Health Claims Analyst

This role focuses on resolving validity and authorizing the settlement of individual health insurance claims. You will assess and settle claims arising from policies in force while building recommendations and guidelines for future processing. The position requires active liaison with solicitors and third parties during investigations to ensure actions serve the best interests of the company. You will also manage the timely processing of claim documents and address inquiries from policyholders. The role involves exploring opportunities to improve workflows and contributing to a supportive work environment. This is a chance to build a meaningful career while helping customers and the community achieve healthier, longer lives.

You will be responsible for aligning with business policies to support long-term growth and handling other related tasks as assigned. The position emphasizes accuracy, timely execution, and effective communication with external partners. You will work within a structured framework that values mentorship and professional development. This role is ideal for someone who enjoys problem-solving and wants to make a tangible impact in the insurance industry.

• Assess and settle individual health insurance claims arising from policies in force
• Build and recommend guidelines for individual health insurance claims
• Liaise with solicitors and third parties during investigations and negotiations
• Process all individual health insurance claims documents in a timely manner
• Answer inquiries related to claims processing
• Explore opportunities to improve workflows and build a healthy work environment
• Perform other related tasks as assigned to align with business policy and support long-term business growth

• Strong understanding of individual health insurance claims
• Ability to assess claim validity and authorize settlements
• Excellent communication and negotiation skills
• Proficiency in processing and managing claim documents
• Attention to detail and accuracy in work execution
• Ability to work independently and collaboratively
• Willingness to undergo a criminal background check as part of the recruitment process