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Title
Text copied to clipboard!Claims Analyst
Description
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We are looking for a detail-oriented and analytical Claims Analyst to join our team. The ideal candidate will be responsible for reviewing, analyzing, and processing insurance claims to ensure accuracy, compliance, and timely resolution. This role requires a strong understanding of insurance policies, excellent communication skills, and the ability to work collaboratively with internal departments and external stakeholders.
As a Claims Analyst, you will evaluate claim submissions, verify policy coverage, and determine the validity of claims. You will also be responsible for identifying potential fraud, negotiating settlements, and maintaining accurate records of all claim activities. Your role is critical in ensuring that claims are handled efficiently and fairly, while also protecting the financial interests of the organization.
You will work closely with policyholders, adjusters, legal teams, and other professionals to gather necessary documentation and make informed decisions. The position demands a high level of integrity, discretion, and the ability to manage multiple tasks under tight deadlines.
This is an excellent opportunity for someone with a background in insurance, finance, or a related field who is looking to advance their career in a dynamic and supportive environment. We value continuous improvement and offer opportunities for professional development and growth.
If you are passionate about delivering exceptional service and have a keen eye for detail, we encourage you to apply for this rewarding position.
Responsibilities
Text copied to clipboard!- Review and analyze insurance claims for accuracy and completeness
- Verify policy coverage and determine claim eligibility
- Communicate with policyholders, adjusters, and legal teams
- Identify and investigate potential fraudulent claims
- Negotiate settlements within authorized limits
- Maintain detailed and accurate claim records
- Ensure compliance with company policies and regulatory requirements
- Provide recommendations for claim resolution
- Collaborate with internal departments to resolve complex cases
- Prepare reports and summaries for management review
Requirements
Text copied to clipboard!- Bachelor’s degree in insurance, finance, or related field
- 2+ years of experience in claims analysis or insurance industry
- Strong analytical and problem-solving skills
- Excellent written and verbal communication skills
- Knowledge of insurance policies and regulations
- Proficiency in claims management software
- Attention to detail and high level of accuracy
- Ability to handle confidential information with discretion
- Strong organizational and time management skills
- Ability to work independently and as part of a team
Potential interview questions
Text copied to clipboard!- Do you have experience analyzing insurance claims?
- What types of insurance policies are you most familiar with?
- How do you handle potential fraudulent claims?
- Describe a time you resolved a complex claim issue.
- What claims management software have you used?
- How do you prioritize multiple claim files?
- Are you familiar with regulatory compliance in insurance?
- How do you ensure accuracy in your claim assessments?
- What is your approach to negotiating settlements?
- Why are you interested in this Claims Analyst position?
