Claims, Analyst
Core
Provide full claims support advisory, process and decide on claim settlements, and perform claims data analysis to monitor results and identify gaps or trends.
Role type
Claims Analyst
Builds
Claim settlements and operational reporting for assigned channels
Domain
Insurance / Employee Benefits / Medical Claims
Deliverable
dashboards & analysis
Required skills
Claims settlement processing, claims data analysis, stakeholder liaison, UAT execution, audit/review, problem-solving, multi-tasking
Preferred skills
Data analysis, digitalization interest, operational systems efficiency
Responsibilities
Process and decide on claim settlements within authority limits, respond to enquiries timely, liaise with brokers/clients/providers, track operational statistics, handle escalated claims and appeals, perform claims audit/review, execute UAT scenarios for digital projects, manage escalation cases from internal and external teams
Seniority
Mid-level, hands-on IC