Claims Specialist
Core
Review and assess customer claims, make fair resolution recommendations, and ensure compliance with company policy and regulatory requirements.
Role type
Claims Officer
Builds
Customer claims resolution outcomes
Domain
Insurance / Claims Management
Deliverable
client delivery
Required skills
Claims assessment, regulatory compliance, dispute management, CRM systems, claims management software, Microsoft Office Suite, data entry, report preparation
Responsibilities
Review and assess claims referred by Customer Service, ensure claims are processed in compliance with policies and regulations, maintain accurate claim documentation and records, prioritize workload to meet deadlines, collaborate with internal and external stakeholders, support claims analysis to identify trends and process improvements, prepare reports for senior management
