Individual Claims Management, Analyst

The Individual Claims Management Analyst is responsible for determining the validity and authorizing the settlement of individual health insurance claims. This role involves assessing claims, providing recommendations, and liaising with solicitors or third parties to ensure high service standards and protect the company's interests.

As an Individual Claims Management Analyst, you will engage in daily assessments of health insurance claims, ensuring timely processing and high-quality service. You will work in a collaborative environment, interacting with various stakeholders to resolve inquiries and facilitate investigations.

Key Responsibilities:

• Assess and determine the validity of individual health insurance claims.
• Authorize settlements for claims in accordance with company policies.
• Provide recommendations and guidelines for claims processing.
• Liaise with solicitors and third parties during investigations.
• Ensure timely processing of all claim documents.
• Address inquiries from claimants to maintain high service standards.
• Protect the interests of the company throughout the claims process.