Players Health

Putting the well-being of young athletes first.

Senior Claims Analyst

Claims SpecialistClaims SpecialistFull TimeRemoteTeam 51-200Since 2015H1B SponsorCompany SiteLinkedIn

Location

Minnesota

Posted

33 days ago

Salary

$90K - $120K / year

3 yrs expEnglish

Job Description

• Maintain oversight of commercial claims including complex and litigated matters • Perform second- and third-level reviews • Validate coverage, liability, reserves, and settlement strategies • Provide direction to TPAs, adjusters, and counsel • Perform file audits and QC checkpoints, track SLAs, cycle times, litigation rates, and recoveries • Support internal and external audit and develop remediation plans • Conduct routine claims audits and quality reviews • Develop and maintain claims dashboards to track trends, performance metrics, and program health • Partner cross-functionally with Athlete Safety to share claims data, loss trends, and emerging risk insights • Analyze claim outcomes across TPAs, jurisdictions, and programs to inform process improvements and underwriting insights • Submit GL and A&H claims and manage ongoing communication with TPAs • Support MGA financial and regulatory reporting, including carrier-specific and state-required submissions • Lead data cleanup initiatives across MGA and claims systems to improve reporting accuracy • Lead, mentor, and develop a growing team by establishing clear standards, workflows, and accountability

Job Requirements

  • 3+ years of commercial insurance, MGA, underwriting support, or claims experience
  • Strong analytical, organizational, and communication skills
  • Experience with TPAs, audits, and reporting
  • Strong emotional intelligence skills
  • Excellent verbal and written communication skills
  • Excellent interpersonal, negotiation, and conflict resolution skills
  • Excellent organizational skills and attention to detail
  • Excellent time management skills with a proven ability to meet deadlines
  • Strong analytical and problem-solving skills
  • Ability to act with integrity, professionalism, and confidentiality
  • Proficient with Microsoft Office Suite or related software.

Benefits

  • Medical
  • Dental
  • Vision
  • STD
  • LTD
  • 401K

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