The Muse

Claims Specialist

• Resolve claims and respond to inquiries involving members, agents, and vendors
• Handle complex bodily injury and coverage claims
• Manage litigated files and subrogation on closed files
• Make appropriate coverage determinations and handle claims within prescribed authority levels
• Manage vendor activities and prepare reports for meetings

Claims Analyst – Casualty

Analyst

• Develop and execute strategies to scale new technologies across Service, partnering with Service leaders to ensure adoption and maximize impact.
• Continue to build out AI-enabled live service capabilities through Cresta, optimizing existing tools and expanding capabilities across Service.
• Deliver insights on adoption/usage of emerging technology tools, service interaction trends, and call quality wins and opportunities.
• Develop rules-based guidance for live service interactions through Cresta and other tools.
• Oversee execution of member and broker chat, including staffing, reporting and analysis, change management, and process design.
• Lead projects to continue to improve our ability to expertly, efficiently serve members and brokers in the channel of their choice (e.g. chat, SMS expansion, etc.).

Claims Analyst – Casualty

Senior Service Enablement Analyst