Senior Claims Processing Associate

Job Description

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  Review and handle claims according to the established standard procedure.
• Responsible for more complex tasks, such as evaluating difficult or high-cost claims, determining settlements, managing escalated customer concerns, and offering mentorship and training to junior colleagues.
• Takes decisions on high cost and complicated cases based on standard operating procedures.
• Ensure timely and accurate processing of approved claims for payment, including coordinating with other departments or third-party administrators.
• Take on extra responsibilities to efficiently assist the Team Leader in achieving team KPIs and serve as a substitute for the Team Leader when required
• Other Ad hoc duties as required.
• AI READINESS Work effectively in an environment shaped by artificial intelligence (AI), machine learning, data, analytics and cloud-based tools, using insights responsibly with our standards of data governance, security and ethical use.
  

What You Bring

• Bachelor’s degree in any Medical field, Paramedical, Finance, Business Administration, Insurance, or a related field preferred.
• 2-3 years’ experience in a customer focused environment, ideally in clinical, paramedical roles or TPA or insurance roles.
• Proficiency in MS Office
• A highly customer-focused individual with strong interpersonal, communicative and accuracy skills.
• Team player
• Physically fit to carry out duties.
• Ability to demonstrate sounds work ethics.
• Ability to work under pressure and to meet tight deadlines and service standards
• Legally permitted to work in the country of operations.
• Hybrid working option available as per business requirements.