[San498] Analyst Claims Advisory

Reviews and understands incoming documentation and new claims notifications under supervision of more senior colleagues, informs colleagues of any potential problems or contentious claims, and seeks guidance or advice where necessary to ensure the proper processing of claims.
Identifies which policies or parts of the coverage may be affected by incoming low complexity claims from middle-market and/or low complexity clients, seeks validation where necessary, and advice where uncertain or clarification required to ensure the proper protocol is followed.
Determines coverage for incoming claims of low complexity, of small-medium size, and/or for small-medium sized clients through use of their knowledge of the policies as well as communicating with Underwriters and Insurers to help their clients manage their incoming claims and ensure that claim management processes adhere to established standards.
Liaises with advocates and/or clients to ensure the proper processing of specific claims-related issues or client service concerns.
Communicates with clients, beneficiaries, third parties, or insurers to receive status updates, common information requests, instructions, or query resolution.
Generates, validates, and distributes claims reports to ensure accurate records are produced and distributed.
Facilitates collection from insurers on small claims and tracks the different parts of claims being paid for common claims settlements in order to keep an orderly record of ongoing work.

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