Claims Assessor
5 days ago
Assess medical claims in accordance with policy contract and guidelines.
- Ensure claim settlements are concluded within the agreed turnaround time.
- Investigate complex cases or complaints submitted by clients and provide solutions to the case/complaints.
- Communicate effectively with clients and intermediaries to ensure a satisfactory resolution of the cases/complaints within a reasonable timeline.
- Provide regular reports on case resolutions to internal stakeholders and external clients.
- Review and enhance work processes with internal and external stakeholders to improve customer experience.
**Requirements**:
- Diploma in any field
- Minimally 2 years of job experience will be added advantage
- Good writing and communication skills
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