This job is now closed
Job Description
- Req#: REQ23-52066
- High school diploma or general education degree (GED)
- N/A
- Six to twelve months related experience and/or training; or equivalent combination of education and experience.
- Strong understanding of claims analyst process and procedures.
- Understanding of Self-Funding and Third Party Administrating concepts.
- Computer proficiency and technical aptitude with an ability to utilize advanced functions of MS Office (Excel, Word, and Outlook), the internet and various Claims applications and databases.
- Excellent negotiation skills and ability to communicate effectively with attorneys and third party claim professionals.
- Ability to work independently to effectively prioritize and plan work activities, uses time efficiently and develops realistic action plans to accomplish required tasks.
- Ability to manage several projects simultaneously while working under pressure to meet deadlines.
- The individual identifies and resolves problems in a timely manner and gathers and analyzes information skillfully.
- Ability to exercise judgment and discretion in the adjustment of a claim.
- Ability to read, analyze and interpret general business correspondence, instruction guides, and training materials.
- Excellent verbal communication skills to speak clearly and persuasively in positive or negative situations, demonstrates group presentation skills and participates in meetings.
- Excellent written communications skills to provide any necessary correspondence with internal and external customers.
- Ability to read and interpret documents, insurance claims and procedure manuals. Ability to write routine correspondence.
- Ability to add, subtracts, multiply and divides.
- Ability to define problems collects data, establish facts, and draw valid conclusions.
- Ability to interpret an extensive variety of instruction in written or diagram form.
- Ability to write routine correspondence.
- Performs other duties as assigned.
- Job is fairly routine. Incumbent follows established practices and procedures. Duties are performed with specific directions given and work is checked or verified on a frequent basis. Decisions are made within specific operational instructions and departmental guidelines. Errors in judgment could affect the smooth and efficient operation of the department.
- The employee has control over resources available only.
At Towne Park, it’s more than a job, you can make an impact.
A career with us is rewarding in more ways than one.
As a hospitality services company, our commitment is to create smiles by delivering exceptional experiences. When you work with us, you have an opportunity to impact the millions of patients, visitors and guests we proudly serve. Whether providing compassionate service that eases the anxiety of a patient and their family, creating a memorable experience for a guest in a new city, or helping a colleague, every day is a new opportunity to brighten someone else’s day and make an impact. When we see a customer, a client or one of our own team members smile, we know we made an impact. It’s why we do what we do.
Towne Park is a place where you can make a difference and create smiles every day.
For more information about our privacy policy, please click here.
The Claims Analyst I will perform a range of professional claims adjusting and administration work in the receipt, review, and processing of claims and payments regarding damage to customer property. This position will provide assistance to customers and administrative staff and partner with the Claims Analyst II as assigned.Job Details
Compensation: Towne Park is committed to offering competitive, fair, and commensurate compensation. Actual compensation will be based on a candidate’s job-related skills, experience, education or training, and location. The annual base pay range for this position is 40K-50K
Benefits: Employees are eligible to enroll in medical, dental, and vision insurance, accident insurance, critical illness insurance, hospital indemnity insurance, and telemedicine benefits. Employees are provided company-paid basic life and AD&D insurance as well as short-term and long-term disability. Employees are also able to enroll in the company’s 401k retirement savings plan.
Paid Time Off: Employees accrue 0.0385 hours of PTO per hour worked up to a maximum of 80 hours per calendar year. Employees receive 6 paid holidays throughout the calendar year and employees accrue up to a maximum of 4 paid floating holidays per calendar year.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to a specific plan or program terms.
ESSENTIAL FUNCTIONS
Reasonable accommodations may be made to enable individuals with disabilities to perform all functions.
Descriptive Statement(s)
% of Time
Reviews claims estimates loss and expense costs that are received from claimants or third parties. Analyzes, reviews, and adjusts claims for sites within assigned region as well as claims valued at less than $10,000 for accuracy, completeness and eligibility, consults with Claims Manager or peers for assistance as needed. Performs other duties as assigned.
15
Communicates with Account Managers, District Manager, and Vice Presidents for any adjustment of a claim. Communicates with claimants, insurance companies and or any other parties involved with the claim. Performs other duties as assigned.
15
Acts as liaison between corporate and field offices to coordinate the gathering of information that will facilitate proper response to claim losses and legal documents. Acts as the liaison to attorneys, insurance companies and individuals investigating any incidents that may result in asset loss. Member of Hotline team, providing 24/7 support to all sites nationally for emergent claims issues. Performs other duties as assigned.
10
Comply with state laws, policy and company procedures. Assists claimants, providers, and clients with problems or questions regarding their claims and/or policies. Handles rental subrogation claims and negotiates settlements to reducing claims costs. Examines claim forms, police reports and damage reports to initiate the claims process. Sets up files; when necessary, assigns claim numbers and logs in claims; collects and distributes supporting documents as required. Processes new claims and disseminates the claim if necessary to the insurance carrier. Performs other duties as assigned.
20
Maintains records and cross reference tickler files for processing collections and or subrogation; initiates necessary correspondence for demand of payment or explanation of actions. Processes claim payments; maintains record of accounts; partners with Claims Analyst II when trends are identified; prepares recommendations, correspondence and backup information to support. Monitors and adjusts records in computerized information system for daily status; reviews accounts and prepares various monthly and annual reports. Performs other duties as assigned.
20
Drafts written responses or replies by phone or e-mail when necessary. Responds to regularly occurring requests for information. Works independently and within a team on special nonrecurring and ongoing projects.
Types and designs general correspondences, memos, charts, tables, graphs, business plans, etc. Proofreads copy for spelling, grammar, and layout, making appropriate changes. Responsible for accuracy and clarity of final copy. Performs other duties as assigned.
10
Partners with Claims Manager providing support for pending claims in litigation. Settlement Authority level up to $10,000. Partners with claims manager on projects and development of procedural and process documentation. Performs other duties as assigned.
10
The total amount of time for all functions of the job
100%
QUALIFICATIONS
Education:
Required Licensure, Certification, etc.:
Work Experience:
Knowledge:
Skills:
SCOPE
Authority to Act:
Budget Responsibility:
WORKING CONDITIONS & PHYSICAL DEMANDS
The working conditions and physical demands described here are representative of those that must be met by an associate to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Physical Requirements
While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to sit or stand for extended periods of time and may be required to run; walk; handle or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.
Lifting Requirements
Exerting up to 50 pounds of force occasionally, and/or up to 25 pounds of force frequently, and/or greater than 10 pounds of force constantly to move objects.
Working Environment
The majority of work will be performed in climate-controlled environment, but may be exposed to inclement weather and varying degrees of temperatures on occasion.
Travel
Travel of up to 5% may be required.
About the company
Notice
Talentify is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Talentify provides reasonable accommodations to qualified applicants with disabilities, including disabled veterans. Request assistance at accessibility@talentify.io or 407-000-0000.
Federal law requires every new hire to complete Form I-9 and present proof of identity and U.S. work eligibility.
An Automated Employment Decision Tool (AEDT) will score your job-related skills and responses. Bias-audit & data-use details: www.talentify.io/bias-audit-report. NYC applicants may request an alternative process or accommodation at aedt@talentify.io or 407-000-0000.