase of insurance from J&J.

Job Responsibilities:

  • Assign new claims to Third Party Adjusters or Insurance Carrier within contract limits
  • Enter and update claims in the Claims Database
  • Determine policy parameters such as terms, coverages, and deductibles
  • Evaluate claims to determine settlement amount within authority limits and recovery opportunities
  • Processes daily claim payment check mailing
  • Develop basic understanding of liability and coverage principles
  • Expense control
  • Reserve awareness
  • Consult with supervisor on unusual situations or where severity of claim exceeds own authority level
  • Provide exemplary customer service by via phone/fax/email
  • Review adjuster’s reports and determine activity
  • Develop greater understanding of basic forms and coverages
  • Manage multiple Fax and Email accounts to ensure prompt handling of submissions
  • Work closely with Third Party Claims Adjustor to resolve claims in an expeditious and timely manner.
  • Maintain diary and workflow within accepted company standards
  • Provide exceptional customer service to both internal and external customers
  • Performs other duties as assigned.
  • Pursue education to enhance industry knowledge

Education and Work Experience:

· Bachelor’s degree preferred and 1 to 3 years of property claims experience and adjusters license or AIC designation.

Knowledge Skills and Abilities:

  • Strong customer service skills
  • Ability to maintain confidentiality
  • Proficiency in on-line reference manuals
  • Knowledge of policy forms
  • Ability to recognize exposure to loss
  • Research skills, attention to detail, and coordination
  • Ability to multi-task, prioritize, make quick decisions and be flexible in a fast-paced environment
  • Ability to work with difficult customers
  • Ability to work under the direct supervision of the claims supervisor.
  • Is easily accessible to customers
  • Computer experience a must, MS Word & Excel experience required
  • Minimum 50wpm typing speed
  • Team Player
  • Excellent oral and written communication skills
  • Exceptional customer service skills
  • Exceptional interpersonal skills
  • Ability to clearly and effectively present (both written and verbal) to external business partners, management and internal business partners.
  • Exhibits a professional appearance when representing the organization during agency visits or business meetings.

Typical Physical Demands:

· Requires the ability to sit or stand for long periods of time, occasional stooping, and reaching; May require lifting-up to 25 pounds; requires normal range of vision and hearing with or without accommodations.

Requirements: