Claims Account Analyst

7 days ago


Philippines Asurion Full time

Overview Claims Account Analyst is responsible for evaluating claims to ensure they are accurate and processed in a timely manner. They review and assess the validity of claims based on the policy guidelines. They also follow precise procedures in managing high-volume claims according to department goals and deadlines. Responsibilities Evaluate all claims for accuracy and completeness of documentation. Review, investigate and determine the validity of claims based on the policy guidelines. Process electronic spreadsheets and paper claims submitted by service network-providers in appropriate payment module. Adjudicate claims based on appropriate underwriter and client’s specific business rules. Respond to claim inquiries from both customers and internal stakeholders. Resolve discrepancies or issues with claims. Raise system issues effectively to the proper department. Ensure shared mailbox is being managed well and queries are attended promptly. Issue clear, effective, and accurate communications to internal and external customers. Conduct all interactions with internal and external customers in a positive and professional manner. Report problems and provide alternate solutions to Supervisor. Performs ad hoc activities and tasks as required. #J-18808-Ljbffr



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