Senior Claims Assessor

Prudential

Claim review and analysis
Decision making within authority
Quality benchmark adherence
The role involves reviewing, analyzing, and making decisions on claims within specific authority limits while meeting productivity targets

Job Summary

  • The role involves reviewing, analyzing, and making decisions on claims within specific authority limits while meeting productivity targets.
  • Candidates will serve as mentors and countersigners for trainees and new claim assessors, contributing to their professional development.
  • The position requires active participation in transformation projects aimed at automating claims processes and enhancing customer experience.

Matching Summary

The role involves reviewing, analyzing, and making decisions on claims within specific authority limits while meeting productivity targets.

Skills & Requirements

Must-have

  • Claim review and analysis
  • Decision making within authority
  • Quality benchmark adherence
  • Mentoring new claim assessors
  • Medical record assessment
  • Team KPI contribution

Nice-to-have

  • Experience with claim automation projects
  • Ability to support underwriting during peak volume
  • Collaboration with investigators for interviews
  • Strong focus on customer experience enhancement
  • Willingness to perform field assessments

Key Requirements

  • Experience in claim assessment
  • Knowledge of medical records
  • Understanding of insurance guidelines

Work Rights

Not specified

Tailored Resume

Cover Letter