A+ rated carrier seeks a Claims Analyst for their home office in St.Louis. This position is responsible for the handling of claims assigned with potential excess exposure and the development of a relationship with the claim administration community.
Primary Responsibilities:
Evaluate claims for potential exposure
Coordinate with Medical Claims Manager to mitigate catastrophic cases
Maintain an effective and current diary system to direct all assigned claims
Recommend, establish and modify case reserves within proper authority
Request authority to settle when a settlement opportunity is identified
Review and authorize reimbursements
Plan and conduct audits and visits to Third Party Administrators (TPAs) and promote best practices
Identify potential exposure during a routine audit review
Support growth and retention of business accounts
30-40% travel is required
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