Claims Analyst at Allen Integrated Solutions LLC

Carmel, Indiana, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

InsuranceIndustries

Requirements

High School Diploma or GED
5-7 years of work-related experience
Property and Casualty license in states Allied does business
Strong attention to detail
Passion for providing excellent customer service to internal and external stakeholders
Ability to work independently with minimal coaching
Ability to manage a heavy caseload of 150+ complex/specialty claims with financial limits of $20,000 to $25,000
Deep technical expertise in claims handling and utilizing multiple systems
In-depth understanding of claim operations and key stakeholders
Excellent oral, written, interpersonal communication, and keyboarding skills
Ability to multi-task in a structured work environment
Proven track record of handling specialty or complex claims
Analytical skills to make decisions and resolve complex issues
Ability to think critically, solve problems, plan, organize, negotiate, and embrace new challenges
Appropriate adjuster's license in all required states
Compliance with state-by-state continuing education requirements

Responsibilities

Adjudicate claims (70%): Investigate and determine coverage application; recommend settlements outside authority limits; evaluate and settle complex/specialty claims; understand policy coverage and recognize issues needing supervisor involvement; review claim assignments; manage diaries; handle full lifecycle of claims; utilize systems for processing
Follow regulatory and jurisdictional requirements, including state regulations and guidelines
Serve as a resource for less experienced staff, providing training and support
Solve obstacles in claims process without supervisory approval; communicate action plans
Involve supervisor for claims triggering special instructions
Exercise judgment to analyze exposure, determine actions, and settle claims
Interact extensively with parties involved in claims
Use discretion and independent judgment in claim handling
Provide training and mentoring to adjusters
Make informed, confident, timely decisions
Service delivery to customers (10%): Promptly answer inbound calls; maintain call records; communicate effectively with clients/borrowers; respond to emails within 4-8 hours; follow call policies/procedures; resolve client escalations
Thorough understanding of claims compliance and state regulations (20%): Maintain licenses; follow continuing education; comply with state statutes on adjudication; meet company and underwriter standards on timeliness, accuracy, and service
Other duties as assigned

Skills

Claims Adjudication

Claims Investigation

Negotiation

Coverage Evaluation

Settlement Determination

Diary Management

Claim Lifecycle Management

Multi-tasking

Regulatory Compliance

Stakeholder Communication

Training and Support

Allen Integrated Solutions LLC

Provides technical and management services for government security missions

About Allen Integrated Solutions LLC

Allen Integrated Solutions LLC specializes in a range of technical and management services aimed at enhancing performance in government and security sectors. With a focus on integration management, intelligence, cyber security, and more, the company expertly handles missions related to national security and defense. This firm stands out as a reliable provider of comprehensive systems engineering, technical assistance, and advisory services, making it a pivotal support system for complex federal operations.

Stafford, VA 22554, USAHeadquarters

2015Year Founded

VENTURE_UNKNOWNCompany Stage

Consulting, AerospaceIndustries

11-50Employees