Claims and Risk Analyst

Looking to take your insurance or compliance expertise to the next level? At KCH Transportation , we’re offering a dynamic Claims and Risk Analyst role that allows you to make a real impact by developing strategies to reduce risks and streamline claims management.

This position gives you the opportunity to leverage your industry experience whether in insurance, OS&D, or carrier compliance to analyze trends, mitigate potential risks, and work directly with internal teams and external partners.

Join a fast-paced environment where your insights and actions directly contribute to operational excellence, with room to grow and make a meaningful difference.

This is an office role M-FR 8AM - 5PM EST.

Essential Duties and Responsibilities :

• Conduct in-depth analysis and investigation of complex insurance claims, identifying critical information to determine claim validity and resolution strategy.
• Review new claims promptly, ensuring accurate reporting and alignment with organizational protocols.
• Foster strong working relationships and communicate effectively with internal departments, clients, and external partners to streamline claim management processes.
• Perform detailed analysis of claims and identify areas of carrier nonconformance, providing actionable insights to enhance compliance and efficiency.
• Assist in negotiating settlements, working collaboratively with stakeholders to reach favorable outcomes that align with company objectives.
• Develop and implement targeted claims and compliance action plans to minimize risk exposure and reduce claim frequency.
• Evaluate claim merit comprehensively, support strategic decision-making for resolution, and adhere to standardized procedures that maintain consistency and quality.
• Execute case management functions with a focus on mitigating risk while enhancing operational efficiency and effectiveness.
• Collaborate with the Director of Compliance and various service providers to ensure robust support across compliance and claims processes.
• Coordinate interdepartmental actions and initiatives aimed at reducing potential risk exposure and enhancing regulatory compliance.
• Assist in implementing approved risk management strategies and initiatives, actively contributing to organizational resilience.
• Generate comprehensive monthly claims reports, summarizing key metrics, trends, and areas for improvement.

Competencies :

• Strong analytical skills with a high degree of accuracy and attention to detail.
• Ability to manage multiple priorities simultaneously, demonstrating strong organizational skills and efficient time management.
• Proficient data entry skills, ensuring accuracy and consistency in claim documentation.
• Adept at conducting objective, data-driven analyses and assessments of claims, providing valuable insights and recommendations.
• Proficient in MS Office Suite (Word, Excel, PowerPoint, Outlook), with advanced Excel skills preferred for data analysis and reporting.
• Ability to quickly learn and adapt to new systems, processes, and procedures, demonstrating flexibility and a commitment to continuous improvement.
8 days ago