Claims Assessor

Core responsibilitiesClaim processing: Evaluate and process various types of claims (e.g., medical, life, motor) according to company policies and procedures.Documentation management: Gather, review, and organize all necessary claim-related documents, including medical reports, and manage the filing system.Communication: Respond to inquiries from members, hospitals, and corporate clients via phone and email.Quality assurance: Conduct quality checks on claims assessed by other team members and ensure all work meets quality and turnaround time benchmarks.Problem-solving: Investigate and resolve technical or contentious claims within the scope of medical knowledge and policy guidelines.Administrative tasks: Perform general office duties such as account reconciliation, data entry, and preparing reports for management.