
Senior Claim Operations Professional
6 days ago
**Claim Operations Role Overview**
We are seeking an experienced Claims Operations Specialist to join our team. The ideal candidate will have a strong background in Integrated Shield claim processes and be able to work effectively in a fast-paced environment.
**Key Responsibilities:**
- Manage projects and provide central claims support, including life and health product reviews, system support, governance, peer reviews, and continuous improvement to claim operations.
- Work closely with the claim processing team to ensure operational targets are met.
- Be part of the product implementation workgroup and have opportunities to work with various internal and/or external parties.
- Conduct prioritization with Business Analyst (BA) and IT on system enhancements.
**Required Skills and Qualifications:**
- Degree holder with five or more years of experience in Shield Claims.
- Strong background in Integrated Shield claim processes.
- Strong policy language skills enabling accurate and consistent policy wording interpretation.
- Strong critical thinking skills and ability to handle complex computations.
**Career Advantages:**
- Competitive salary and benefits package.
- Opportunities for professional growth and development.
- Collaborative and dynamic work environment.
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