Claims Administrator

Review and adjudicate health and medical insurance claims to ensure timely and accurate processing. This role involves collaborating with various stakeholders to maintain compliance and improve administrative efficiency.

As a Claims Administrator, you will be responsible for reviewing, assessing, and approving group insurance claims within designated service turnaround times. You will adjudicate health and medical claims, ensuring all decisions are prudent, equitable, and compliant with internal policies and regulatory standards. Key tasks include managing claim investigations, coordinating with underwriters and external stakeholders like medical institutions and regulators, and identifying workflow improvements. You will also handle service recovery and enquiries while maintaining accurate documentation throughout the claims process.