Analyst Claims

What will your essential responsibilities include?

• Process new insurance claims notifications
• collect accurate information and documents to proceed with a claim
• analyze a claim to establish whether it satisfies the policy conditions
• contact tradespeople from a network of approved professionals
• monitor the progress of a claim
• investigate potentially fraudulent claims
• ensure fair settlement of a valid claim
• ensure the customer/stakeholder is treated fairly and that the services rendered are in accordance with industry and company guidelines
• manage all administration aspects of the claim
• adhere to legal requirements, industry regulations and customer quality standards set by the company.
• training and mentoring the new hires. Identify the gaps and enhance them with the process knowledge to deliver the best results.
• responsible for all process meetings, the day-to-day targets, sending end of the day reports, weekly & monthly dashboards, setting up Service Level Agreements (S.L.A.).
• updating the referral database from time to time to ensure the smooth running of the process & to ensure everyone at similar platform of knowledge.
• working as a spoke person for the team, updating onshore counterparts on weekly basis through reports and calls.