Financial Analyst, Insurance Risk & Claims

Job Description

Job Description

Position Overview

The Financial Analyst – Insurance Risk & Claims serves as the critical financial and analytical bridge between Corporate Risk Management, Treasury, General Ledger Accounting, FP&A, and external actuarial partners. This role oversees the end-to-end administration and reporting of self-insured claims, third-party administrator (TPA) expenses, insurance reserves, and loss runs across all consolidated business entities (including DCI, Quala, and PSC).

The role is responsible for maintaining the integrity of the Risk Management Information System (Origami Risk), managing strict cash prefunding and claim payment workflows, coordinating cross-functional executive monthly reviews, and partnering with actuaries on reserve valuations.

Reports To: VP of Insurance & Claims

Employment Type: Full-Time

Location: Hybrid / On-Site at our HQ in Tampa, FL

We are not able to provide visa sponsorship at this time.

Key Responsibilities & Essential Functions

1. Claims Financial Operations, Invoicing & Cash Flow Management

• Claims & Prefunding Invoicing: Review and validate weekly claim invoices, prefunding requests, and quarterly prepaid service fees under tight deadlines (strict 5-day and immediate same-day terms).
• Treasury & ACH Coordination: Initiate urgent, same-day manual ACH releases with Treasury for critical claim prefunding accounts.
• TPA Contractual Reconciliations: Conduct annual reconciliations of prepaid expenses vs. actual fees incurred under active service agreements, auditing charges on a claim-by-claim basis to identify overpayments and dispute discrepancies.

2. Loss Runs Consolidation & Financial Reporting

• Consolidated Loss Run Production: Extract, aggregate, and reconcile monthly loss runs across internal platforms and external TPA feeds and Insurance loss runs for historical claims.
• Executive Reporting Package: Build, maintain, and automate the monthly Insurance Reporting Package and executive claim expense trending models (YTD P&L trends, pre-close and final close updates).
• Watchlist Maintenance: Update and distribute the corporate Insurance Watchlist reflecting case developments, significant reserve changes ($5k+ threshold), and executive leadership adjustments.
• Uninsured Allocations: Generate monthly uninsured claim transaction reports to calculate pivot-table cost allocations for corporate accounting journal entries.

3. Actuarial Support & Executive Governance

• Executive Committee Facilitation: Organize, schedule, and assemble materials for the monthly Executive Insurance Review Meeting, aligning senior stakeholders across Legal, Operations, Accounting, and FP&A.
• Actuarial Deliverables: Provide finalized, audit-ready loss runs and exposure exhibits to external actuaries within tight deadlines post-meeting, incorporating approved reserve adjustments.

4. RMIS Administration & Process Improvement

• System Administration: Manage user licenses, distribution groups, claimant metadata, and system security.
• Integration Oversight: Monitor weekly automated API/EDI data feeds between external TPAs, troubleshooting and clearing data transfer integration exceptions.
• Process Automation: Spearhead initiatives and automation tools (including AI/macro models) to streamline complex data consolidation and eliminate manual reporting errors.

Core Tasks & Operating Rhythm

• Weekly
  • Review and approve weekly TPA claims and prefunding invoices (Wednesdays).
  • Audit weekly automated TPA-to-Origami data feed imports on Mondays.
  • Perform weekly cost trend analysis.
  • Review prefunding expenses.

• Monthly (Close & Reporting)
  • Extract uninsured transaction reports for accounting allocation.
  • Ingest data, complete bank reconciliations, and distribute partner packages.
  • Finalize Subledger (claim system) vs. GL claim reconciliations.
  • Coordinate, prepare materials for, and facilitate the Executive Insurance Meeting.
  • Deliver final post-meeting actuarial loss runs and updated Watchlists to actuarial information.

• Quarterly
  • Audit and track legacy self-insurance claims
  • Reconcile quarterly prepaid claim administration service invoices.

• Annual
  • Audit TPA prepaid expenses vs. actual contract fee schedules (July).
• Ad Hoc
  • Claim system user administration, permissions, and email routing changes.
  • Investigate claim coding reclassifications with field depots and corporate accounting.

Required Education & Experience

• Education: Bachelor’s degree in Accounting, Finance, Risk Management, or related quantitative field.
• Experience: 4–7+ years of progressive experience in corporate accounting, financial analysis, or risk management finance.
• System Experience: Hands-on working experience with Origami Risk (or equivalent RMIS platform) and ERP financial systems (e.g., Microsoft Dynamics Great Plains, NetSuite, SAP).
• Claims & TPA Knowledge: Demonstrated understanding of insurance loss runs, third-party administrators, self-insured retention (SIR), and casualty claim structures.

Technical Skills & Competencies

• Advanced Financial Modeling: Advanced Microsoft Excel proficiency (complex pivot tables, Power Query, dynamic lookups, nested logic, and large dataset handling).
• Reconciliation Expertise: Proven track record reconciling subledgers to General Ledger accounts, balancing cash transactions with bank statements, and identifying balance sheet accrual gaps.
• Process Modernization: Experience using automation, macros, or AI-enabled tools to streamline manual recurring data processes.
• Executive Communication: High-caliber interpersonal and organizational skills to manage schedules and present materials to senior executive stakeholders (Legal, Accounting, FP&A, Operations).

DCI Benefits

• Medical, Dental and Vision Insurance
• 401(k) with generous employer match
• Paid time off
• 10 Paid holidays
• Optional Health savings account & Flexible spending account
• Life insurance
• Employee assistance program
• Parental leave
• Referral program
• Tuition reimbursement