Claims Analyst

YOUR ROLE

Verification of cover in order to determine if indeed there is coverage/policy in-force when the loss occurs

Makes the necessary recommendation on a claim (such as for final action or to require further documents or information) or makes a final decision on claim, in accordance with the claim's authority

Handles the necessary communication that should be provided to claimants

Ensures proper documentation of cases evaluated

Handles inquiries of the status of a claim

Provides claimants with appropriate and prompt explanation of claims benefits which may not be payable or limited

Assesses additional or new information on a denied claim or a claim with limited benefits payout and determine if there are grounds for consideration or a revised recommendation

Maintains the confidentiality of claims records

Should at all times meet the department's standards for quality and turnaround time

Deals with third-party administrations (TPAs), adjusters and other service providers

Performs other duties as necessary in meeting the objectives/mission of the department or as assigned by superior

A BIT ABOUT YOU

Graduate of a bachelor's degree course (preferably with medical background)

At least 3 years' work experience in similar capacity

Proficient in Microsoft office

Amenable to work onsite

Industries:Insurance

Function: Others