Title:
Claims Data Research Analyst
Company:
Everest Insurance Company
Job Category:
Claims
Job Summary:The Claims Data Research Analyst is responsible for analyzing claims data, identifying trends, investigating data discrepancies, and providing actionable insights to support claims operations, underwriting, finance, and executive leadership. This role combines data analysis, reporting, and research skills to improve data quality, operational efficiency, and business decision-making.
This is a hybrid position based in Warren, NJ working 3 days onsite, 2 remote.
Key Responsibilities:Data Analysis & Reporting
- Analyze claims data from multiple systems to identify trends, patterns, and anomalies.
- Develop and maintain dashboards, reports, and scorecards using tools such as Power BI, Excel, and SQL.
- Monitor key claims performance metrics, including claim volume, severity, closure rates, and cycle times.
- Perform root cause analysis on data inconsistencies and reporting variances.
Data Research & Validation
- Research and investigate claim-level discrepancies across source systems.
- Validate the accuracy and completeness of claims data received from internal and external partners.
- Reconcile claims information between claims management systems, TPAs, financial systems, and reporting databases.
- Support data quality initiatives by identifying missing, duplicate, or inaccurate records.
Operational Support
- Partner with Claims, Finance, IT, Underwriting, and external TPAs to resolve data-related issues.
- Support audits, regulatory reporting, and management information requests.
- Document data definitions, business rules, and reporting processes.
- Assist in developing controls to improve data integrity and reporting accuracy.
Business Intelligence & Insights
- Identify opportunities to improve claims processes through data-driven recommendations.
- Conduct ad hoc analysis to support strategic initiatives and operational decisions.
- Present findings and recommendations to management in a clear and concise manner.
- Support predictive analytics and trend analysis initiatives where applicable.
Required Qualifications:- Bachelor's degree in Data Analytics, Business, Finance, Mathematics, Statistics, Information Systems, or a related field.
- 2-5 years of experience in claims operations, insurance analytics, or data analysis.
- Strong proficiency in Microsoft Excel, SQL, Python, and Power BI.
- Experience working with large datasets and relational databases.
- Strong analytical and problem-solving skills.
- Excellent written and verbal communication skills.
- Leverage AI and emerging technologies to improve claims processes, efficiency, informed decision-making, and customer outcomes.
Preferred Qualifications:- Experience with insurance claims data, TPAs, policy administration systems, or claim management platforms.
- Knowledge of Property & Casualty insurance, workers' compensation, liability, or specialty claims.
- Experience with Power Automate, SharePoint, DAX, and data modeling.
- Familiarity with data governance and data quality frameworks.
The base salary range for this position is $80,000- $100,000 annually. The offered rate of compensation will be based on individual education, experience, qualifications and work location. All offers include access to a variety of benefits to employees, including health insurance coverage, an employee wellness program, life and disability insurance, 401k match, retirement savings plan, paid holidays and paid time off (PTO).
#LI-KG1
#LI-Hybrid
What if I don't meet every requirement? At Everest we are dedicated to building an inclusive and authentic workplace. So, if you are excited about this role but your past experience doesn't align perfectly with every element in the job description, we still encourage you to apply. You may be just the right candidate for this or other roles. Please let us know if you need any accommodations throughout the application or interview process.
Type:
Regular
Time Type:
Full time
Primary Location:
Warren, NJ
Additional Locations:
