Spezialist im Bereich Leistungsmanagement (m/w/d) – Versicherungswesen
Core
Review insurance claims, verify entitlements, and process payments for life insurance and reinsurance products.
Role type
Claims specialist (insurance)
Builds
Insurance claim decisions and payment processing
Domain
Insurance (Life Insurance, Reinsurance)
Deliverable
client delivery
Required skills
Claim assessment, contract review, medical report evaluation, customer communication, billing, decision documentation, payment processing
Preferred skills
Risk assessment, medical understanding
Technologies
None stated
Responsibilities
Review claims for insurance benefits, verify actual entitlements, control contracts per legal requirements, evaluate medical and technical reports for disability degree, correspond with customers and external partners, perform billing activities, draft decision determinations, record and control payment processes