Claims Analyst

Job Category: Non-Union Non-Contact Center

Requisition Number: CLAIM
008643

• Full-Time

Showing 1 location

Chattanooga, TN
Chattanooga, TN, USA

Home Serve USA, a Brookfield Infrastructure Group portfolio company, is a Great Place to Work, and while we’re biased, we’re not just saying that. We’re proud to have been certified as a Great place to Work the last ten years. What does Home Serve do and what makes it so great? Well, we’re glad you asked!

We put people at the heart of everything we do. That’s priority number one for all of us. For the nearly 5 million customers we serve, that means being there when they have an emergency home repair need, such as getting their a/c working, clearing their clogged pipes, or fixing broken electrical systems. With over 1,300 municipal and utility partners, that means providing their customers with access to affordable home repair plans, making it easier, faster and less expensive to have their home repair needs met.

And for the more than 1,500 people working alongside us, it means fostering a rewarding, inclusive and challenging career experience that we think is second to none. At Home Serve, everyone is welcome. We know that having diverse teams has a positive impact on our work and ultimately helps us better serve our customers.

No matter your role at Home Serve, you’re part of a growing team that’s working to make home repairs and improvements easy.

Position Overview:

The Contractor Operations Claims Analyst will be responsible for data analysis, reporting, and auditing to ensure that internal operations teams and Home Serve's third- party contractor network are administering claims in accordance with policy terms and conditions, processes, and pre-negotiated rate schedules. The Claims Analyst will utilize claims data and reporting to identify opportunities to improve financial underwriting performance, operational efficiencies, and the customer experience.

As well, the
incumbent will work independently and collaboratively across both the Operations and Finance teams to develop analytical reports to better understand opportunities for cost avoidance. The Claims Analyst will conduct ad hoc reviews and regular deep dives of identified trends and opportunities, and work with key business stakeholders to provide summaries of findings and recommended actions.

Responsibilities:

• utilize claims data to identify unfavorable trends or opportunities in claims performance to determine where additional analysis is necessary.
• Conduct audits based on findings to analyze the unfavorable trends impacting business claims performance as well as identify and audit any contractors, and/or internal operations team members, not adhering to pre-negotiated rate schedules, processes, and/or policy terms and conditions.
• Accurately identify, document, and share findings and opportunities for improvement. Create and document action plans for any business process changes identified during audits and assist in guiding the implementation of the changes.
• Develop clear framework for tracking and monitoring the implementation of business process changes and continually assess the impact of the changes on claims performance.
• Communicate insightful summaries to key business stakeholders on findings along with recommended actions for improvement tailored to the needs of the department.
• Responsible for completing various audits monthly, quarterly, or annually within Contractor Management to remain SOX compliant.
• Keep current on operational processes, contractor rate schedules, repair methods and practices, and policy terms and conditions.
• Build and maintain excellent relationships with key business stakeholders including but not limited to the Regional Operations Managers, Cost Authorization,
  Contractor Administration, Repair Management, and Finance.
• Meet KPI targets established by the company.
• Perform other duties as assigned.

Essential Functions:

% of Time on Function

Completing contractor or claims audits to provide actionable feedback to the business and ensure performance & quality goals are met or exceeded.

50%

Generating monthly, weekly, & daily reports to support contractor management in…