Claims Assessor - Medical (Fixed term 3 months)
Core
Assess medical claims efficiently and accurately, ensuring decisions align with policy terms and deliver fair customer outcomes.
Role type
Claims Assessor (Medical)
Builds
Fair and timely claim outcomes for customers
Domain
Insurance / Healthcare
Deliverable
client delivery
Required skills
claims assessment, medical claims knowledge, policy interpretation, fraud investigation, risk management, customer communication, digital systems proficiency, attention to detail
Preferred skills
medical terminology knowledge, insurance industry experience, risk and fraud investigation processes
Responsibilities
Assess medical claims, communicate claim decisions, build relationships with stakeholders, identify and manage risks, maintain accurate claim records, contribute to process improvements