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Senior Claims Specialist
2 weeks ago
**Claims Analyst Job Summary**
We are seeking a highly skilled Claims Analyst to join our team. As a Claims Analyst, you will play a crucial role in supporting the smooth operation of claims processes, ensuring that customers receive optimal service and that claims are handled efficiently.
The ideal candidate will have a minimum of 5 years' experience in Employee Benefits operations or claims or customer relations area. Strong analytical and problem-solving skills, along with excellent communication skills, are essential for this role.
In this position, you will be responsible for:
- Supporting the review and implementation of new policies and procedures to optimize claims processing and improve customer satisfaction.
- Tracking operational statistics and producing reports to inform business decisions.
- Handling escalated claim issues and appeals in a timely and professional manner.
- Conducting claims audits and reviews as assigned.
- Carrying out tasks assigned by Team Lead and Head of Claims.
- Performing data analysis to monitor results and identify trends and gaps in claims management.
To succeed in this role, you will need to be able to work independently, be self-motivated and goal-oriented, and possess excellent interpersonal and communication skills.
This is an exciting opportunity to join a dynamic team and contribute to the success of our organization. If you are a motivated and experienced Claims Analyst looking for a new challenge, please submit your application.
Required Skills and Qualifications- Minimum 5 years' experience in Employee Benefits operations or claims or customer relations area.
- Strong analytical and problem-solving skills.
- Excellent verbal and written communication skills.
- Ability to work independently and prioritize tasks effectively.
- Experience in system requirements and User Acceptance Testing (UAT).
- Opportunity to work with a dynamic team.
- Chance to develop and grow professionally.
- Friendly and supportive work environment.
- This job description is not exhaustive, and you will be required to undertake additional responsibilities as needed.
- You must be willing to adapt to changing circumstances and priorities.