Associate-Claims (Administration)

Provides high-quality claims services in authorized claims transactions for Major Claims (Critical Illness, Death, TPD, and Payor Benefit) within the required benchmarks and in line with the Company and department goals.

Responsibilities

• Register, update and maintain major claims accurately in core claims systems by verifying completeness and validity of documents received within assigned authority limits and defined service level agreements (SLA).
• Ensure all written and system-based communications meet company standards for clarity, accuracy, and customer experience.
• Maintain proper documentation, audit trails, and data accuracy to support internal controls, reporting, and regulatory requirements.
• Utilize digital tools, workflow systems, and automation solutions effectively to improve processing efficiency, accuracy, and turnaround times.
• Participate in continuous improvement initiatives by providing feedback on pro...