The posting
Job Description
This position will be primarily responsible for supporting all administrative processes related to Claims including Document Capture, Document Indexing, and Claim Analyst processes, including creating claims from client submissions, compiling reports and performing analyses critical to meeting weekly, monthly and quarterly Claims deliverables. This position will also assist in responding to audit requests and performing activities to facilitate the financial close.
Responsibilities
Document Capture
- Ensure that the Claim documents were correctly categorized for processing in Claims Imaging prior to releasing the documents for indexing.
- Scan any claim documents received via mail
- Work closely with the data capture representatives to resolve any issues that might arise
Document Indexing
- Set up new claims as needed for clients that submit claims as individual initial notices / request for payment
- Verify that all documents attached to the claim are correctly indexed
- Verify that all information entered is accurate to ensure that any auto-adjudicated claims are paid correctly.
Claim Analyst
- Review, enhance, and sign settlements ensuring client payments and refunds are processed timely
- Produce and provide claim reports to clients as needed
- Monitor workflow and identify potential claims processing issues
- Assess and clear claims held in verification / pending claim status
- Work cross-functionally to resolve system impediments to claim payment processing
- Prepare weekly, monthly and quarterly paid claim and WIP reports
- Establish requirements for system enhances and log tickets for tracking, testing, and implementation
- Analyze client trending analyses to understand financial results and identify potential future impact
- Assist with internal and external audits
- Produce ad-hoc reports for management and other members of the organization as needed
- Produce claims metrics reports as required
- Identify opportunities for improvement and implement solutions
- May perform other duties as required
Qualifications
- Working towards bachelor’s degree in Accounting, Finance, Insurance, Business Administration, or a related field
- Strong analytical, research and problem-solving skills
- Experience with data analysis, SQL queries preferred
- Proficient in Microsoft Excel (V-Lookups, Pivot Tables, Formulas)
- Detail oriented with strong planning and organizational skills
- Ability to learn new systems and manipulate data for reporting
- Ability to identify problems and develop innovative, effective solutions
- Ability to analyze data in relation to treaty/contract requirements
- Ability to communicate and present complex issues/results in a clear, concise, and easily understood manner
- Ability to work closely on a team with business users to investigate and resolve data related issues
- Ability to adapt to changing business demands
- Strong work ethic; commitment to accuracy and excellence
- Must have a strong desire to learn and to do more than the minimum required
- Strong oral & written communication skills
- Strong results orientation & organizational, follow-up, & follow-through skills
You may not meet every requirement listed in the job description. If you bring broad expertise and alignment to the role and resonate with our core values, we encourage you to apply.
Relocation assistance within the U.S. is available for this position. Candidates must have valid authorization to work in the U.S. without the need for employer sponsorship now or in the future.
Hybrid Work Policy: SCOR is committed to an “in-office” culture where people can collaborate, exchange ideas, and establish stronger working relationships while ll providing flexibility. To support employee work-life balance and increase opportunities for employees to excel every day, SCOR operates with a hybrid working arrangement. SCOR employees work 3 days per week in an office with the flexibility to work 2 days per week remotely.
Pay Range for roles performed in CLT: $22-$24 hourly rate. Actual salaries may vary based on various factors including but not limited to location, experience, role and performance. The range listed is just one component of SCOR's total compensation package for employees. Other rewards may include annual bonuses, short- and long term incentives. In addition, we provide a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement saving plan, paid holidays and paid time off.
About Us
As a leading global reinsurer, SCOR offers its clients a diversified and innovative range of reinsurance and insurance solutions and services to control and manage risk. Applying “The Art & Science of Risk,” SCOR uses its industry-recognized expertise and cutting-edge financial solutions to serve its clients and contribute to the welfare and resilience of society in around 160 countries worldwide.
Working at SCOR means engaging with some of the best minds in the industry – actuaries, data scientists, underwriters, risk modelers, engineers, and many others – as we work together to find solutions to pressing challenges facing societies.
As an international company, our common culture is defined by “The SCOR Way.” Serving both to build momentum that drives the Group forward and as a compass to guide our actions and choices, The SCOR Way is anchored by five core values, reflecting the input of employees at all levels of the Group. We care about clients, people, and societies. We perform with integrity. We act with courage. We encourage open minds. And we thrive through collaboration.
SCOR supports inclusion and the diversity of talents, and all positions are open to people with disabilities.
