Claims Analyst

Role Summary

Claims Analysts evaluate claim data, identify trends, and support claims operations through reporting, analysis, and process improvement. They help claims teams make informed decisions about reserving, fraud detection, and operational efficiency.

Core Responsibilities

• Analyze claim frequency, severity, and loss trends.
• Build dashboards and reports for claims leadership.
• Support reserving analysis with data preparation and validation.
• Identify anomalies, potential fraud indicators, or process bottlenecks.
• Collaborate with adjusters, SIU, and actuarial teams.
• Maintain claims data quality and documentation.

Key Skills & Competencies

• Data analysis and statistical literacy
• Knowledge of claims processes and terminology
• SQL, Excel, or BI tools
• Strong communication and documentation

Common Backgrounds

• Claims, Risk Management, Data Analytics, or Business
• Experience with claims systems (Guidewire, Duck Creek, etc.)

Relevant Designations

• AIC (Associate in Claims)
• AINS
• CPCU
• AIDA (for analytics-heavy roles)