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Title
Text copied to clipboard!Insurance Claims Analyst
Description
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We are looking for a detail-oriented and analytical Insurance 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, claims procedures, and regulatory requirements. The Insurance Claims Analyst will work closely with policyholders, adjusters, and other stakeholders to gather necessary documentation, assess claim validity, and determine appropriate settlements.
As an Insurance Claims Analyst, you will play a critical role in maintaining the integrity of our claims process and ensuring customer satisfaction. You will be expected to handle a high volume of claims efficiently while maintaining a high level of accuracy and professionalism. Your ability to interpret policy language, identify potential fraud, and communicate effectively will be key to your success in this role.
Key responsibilities include reviewing claim submissions, verifying coverage, calculating claim amounts, and coordinating with internal and external parties to resolve claims. You will also be responsible for maintaining detailed records, preparing reports, and recommending improvements to claims processes. The ideal candidate will have strong analytical skills, excellent attention to detail, and the ability to work independently as well as part of a team.
This position offers an opportunity to work in a dynamic and fast-paced environment where your contributions will directly impact the company's operations and customer experience. If you have a background in insurance, finance, or a related field and are looking for a challenging and rewarding career, we encourage you to apply.
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 third parties
- Identify and investigate potential fraudulent claims
- Calculate and recommend claim settlements
- Maintain accurate and detailed claim records
- Ensure compliance with regulatory and company standards
- Prepare reports and documentation for management
- Collaborate with other departments to resolve complex claims
- Provide excellent customer service throughout the claims process
Requirements
Text copied to clipboard!- Bachelor’s degree in insurance, finance, or related field
- 2+ years of experience in insurance claims or related role
- Strong analytical and problem-solving skills
- Excellent written and verbal communication skills
- Attention to detail and high level of accuracy
- Knowledge of insurance policies and regulations
- Proficiency in claims management software
- Ability to handle confidential information with integrity
- Strong organizational and time management skills
- Ability to work independently and in a team environment
Potential interview questions
Text copied to clipboard!- Do you have experience processing insurance claims?
- How do you handle high volumes of claims under tight deadlines?
- Can you describe a time you identified a fraudulent claim?
- What claims management software are you familiar with?
- How do you ensure compliance with insurance regulations?
- Describe your approach to communicating with policyholders.
- What steps do you take to verify claim accuracy?
- How do you stay updated on changes in insurance policies?
- Have you worked with cross-functional teams to resolve claims?
- What motivates you to work in insurance claims analysis?
