Crawford & Company in
Claim Sys Ops Analyst (Finance)
Under general supervision, provides a variety of critical operational support services to the Claim Department, its business partners, and its clients.
Education equivalent to graduation from college or the equivalent in related work experience. Two or more years of experience in BSI Claim Systems/Operations or the equivalent, demonstrating a good knowledge of claim systems and field operations. Demonstrates effective customer relations skills. Demonstrates sound analytical skills. Has a comprehensive knowledge of claim system functions and the relationship of client information to accurate claim processing and reporting. Ability to work accurately with attention to detail and customer expectations. Effective and diplomatic oral and written communication skills.
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Manages and/or participates in various projects assigned to Claim Operations, handling them to completion, such as Take Overs, Reverse Take Overs, Novations/Buybacks. Initiates the Break Payment Process within Focus at the request of the Finance Department, including notifying claim offices of the effective date and when the break payment is lifted, monitoring reports, maintaining a list of clients on break payment and reasons, and distributing the report monthly. Handles all Prefund requests from the Finance Department, updates contract number tables, notifies claim offices, monitors pending payments, and follows up on outstanding items. Attends weekly prefund meetings with the Manager, Claim Exec, and Finance. Manages the Priorities List and weekly priority meetings. Formats, tags, uploads, and maintains required State forms in various claim systems. Creates and maintains form letters, templates, and indexes in claim systems and on public drives. Develops and maintains manuals, assists in the analysis of procedural changes, and participates in the research, writing, and maintenance of operating procedures and user manuals. Provides guidance and training to Claim Offices on claim systems and procedures. Assists departments in identifying, researching, and correcting data errors. Provides backup coverage in Claim Operations as needed and/or requested. Develops and maintains positive working relationships with internal and external customers. Keeps updated on claim system changes impacting operations. May serve as DRP backup for Teleplus.
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Education equivalent to graduation from college or the equivalent in related work experience. Two or more years of experience in BSI Claim Systems/Operations or the equivalent, demonstrating a good knowledge of claim systems and field operations. Demonstrates effective customer relations skills. Demonstrates sound analytical skills. Has a comprehensive knowledge of claim system functions and the relationship of client information to accurate claim processing and reporting. Ability to work accurately with attention to detail and customer expectations. Effective and diplomatic oral and written communication skills.
#LI-RA1
Manages and/or participates in various projects assigned to Claim Operations, handling them to completion, such as Take Overs, Reverse Take Overs, Novations/Buybacks. Initiates the Break Payment Process within Focus at the request of the Finance Department, including notifying claim offices of the effective date and when the break payment is lifted, monitoring reports, maintaining a list of clients on break payment and reasons, and distributing the report monthly. Handles all Prefund requests from the Finance Department, updates contract number tables, notifies claim offices, monitors pending payments, and follows up on outstanding items. Attends weekly prefund meetings with the Manager, Claim Exec, and Finance. Manages the Priorities List and weekly priority meetings. Formats, tags, uploads, and maintains required State forms in various claim systems. Creates and maintains form letters, templates, and indexes in claim systems and on public drives. Develops and maintains manuals, assists in the analysis of procedural changes, and participates in the research, writing, and maintenance of operating procedures and user manuals. Provides guidance and training to Claim Offices on claim systems and procedures. Assists departments in identifying, researching, and correcting data errors. Provides backup coverage in Claim Operations as needed and/or requested. Develops and maintains positive working relationships with internal and external customers. Keeps updated on claim system changes impacting operations. May serve as DRP backup for Teleplus.
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