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About the role
Key responsibilities & impact- Perform claim file reviews to evaluate Best Practices compliance and claim handling improvement opportunities
- Complete quality reviews on all files within program guidelines while achieving and maintaining calibrated application of Line of Business best practices and claim handling expectations
- Organize and execute Benchmark reviews as a Team Lead; including scheduling, GQA review team oversight and results reporting
- Establish and maintain effective communication with Line of Business partners including presentation of constructive feedback
- Identification of trends and improvement opportunities with follow-up to ensure implementation of meaningful continuous improvement and/or action plan in partnership with claims
Requirements
What you’ll need- Additional language skills, desirable
- Proven claims experience in either handling Financial Lines LOB claims or TPA managed claims
- Excellent awareness of industry practices surrounding Claims Handling together with strong knowledge of subject matter and ability to apply it to the role
- Experience in claims analysis and audit, desirable
- Ability to make recommendations on action and improvement plans
- Excellent attention to detail
- Strong verbal and written Communication skills, ability to influence and to manage stakeholder expectations
- Excellent organizational skills
Benefits
Comp & perks- Competitive benefits package that extends beyond time spent at work
- Professional development opportunities
- Total Rewards Program to protect health, wellbeing, and financial security
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims analysisclaims handlingquality reviewsbenchmark reviewsGQA reviewfinancial lines claimsTPA managed claims
Soft Skills
communication skillsorganizational skillsattention to detailability to influencestakeholder management