Claims Analyst jobs in Lexington, KY

Claims Analyst analyzes and reviews insurance claims for accuracy, completeness, and eligibility. Reviews claims for eligibility to be reimbursed. Being a Claims Analyst maintains updated records and prepares required documentation. Assists in controlling the cost of processing claims. Additionally, Claims Analyst contacts policyholders about claims and may provide information regarding the amount of benefits. May require a bachelor's degree or its equivalent. Typically reports to a supervisor or manager. The Claims Analyst gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Claims Analyst typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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Claims Analyst
  • Turner Construction Company
  • Lexington, KY FULL_TIME
  • Expedite and oversee administrative process of clients’ insured claims as assigned within region, including but not limited to general liability, builders’ risk, professional liability, pollution, and auto liability claims.

    Essential Duties & Key Responsibilities:

    • As directed by Claims Manager, report claims in timely manner to applicable insurance carriers, and gather pertinent documentation.

    • Facilitate process for insured claims as assigned within region and as assigned by Claims Manager, until claim is settled and closed.

    • As directed by Claims Manager, coordinate with Operations, Safety, and/or Legal teams to ensure initial investigation is conducted and documented via written report; coordinate third-party incident investigator, as necessary.

    • Participate in crisis response team activities within assigned region and assigned clients.

    • Ensure claims carriers initiate claims process and assign Claims Specialist in timely fashion.

    • Create, maintain, and collect files for claims records and documentation, and update Claims Management System.

    • Understand and grasp differences of claim types.

    • Facilitate flow of documentation and/or claim submission from client to carrier, per standard operating procedures for each claim type.

    • Ensure standard operating procedures are followed by insurance carrier to issue prompt payments to relevant party/parties.

    • Analyze loss data for claim settlement and reserves; make recommendations to Claims Manager.

    • Prepare periodic claim reports (e.g., Loss or Benchmark) as directed using data management systems.

    • Oversee settlement of claims up to permitted settlement authority, escalate to Claims Manager as needed.

    • Participate in litigation oversight, strategy, and direction with clients’ leadership and Legal department for assigned claims, as needed.

    • Understand legal strategy and documents produced for litigation and mediation statements for assigned claims.

    • Attend trials, mediations, and arbitrations for assigned claims, as required.

    • Participate in and advise on clients’ safety, environmental, operations, and/or legal meetings.

    • May manage other Claims Analysts and Claims Coordinators. Deliver timely performance feedback to Claims team and execute and/or contribute to performance appraisals during annual performance cycle.

    • Other activities, duties, and responsibilities as assigned.

    Qualifications:

    • Bachelor’s Degree from accredited program in Business, Insurance, Risk Management, or related degree, and minimum of 4 years of experience, or equivalent combination of education, training, and/or experience

    • Construction industry or related risk management experience, highly preferred

    • Knowledge of claims processes (e.g., general liability, builders’ risk, professional liability, pollution, and auto liability)

    • Knowledge of client contracts, insurance policies, claims documents, and related practices

    • Familiar with and able to research State and local jurisdiction insurance and claims regulations

    • OSHA (Occupational Safety and Health Act) knowledge and experience desired

    • OSHA 30-hour certification, a plus

    • Process and critical thinking skills with sound judgement decision-making

    • Analytical and adept at processing and breaking down data into actionable information

    • Self-starter with project management skills and capable of managing concurrent complex projects and tasks successfully to completion

    • Interpersonal skills with ability to work across organizational levels, both internal and external

    • Professional written and verbal communication, and effective presentation skills

    • Proficient computer skills and Microsoft suite of applications

    • Limited travel: travel modes include air, train, vehicle


    Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to sit, use hands to finger, handle, or feel objects, tools, or controls; and reach with hands, talk, and hear. The employee frequently views a computer monitor and frequently uses a computer keyboard. Specific vision abilities required by this job include close vision, peripheral vision, depth perception, and the ability to adjust focus. The employee is occasionally required to be mobile, and the employee occasionally travels both short and long distances via a variety of conveyances. The employee may occasionally perform work on-site at construction work sites, office locations, and/or off-site venues. The employee must regularly lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds.

    Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee regularly works in an office and/or remote setting. The noise in the work environment is usually quiet to moderate in an office setting. While performing the duties of this job, the employee may occasionally work at construction work sites where the employee is exposed to moving mechanical parts, high precarious places, fumes or airborne particles, outside weather conditions, and risk of electrical shock. The noise in the work environment is usually moderate to loud. The employee is required to work in compliance with company safety policies, procedures, and applicable laws.

    Turner Surety and Insurance Brokerage, Inc. is an Equal Opportunity Employer

    Turner is an Equal Opportunity Employer - race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or other characteristics protected by applicable law.

  • 5 Days Ago

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Claims Specialist
  • Social Security Administration - Lexington KY
  • Lexington, KY FULL_TIME
  • Claims Specialists (CS) in Field Offices play a vital role delivering Social Security benefits and services to the public, both in-person and over the phone. As a CS, you conduct interviews to obtain,...
  • 6 Days Ago

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Claims Processor
  • Vincent Fister, Inc.
  • Lexington, KY FULL_TIME
  • Local, family owned company is seeking a Claims Processor to handle all household item claims, cargo claims, and property damage claims. This candidate needs to have experience working with adjusters ...
  • 2 Months Ago

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Inside Property Claims Adjuster
  • Liberty Mutual
  • Lexington, KY FULL_TIME
  • Pay Philosophy The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this...
  • 26 Days Ago

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Independent Insurance Claims Adjuster in London, Kentucky
  • MileHigh Adjusters Houston Inc
  • London, KY FULL_TIME
  • ADJUSTERS NEEDED NOW FOR ALL STORM RELATED SEASONS!Independent Insurance Claims Adjusters Needed Now! This is a HUGE opportunity for you, since there is currently a HIGH DEMAND forNEW ADJUSTERS AND NE...
  • 2 Days Ago

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Independent Insurance Claims Adjuster in Manchester, Kentucky
  • MileHigh Adjusters Houston Inc
  • Manchester, KY FULL_TIME
  • ADJUSTERS NEEDED NOW FOR ALL STORM RELATED SEASONS!Independent Insurance Claims Adjusters Needed Now! This is a HUGE opportunity for you, since there is currently a HIGH DEMAND forNEW ADJUSTERS AND NE...
  • 2 Days Ago

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0 Claims Analyst jobs found in Lexington, KY area

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Globe Life: American Income Life/AO Union Insurance Agent
  • American Income Life AO - John Crespin
  • Lexington, KY
  • AIL/AO is seeking enthusiastic, hard-working, and friendly individuals across the United States, to join our team and pr...
  • 4/18/2024 12:00:00 AM

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Account Manager - Small Commercial Insurance
  • AAA Club Alliance, Inc.
  • Lexington, KY
  • Ranked Top 100 Property/Casualty Independent Agencies in the US for 2023 Annual bonus eligibility based on the size of b...
  • 4/18/2024 12:00:00 AM

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Insurance Benefits Specialist- 100% Remote
  • Global Elite
  • Lexington, KY
  • NOW IS THE BEST TIME TO JOIN FULL-TIME REMOTE COMPLETELY WORK FROM HOME ALL BENEFITS REPRESENTATIVES START AT ENTRY LEVE...
  • 4/15/2024 12:00:00 AM

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Claims Adjuster - National Catastrophe Response Team
  • Progressive Corp.
  • Lexington, KY
  • Job Description - Claims Adjuster - National Catastrophe Response Team (188692) **** Claims Adjuster - National Catastro...
  • 4/15/2024 12:00:00 AM

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New Life Insurance Agent
  • The DH Group
  • Lexington, KY
  • Launch Your Fulfilling Career in Life Insurance. No License Needed. Ready to: Start a rewarding career from the comfort ...
  • 4/14/2024 12:00:00 AM

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INSURANCE AGENT - REMOTE
  • The Gardner Agency Group
  • Lexington, KY
  • Are you looking to take your career in a new direction or are you already a licensed insurance agent? At The Gardner Age...
  • 4/14/2024 12:00:00 AM

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Remote Insurance Agent
  • Dorr Agency
  • Lexington, KY
  • Looking for your last career stop? Interested in an industry change? Seeking work-life balance? The Dorr Agency is seeki...
  • 4/14/2024 12:00:00 AM

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Inside Property Adjuster
  • Erie Insurance Group
  • Lexington, KY
  • **Inside Property Adjuster** **Location:** Lexington, KY, US, 40513 **Division or Field Office:** Kentucky Branch Office...
  • 4/14/2024 12:00:00 AM

Lexington, consolidated with Fayette County and often denoted as Lexington-Fayette, is the second-largest city in Kentucky and the 60th-largest city in the United States. By land area, Lexington is the 28th largest city in the United States. Known as the "Horse Capital of the World," it is the heart of the state's Bluegrass region. It has a nonpartisan mayor-council form of government, with 12 council districts and three members elected at large, with the highest vote-getter designated vice mayor. In the 2017 U.S. Census Estimate, the city's population was 321,959, anchoring a metropolitan are...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Analyst jobs
$35,788 to $45,894
Lexington, Kentucky area prices
were up 1.2% from a year ago

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