Technical Claims Specialist - Life & Health
Core
Assess, manage, and resolve complex Life & Health insurance claims, ensuring timely outcomes while balancing commercial considerations and client service.
Role type
Senior IC claims specialist (Life & Health)
Builds
Claims resolutions and process improvements for life and health insurance portfolios
Domain
Insurance (Life & Health)
Deliverable
client delivery
Required skills
Life insurance claims assessment, policy interpretation, medical/financial/occupational data review, stakeholder liaison, regulatory compliance, process improvement
Preferred skills
Industry qualifications, complex case analysis
Responsibilities
Assess and manage Life & Health claims per policy provisions; Review medical, financial, and occupational information; Liaise with insurers, claimants, and medical professionals; Provide technical guidance on complex cases; Maintain accurate records and ensure compliance; Contribute to process improvement initiatives