Opportunity Description
Schedule
Monday – Friday, 7:30 a.m. to 5:00 p.m. (COT) – Hybrid
Type of Contract
Permanent with benefits (Colombian Law)
Description
The Claims Analyst is responsible for evaluating and processing claims in accordance with policy benefits and contractual conditions for a leading organization in the insurance sector. This role ensures high-quality standards through the accurate adjudication of claims, maintaining meticulous attention to detail and strict adherence to policy guidelines. The successful candidate will act as a key link in the claims lifecycle, ensuring precision in financial distributions and compliance with medical and legal frameworks.
Key Responsibilities
- Review and adjudicate claims based on specific policy benefits and contractual terms.
- Refer claims to the medical department for coverage analysis in specialized or complex cases.
- Generate and manage detailed claims reports to ensure ...
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