Specialist - Process Analytics - Claims & Underwriting 4B
Core
Review and analyze incoming claims to determine validity and accuracy, investigate discrepancies, and implement process improvements for claims operations.
Role type
Specialist, process analytics for claims and underwriting
Builds
Efficient and accurate claims processing workflows
Domain
Insurance / Claims Operations
Deliverable
production ML models | product features | dashboards & analysis | client delivery
Required skills
Data Modeling, Data Integration, Statistics, Python, Microsoft Excel, Alteryx, Informatica PowerCenter, SAP BO Data Services, Oracle Data Integrator, Agile Methodology
Preferred skills
Demand Forecasting, Design Thinking, High Volume Replication
Technologies
Ab Initio, Matillion ETL, SnapLogic, Microsoft Power Business Intelligence, Microsoft Visual Basic for Applications
Responsibilities
Review and analyze incoming claims to determine validity and accuracy; Communicate with internal teams and external stakeholders to gather necessary information; Ensure timely and accurate processing of claims according to company guidelines; Investigate and resolve claim discrepancies or issues; Maintain detailed records and documentation of claims processing activities; Monitor and report on key performance indicators related to claims operations; Identify areas for process improvement and implement solutions to enhance efficiency and accuracy.