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Any Nationality
Gender
Not Mentioned
Vacancy
1 Vacancy
Job Description
Roles & Responsibilities
Review and handle claims according to the established standard procedure.
Support the team and departmental productivity goals to meet the agreed upon Service Level Agreement (SLA) and deliver exceptional customer service
Provide accurate and professional responses to client inquiries, and if needed, collaborate with other departments to ensure prompt and efficient resolution.
Maintain accurate and up-to-date records of all claims activities.
Ensure compliance with all relevant regulations, company policies, and industry standards.
Identify potential fraud or discrepancies in claims and take appropriate actions.
Collaborate with the risk management team to mitigate risks associated with claims processing.
Implement and maintain robust quality control measures.
Other Ad hoc duties as required
Desired Candidate Profile
Bachelor s degree in any Medical Field, Insurance, or a related field is required.
1-2 years experience in a customer focused environment, ideally in clinical, paramedical roles or TPA/Insurance roles
Proficiency in MS Office
Knowledge of insurance policies, claims procedures, and relevant regulations.
Strong analytical and problem-solving skills.
Excellent communication and interpersonal skills.
Proficiency in claims management software and data analysis tools.
High level of accuracy and attention to detail.
Ability to work independently and as part of a team.
Legally permitted to work in the country of operations.
Hybrid working option available as per business requirements.
Company Industry
- Insurance
Department / Functional Area
- Insurance
- Underwriting
- Surveying
- Actuary
Keywords
- Claims Officer
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