Accident & Health Claims Handler
Core
Handle Accident & Health claims end-to-end, reviewing medical evidence, verifying coverage, and managing claims to closure targets for a new business line.
Role type
Senior Accident & Health Claims Handler
Builds
First A&H account and new line of business processes
Domain
Insurance / Accident & Health
Required skills
A&H claims assessment, medical evidence interpretation, independent decision-making, fraud detection, reserve setting, stakeholder communication
Preferred skills
People management, mentoring, startup/high-growth experience
Technologies
Claims management systems, data analytics tools
Responsibilities
Handle A&H claims from first notification of loss through settlement, review and interpret medical evidence, communicate with policyholders, verify coverage and make independent decisions, set reserves and manage claims to closure targets, proactively manage outstanding claims, identify fraud indicators, maintain accurate claims records, help shape processes for the first A&H account
Seniority
Senior, hands-on IC with leadership potential