Claims Senior Representative

YOUR RESPONSIBILITIES

Claims Management

Manage end-to-end medical claims processing, ensuring accurate adjudication, timely turnaround, and resolution in line with policy terms and SLA requirements.

Team Training & Mentorship
Provide coaching, training, and ongoing guidance to claims handlers, particularly on complex cases, to drive accuracy, productivity, and overall team performance.

Customer & Stakeholder Engagement
Act as a subject matter expert for clients and internal stakeholders, addressing escalations, providing claim updates, and ensuring a high level of service delivery.

Cross-functional Collaboration
Partner closely with internal teams and other books of business to resolve claims efficiently and improve overall operational effectiveness. Compliance &

Governance
Ensure all claims are processed in accordance with regulatory requirements, company policies, and interna...