Senior Claims Analyst
Current- Investigate discrepancies in claim processing and identify suspected fraudulent activity.
- Communicate with policyholders, agents, physicians, claims staff, and management.
- Research Insurance Commissioner claim complaint cases in timely manner.
- Resolve claim processing issues in accordance with policy language and guidelines.
- Train associates on disability, COVID-19 and critical illness claims.
- Prepare data for special projects in compliance with Insurance Commissioner.