Senior Claims Officer

Key Responsibilities/ What you do:

Key responsibilities will include, but are not limited to, the following:

• Review and handle claims according to the established standard procedure.
• Responsible for more complex tasks, such as evaluating difficult or high-cost claims, determining settlements, managing escalated customer concerns, and offering mentorship and training to junior colleagues.
• Takes decisions on high cost and complicated cases based on standard operating procedures.
• Ensure timely and accurate processing of approved claims for payment, including coordinating with other departments or third-party administrators.
• Identify trends and areas for improvement in the claims process.
• Work closely with internal teams such as underwriting, medical, and finance to facilitate seamless claims operations.
• Maintain strong relationships with all stakeholders to ensure effec...