Claim System Data Support Ops Analyst

Responsibilities

• Assists and participates in the analysis of internal operational procedural changes/workflows and requirements. Determines business impact and recommends and/or initiates appropriate action.
• Assists and participates in the research, writing, publishing and maintenance of operating procedures and user manuals.
• Provides guidance and/or training to Claim Offices on existing claim systems and procedures.
• Provides assistance to various BSI and Kemper Departments identifying, researching and correction of indicative and financial data errors.
• Responsible for monitoring and handling appropriately various reports; i.e NY Surcharge, IRS, DASD Exception, 180 Day Stale Date, SPCP etc. within a specified period of time.
• Processes various vendor invoices via bulk pay file procedures.
• Provides assistance to the Printing Facilities in relation to damaged checks, checks requiring additional or corrective mailing information/instructions.
• Receives reimbursement checks to be applied to claim files and or miscellaneous checks for subpoena/copy/witness fees. Maintains applicable log books as well as adheres to established guidelines of applying reimbursements to claim files and/or mailing of reimbursement/miscellaneous checks to appropriate lockbox.
• Ensures manual payments for Law Invoices for various laws firms utilized by Kemper Insurance are applied to the claim files in a timely manner.
• Provides assistance on various projects that are assigned to Claim Operations for handling to completion.
• Provides back up coverage when required and/or requested on one or more responsibilities within the Department.
• Develops and maintains a favorable working relationship with internal and external customers.
• Keeps abreast of internal claim system changes and developments that impact the Claim Systems/Operations area.
• May serve as DRP back up for Teleplus.

Qualifications

• Education equivalent to graduation from High School, supplemented by courses in Word Processing, spreadsheet creation or the equivalent in work related experience.
• One or more years experience in BSI Claim Systems/Operations or the equivalent, demonstrating a good knowledge of claim systems and field operations.
• Demonstrates effective customer relations skills.
• Demonstrates sound analytical skills.
• Demonstrates effective and diplomatic oral and written communication skills.
• Demonstrates ability to work accurately with attention to detail and customer expectations.
• Demonstrates a comprehensive knowledge of claim system functions and the relationship of client information to accurate claim processing and reporting.
• NA

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About Us

Why Crawford?

Because a claim is more than a number - it’s a person, a child, a friend. It’s anyone who looks to Crawford on their worst days. And by helping to restore their lives, we are helping to restore our community - one claim at a time.

At Crawford, employees are empowered to grow, emboldened to act and inspired to innovate. Our industry-leading team pioneers new solutions for the industries and customers we serve. We’re looking for the next generation of leaders to take this journey with us.

We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve. Though our reach is vast, we proudly operate as One Crawford: united in purpose, vision and values. Learn more at www.crawco.com.

When you accept a job with Crawford, you become a part of the One Crawford family. And as part of the One Crawford family, we offer  a comprehensive Total Rewards package to  our employees  to assist with their financial, health/wellness, continuing education/training and other needs:

• Competitive base pay

- The Pay Range/Salary represents the anticipated low and high pay that may be offered for this position. To determine the actual offer, Crawford considers a wide range of factors including the candidate’s previous experience and education, market rates, minimum pay requirements for the applicable jurisdiction, business segment, supply/demand, and scheduled hours. 

• Bonus/Incentive Pay and other Performance-Based Rewards, if applicable.
• We offer a well-rounded benefits package that encourages wellness and helps our employees to be an educated healthcare consumer. The core benefits* offered include:

- Medical, Dental and Vision Plans
- Prescription Drugs
- HSA, HRA, and FSA Accounts
- Paid Holidays, Vacation and Sick Leave
- 401(k) Retirement Plan
- Tuition Assistance
- Paid Parental Leave
- Supplemental Health Benefits
Other Benefits currently available at no cost include: - Enhanced Mental Health Support
- Virtual Physical Therapy
- Caregiving Services
- Life Assistance Program

*The above information highlights some of the benefits currently available to eligible full-time employees.

• Training programs that promote continuous learning and career progression while enhancing job performance.
• Sustainability programs that give back to the communities in which we live and work.
• A culture of respect, collaboration, entrepreneurial spirit and inclusion.

Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V Crawford & Company is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford. No fee will be paid in the event the candidate is hired by Crawford as a result of the referral or through other means.