Job Description

Job Summary The Claims Operations Senior Analyst partners with multiple business partners to coordinate, evaluate, develop and implement operational, administrative and technical programs and procedures for Claims groups. Job Functions Responsibilities may include training, workflow redesign, business systems consulting, conducting operational reviews, management information analysis and other organizational development initiatives. May work with administrative team to develop and participate in Operations Review and Evaluations and Self-Audit actions plans. Serves as key contact within Claims for Platform Support issues and may include training on implementation and upgrades, to support the claim workflow. May act as part of project team on Enterprise wide, Claim group initiatives. Uses strong technical, organizational and operational knowledge to enhancement outcome of project(s). Job Accountabilities - Key Accountabilities Address development needs within the claims offices as identified and act on opportunities to support process/workflow improvement for all Claims groups. Administers, coordinates, develops and communicates claim policies, procedures, programs and workflow. Partners with development team and may deliver training, including but not limited to, technical and management development training initiatives. Partner with IT/Claims Automation to identify opportunities to enhance organizational and system performance. Provides guidance to claim offices in areas of technical and operational expertise. Partners with Line of Business Directors to assist with identification of areas requiring review and improvement to achieve a high level of efficiency and effectiveness. Conduct due diligence on transactions and processes in order to determine the risk profile in compliance with relevant regulations applicable to claims in own area of work Independently consolidate and analyze data and make recommendations in order to support the department\'s timely resolution of claims. Review assigned customer cases, prioritize case load and interpret established policies, applying discretion within authority limits in order to resolve customer issues. Provide specialist advisory support to internal clients on a daily basis, by being a focal point of contact, to ensure that there is no misalignment between policy and practice. Identify day to day capability gaps, mentoring claims operation staff and seek out resources to resolve performance issues to fulfill the customer proposition. Assess and appoint claims vendors within agreed authority limits aligned to the organization\'s Claims Vendor Management strategy. Job Qualifications Required: Bachelors Degree and 4 or more years of experience in the Claims or Operations area AND Strong Microsoft Office skills. Knowledge of Business Intelligence or other data systems Preferred: Insurance industry experience Experience interacting with multiple management levels Strong verbal and written communication skills Strong analytical skills

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