Insurance Claims Specialist
1 day ago
We are seeking a highly motivated and detail-oriented individual to join our team as an Insurance Claims Specialist. As a key member of our claims department, you will be responsible for managing claims related to Travel and Accident & Health Insurance.
Your primary objective will be to ensure timely and accurate processing of claims, while providing exceptional customer service to policyholders. You will work closely with internal stakeholders to resolve claims-related issues and implement process improvements.
To succeed in this role, you will need excellent communication and interpersonal skills, as well as the ability to work independently and under pressure. A strong analytical mindset and attention to detail are also essential for this position.
Key Responsibilities:- Manage claims including coverage determination, quantum analysis, and legal liability assessment, within authority limits.
- Demonstrate technical competence in handling Travel and Accident & Health Insurance claims to achieve service turnaround time and KPI targets.
- Participate in service meetings with client groups.
- Provide quality customer services and handle complaint cases.
- Assist in workflow review, continuous claims process implementation, and improvement.
- Compile regular management reports.
- Handle ad hoc projects such as systems enhancement and reporting as assigned.
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