Claims Analyst

PRIMARY FUNCTION:

The Claims Analyst serves as a liaison between KAVX Corporate Insurance Department, global locations, insurance providers, and claimants. Under general direction, ensures timely processing of insurance claims, including workers compensation, cargo, property, auto, others. Receives and researches First Notice of Loss. Communicates with location Risk Owners to include HR/ EHS/ Facility Managers/ Site Controllers on collection of claim details. Reviews first and third-party claims for irregularities, accuracy, and completeness. Requests additional information, where necessary, for completion of claim processing. Reviews claims for eligibility. Maintains updated records and prepares required reports. Assists in claims cost control. Performs the design, analysis, and delivery of claim information. Contacts individuals about claims and coordinates the handling of benefits/recoveries. This role focuses on operational effectiveness in support of claims management strategies. Understands and performs domestic and international claim programs, policies, and procedures for: reporting, investigation, and analysis; litigation management; resolution/outcome management; and the delivery of claim information

DUTIES & RESPONSIBILITIES:

• Evaluates accident/loss reports. Reviews employee and witness statements, medical reports, department investigation results, and other documentation. Compile facts and data regarding accident/loss reports and filed cases.
• Advises and/or assists departments in conducting investigation of claims, including interviewing of witnesses, and procurement of relevant documentation.
• Documents telephone conversations, witness statements, and accident investigation results; prepares summaries of medical reports, claim adjuster notes, attorney reports, etc.
• Manage carrier claims relationship and ensures effective claims service. Work closely with assigned lawyers and monitoring of litigated claims.
• Train staff members on the proper procedures and forms to be utilized in claims processing, including workers' compensation matters.
• Review accident reports to identify patterns of injury and to determine whether unsafe conditions contributed to the accident; on a quarterly basis advises departments of trends in injuries and proper safety procedures that may result in reduction of injuries; provides department with information that will aid in reducing accidents and improve safety.
• Prepare various claims reports, data mining, and root cause analysis.
• Track and present monthly trend analysis on all claim's metrics - new/open, closing ratios, etc. by claim type and financial impact analysis.
• Report monthly accrual to Corporate Accounting - loss runs, outstanding reserves and accrue for any anticipated large variances timely.
• Process all monopolistic state WC reporting requirements (WA, OH, ND, WY).
• Develop and coordinate Vendor Day presentations/activities/agendas for sites.
• Coordinate and schedule annual on-site loss control visits to KAVX facilities with broker, insurance carrier risk control engineers - property and casualty programs.
• Assist team members with performing other projects as necessary or as business needs change relating to RMIS, Fleet Safety, Claim Closure Projects, RTW/Modified Duty program development and reduction of claims metrics, frequency and severity of claims that affect overall TCOR (Total Cost of Risk) for KAVX.

REQUIREMENTS:

• BA/BS degree (Accounting/Business Administration/Legal Studies) (MBA a plus).
• Minimum of 2 year of insurance/claim handling experience, preferably within the workers' compensation sector.
• Strong analytical skills with heightened problem-solving ability.
• Intermediate/advanced skills in Microsoft Excel.
• Detail oriented with ability to multitask, follow-up, and work within a deadline.
• Excellent communication skills, both verbal and written.
• Understand multi-state laws, rulings, and regulations applicable to state and federal court - workers' compensation, auto and general liability litigation processes. Ability to apply a working knowledge of claims process, adjusting and adjudication procedures.
• Working knowledge of medical terminology, body systems and/or impairments and their disabling effects.
• Ability to manage confidential information while using sound judgment and discretion.
• Ability to define problems, collect data, establish facts, and draw valid conclusions timely.
• Ability to obtain facts that ensure that claim information is complete and accurate.
• Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages.

EEO STATEMENT:

• Kyocera-AVX is an Equal Opportunity Employer: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or status as a protected veteran.

contact person

Scott Seation