Health Claims Analyst

This role focuses on determining the validity and authorizing the settlement of individual health insurance claims. You will be responsible for assessing claims arising from active policies and making recommendations regarding claim guidelines. The position requires close collaboration with solicitors and third parties during investigations to ensure actions serve the best interests of the company. Additionally, you will manage the timely processing of claim documents and address inquiries related to claims processing. The role also involves identifying opportunities to improve workflows and contributing to a positive work environment that supports long-term business growth.

• Assess and settle individual health insurance claims arising from policies in force
• Make recommendations and guidelines for individual health insurance claims
• Liaise with solicitors and other third parties during investigation and negotiation
• Process all individual health insurance claims documents in a timely manner
• Answer inquiries relating 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 build long-term business growth

• Strong attention to detail and accuracy in document processing
• Excellent communication skills for liaising with third parties and answering inquiries
• Ability to analyze information and make sound recommendations
• Understanding of insurance claim processes and policies
• Proficiency in using office software and claim management systems