Leonard Nelson

I am a registered clinical officer currently working with an insurance firm as a claims analyst.

It also involves assisting in controlling the cost of processing claims and contacting policyholders about claims, as well as providing information regarding the amount of benefits when necessary.

The claims analyst’s role requires for the individual to use their analytical skills to project potential losses and make recommendations to limit risk.

It also involves performing a thorough review for proper claim strategy to ensure that TPA adheres to Best Practice claims management and reserving of assigned indemnity and medical only claims.

The claims analyst is also responsible for escalating the TPA’s failure to demonstrate Best Practice claims management in any pending workers’ compensation claim.

They are responsible for identifying loss trends.

They also work closely with the Risk Manager and Director of Safety (where applicable) to assist in mitigating such trends as necessary.

The claims analyst work description entails communicating with external vendors to obtain data needed for analyses.

It also involves utilizing ETL software to gather and analyze data.

The analyst is responsible for the development, maintenance, and distribution of historical trend analysis reports related to departmental/company performance.

am time conscious and a perfectionist