Claims Associate

A global leader in reinsurance is seeking a highly organized Claims Associate to join its core operational team. In this versatile role, you will be responsible for triaging claims and allocating cases for evaluation on a daily basis. Furthermore, you will ensure the integrity of the claims department through the accurate and timely processing of sensitive data. Consequently, this position is vital for maintaining high service standards and ensuring seamless reporting for global stakeholders.

The Claims Associate must reconcile decisions within the claims database to ensure absolute reporting accuracy. Additionally, you will work closely with clients to perform regular follow-ups and resolve long-pending cases. Therefore, the company is looking for a professional with a Bachelor’s degree or a strong medical background. If you have intermediate Excel skills and a results-oriented mindset, this Claims Associate role offers a premier opportunity to build a career in the reinsurance sector.

Key Responsibilities for the Claims Associate

• Triage incoming claims in the specialized system and allocate cases to the team for same-day evaluation.
• Ensure all data entry activities are performed with the highest level of accuracy and integrity.
• Update the Referral sheet in a timely manner to maintain transparency across the claims lifecycle.
• Maintain up-to-date data mappings for the applicable portfolio to ensure smooth processing.
• Follow up on audit actions within allocated timeframes to ensure department-wide compliance.
• Reconcile decisions entered into the claims database to guarantee the accuracy of final reports.
• Identify long-pending cases and conduct regular follow-ups with clients for swift resolution.
• Provide detailed daily, weekly, and monthly reporting and analysis as required by management.
• Document and follow strict administration procedures to uphold established service standards.
• Perform regular data validations to ensure that the integrity of the claims portfolio is maintained.

Requirements and Qualifications

• Bachelor’s Degree or equivalent experience in insurance, reinsurance, or financial services.
• Freshers with a Pharmacy (Pharma) or Medical background are highly encouraged to apply.
• Previous experience in Life Claims Administration is considered a significant advantage.
• Intermediate proficiency in Microsoft Excel and exposure to MS Access for data management.
• Excellent communication skills with the ability to manage stakeholder expectations proactively.
• High level of attention to detail combined with strong analytical and problem-solving abilities.

Core Competencies and Attributes

• Highly motivated and results-oriented professional with a focus on finding effective solutions.
• Innovative and proactive mindset with a constant drive for process improvement.
• Ability to work effectively under pressure while maintaining a strong focus on client service.
• Curious mindset with the confidence to challenge the status quo for better operational outcomes.
• Delivery-oriented approach with exceptional organizational and time management skills.

If you are a detail-oriented professional ready to drive the Claims Associate function for a global leader, we encourage you to apply today!