
Assessment Professional
2 days ago
As a Claims Specialist, you will play a critical role in reviewing and assessing shield claims to ensure timely and accurate processing. This dynamic role involves working closely with various stakeholders to guarantee that outputs meet internal policy and regulatory requirements.
">- Review and assess shield claims within designated service turnaround times.
- Attend to claims investigations, service recoveries, and customer inquiries.
- Collaborate with medical professionals to clarify claim details.
- Participate in assigned projects to drive process improvements.
You will work as part of a team to ensure that all claims are handled efficiently and effectively. If you have strong analytical skills and excellent communication abilities, this could be an ideal opportunity for you.
Key Responsibilities:- Shield Claim Review and Assessment
- Claims Investigations and Resolution
- Medical Clarification and Documentation
- Process Improvement and Collaboration
Competencies and Skills:
- Strong command of the English language (spoken and written)
- Excellent analytical and problem-solving skills
- Ability to work accurately and efficiently under pressure
- Strong communication and interpersonal skills
Requirements:
- Minimum 2 years of experience as a Life & Health claims specialist
- OMA, FLMI certification (Fellow, Life Management Institute)
- Degree holder in biology or life sciences discipline
Benefits:
- Competitive salary and benefits package
- Ongoing training and professional development opportunities
- Collaborative and supportive work environment
We Offer:
- Equal opportunities employer
- Reasonable adjustments to support physical or mental health requirements
Seniority Level: Entry-level
Employment Type: Full-time
Job Function: Finance and Sales
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