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.
Take on extra responsibilities to efficiently assist the Team Leader in achieving team KPIs and serve as a substitute for the Team Leader when required.
Other ad hoc duties as required.
Work effectively in an environment shaped by artificial intelligence (AI), machine learning, data, analytics and cloud-based tools, using insights responsibly with our standards of data governance, se...