Sr Claims Analyst

J  o  b    D  e  s  c  r  i  p  t  i  o  n

Job Profile Title:

Sr Claims Analyst

Job Code:

11540

Profile Title:

11540 Sr Claims Analyst

Grade / Band:

IC3

FLSA Status:

Exempt

The primary responsibility of the Senior Claims Representative is to handle the investigation and analysis of third-party property and casualty complex claims received in Risk Management. The Sr. Claims Representative will determine the extent of MGM Resorts International's liability, if any, and assess alleged damages by applying technical knowledge, independent judgment, deductive/inductive reasoning, critical thinking, diplomacy and excellent guest service skills to effect fair and prompt resolution of claims. All duties are to be performed in accordance with departmental and MGM Resorts International Operations policies, practices and procedures.

Lead the investigation of complex third-party claims resulting in bodily injury, property damage and litigation to include reviewing written and visual documentation (surveillance footage, incident reports, medical records, etc.), conducting witness interviews and facilitating onsite inspections for litigated and non‐litigated claims.

Provide support of assigned litigated claims to include communicating with outside counsel, aid in discovery requests, assist in the preparation of pre‐trial motions, monitor litigation deadlines and outside counsel's compliance, participate in the development of trial strategy, and attend arbitrations, mediations, and trials.

Maintain the financial aspects of each claim to include ensuring sufficient reserves based on the exposure and budget provided by outside counsel, post accurate and timely claim payments within the claim databased system and review all invoices from outside counsel to verify accuracy of entries.

Investigate and present claim evaluation, participate in roundtables, and claim reviews with Senior Management, in order to review status of open/active claims and assist in the strategy for progression of claims, litigation, and resolution.

Negotiate and resolve claims in a fair and equitable manner, within designated authority level, in compliance with the Company's settlement practices, policies, and procedures.  Confer with management for any recommended settlement outside of designated authority level.

Review all claims to identify potential for risk transfer following the review and evaluation of applicable contracts.  Prepare proper and timely communication to obtain acceptance of tender and indemnification.

Manage administrative functions of each claim to include maintaining organized claim files, providing up‐to‐date claim notes, and deadlines within the claims management system.  Prepare and complete varied required claim forms and reports within scheduled deadlines.

Performs other job-related duties as requested

Proof of eligibility to work in the United States

Bachelor's Degree

Required

3+ Years of Prior Relevant Experience

Required

5+ Years of Prior Relevant Experience

Relevant insurance and claims experience

Preferred

Experience in Gaming / Hospitality Claims

Preferred

Experience working in a similar resort setting

Preferred

Advanced negotiation skills to bring claims to resolution in expeditious and cost‐effective manner

Ability to exercise diplomacy and customer service skills at the highest level

Knowledge of medical terminology as used in claims

Advanced knowledge, active listening, deductive/inductive reasoning, critical thinking, diplomacy and problem‐solving

Ability to communicate in English, in both written and oral forms

Balancing

X

Bending

X

Carrying 10 pounds

X

Clear speech - simple

X

Clear speech - complex

X

Climbing

X

Distant vision

X

Driving

X

Flexibility - upper body

X

Flexibility - lower body

X

Hearing/Listening

X

Kneeling

X

Lifting 10 pounds

X

Near vision

X

Normal vision

X

Pushing/Pulling

X

Reaching

X

Sitting

X

Standing

X

Typing

X

Walking

X

Communication - verbal

X

Communication - written

X

Confined area

X

Contacts - works alone

X

Contacts - works around others

X

Contacts - works with others

X

Exposure to dust / dirt

X

Exposure to fumes / odors

X

Extreme cold

X

Extreme heat

X

Fast pace

X

Hazardous conditions - chemicals

X

Hazardous conditions - high structures

X

Hazardous conditions - high voltage

X

Indoors

X

Noise levels - low to moderate

X

Noise levels - high

X

Office conditions

X

Outdoors

X

Restricted area

X

Shifts

X

Smoke

X

Travel

X

Wet/Humid

X

Analytical

X

Clerical

X

Comprehension

X

Crisis incidents

X

Customer service

X

Decision making

X

High pressure

X

Judgment

X

Long hours

X

Math skills - advance

X

Math skills - basic

X

Organization

X

Reading - simple

X

Reading - complex

X

Repetition

X

Tight deadlines

X

Writing - simple

X

Writing - complex

X