Ensure eligibility for claims is reasonable and correct by analyzing claims and supporting documentation
Adjudicate claims activities like setting up new claims, making payments, refunds, updating reserves, adding vendor details etc. in Legacy as well as new environment called Global Claim System (GCS)
Collect accurate information and documents to proceed with a claim
Liaising with Claim handlers onshore, brokers and underwriters.
Manage all administration aspects of the claim
Adhere to legal requirements, industry regulations and customer quality standards set by the company.
Ensuring good customer service for the client
Qualifications
attention to detail - you will need to ensure that all conditions of a claim are met to ensure that the claim can be processed and validated.
excellent interpersonal and customer service skills
communication skills and confidence when dealing with people, often in difficult circumstances
an analytical mind, active listening skills and ability to hit deadlines
ability to use initiative and work in a team
ability to work calmly under pressure
working knowledge of computers and computer programs such as Excel, Outlook, Power Point and Word
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