Senior Claims Analyst
Players Health
full-time
Posted on:
Location Type: Remote
Location: Minnesota • United States
Visit company websiteExplore more
Salary
💰 $90,000 - $120,000 per year
Job Level
About the role
- Maintain oversight of commercial claims including complex and litigated matters
- Perform second- and third-level reviews
- Validate coverage, liability, reserves, and settlement strategies
- Provide direction to TPAs, adjusters, and counsel
- Perform file audits and QC checkpoints, track SLAs, cycle times, litigation rates, and recoveries
- Support internal and external audit and develop remediation plans
- Conduct routine claims audits and quality reviews
- Develop and maintain claims dashboards to track trends, performance metrics, and program health
- Partner cross-functionally with Athlete Safety to share claims data, loss trends, and emerging risk insights
- Analyze claim outcomes across TPAs, jurisdictions, and programs to inform process improvements and underwriting insights
- Submit GL and A&H claims and manage ongoing communication with TPAs
- Support MGA financial and regulatory reporting, including carrier-specific and state-required submissions
- Lead data cleanup initiatives across MGA and claims systems to improve reporting accuracy
- Lead, mentor, and develop a growing team by establishing clear standards, workflows, and accountability
Requirements
- 3+ years of commercial insurance, MGA, underwriting support, or claims experience
- Strong analytical, organizational, and communication skills
- Experience with TPAs, audits, and reporting
- Strong emotional intelligence skills
- Excellent verbal and written communication skills
- Excellent interpersonal, negotiation, and conflict resolution skills
- Excellent organizational skills and attention to detail
- Excellent time management skills with a proven ability to meet deadlines
- Strong analytical and problem-solving skills
- Ability to act with integrity, professionalism, and confidentiality
- Proficient with Microsoft Office Suite or related software.
Benefits
- Medical
- Dental
- Vision
- STD
- LTD
- 401K
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims managementfile auditsquality controldata analysisreportingprocess improvementunderwritingsettlement strategiescoverage validationlitigation management
Soft Skills
analytical skillsorganizational skillscommunication skillsemotional intelligenceinterpersonal skillsnegotiation skillsconflict resolutionattention to detailtime managementintegrity