Senior Claims Processing Associate

What you do

• 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...