Claims Expert (m/w/d) Medical & Travel
Core
Analyze complex medical and travel insurance claims to ensure processing quality, identify process improvement opportunities, and implement preventive measures against fraud and leakage.
Role type
Senior Claims Expert (Medical & Travel)
Builds
Claims management processes and quality standards for medical and travel insurance
Domain
Insurance / Claims Management
Deliverable
dashboards & analysis
Required skills
Complex claims analysis, process improvement, fraud detection, data analysis, stakeholder collaboration
Preferred skills
Fraud prevention, leakage management, automotive domain knowledge
Technologies
None stated
Responsibilities
Analyze complex claims cases to verify processing quality and identify process improvements; Analyze cases, data, and processes to identify root causes and drive quality enhancement measures; Monitor agreed-upon measures and collaborate with cross-functional teams; Identify anomalies and risks, verify suspicious cases, and contribute to prevention measures; Create meaningful analyses to make quality and progress transparent; Support continuous development of claims management processes and standards