The Opportunity:
This is your chance to move beyond the routine. We are hiring a Life & Health Claims Professional to handle a portfolio of high-value, complex claims. If you're a detail-oriented expert who enjoys tackling intricate inpatient cases and providing personalized service, this is the perfect role for you. This position is for those who are passionate about solving unique claims challenges, not just processing high volumes.
What You'll Do:
... - Independently review, investigate, and approve complex life and health claims, specializing in inpatient services.
- Act as the primary claims expert for our high-end customers, ensuring a compassionate and efficient process.
- Provide insightful analysis of policy terms and medical information to ensure fair outcomes.
- Manage a portfolio of inquiries from various teams and handle customer complaints.
- Ensure service turnaround times and SLA targets are consistently met.
- Work with a close-knit team to manage unique and challenging claims scenarios.
We Are Looking For:
- A university degree with an FLMI qualification or equivalent.
- A minimum of 3-5 years of experience in life and health claims, with a track record of handling complex cases.
- Proven expertise in inpatient claims.
- A strong problem-solver with excellent communication skills.
- The ability to work autonomously and manage a diverse caseload with a high degree of accuracy.
If your experience and skills align with the responsibilities and qualifications listed above, and you are motivated by a customer-centric and fast-paced environment, we would love to hear from you. Apply directly with your updated resume.