Sachbearbeiter Leistungsfall - Berufsunfähigkeit / Versicherung (m/w/d)
Core
Process claims for occupational disability insurance by reviewing applications, verifying documents, coordinating with third-party administrators (TPA), and managing payments.
Role type
Claims processing specialist (occupational disability insurance)
Builds
Operational claims workflows for occupational disability insurance products
Domain
Insurance / Occupational Disability
Deliverable
client delivery
Required skills
Claims processing, document verification, data entry, CRM management, reporting, payment reconciliation, process optimization
Preferred skills
Knowledge of personal insurance or underwriting, TPA/Loss Adjuster collaboration, CRM systems, English language skills
Technologies
MS Office, digital document management systems, CRM systems
Responsibilities
Receive and process new claims, verify document completeness, coordinate with TPA/Adjusters, manage case status in CRM, generate reports on open cases, review TPA decisions for compliance, handle customer inquiries and complaints, reconcile payments with insurers, optimize internal processes
Seniority
Mid-level, individual contributor