7 Claims Analyst Jobs

Roles and Responsibility Analyze complex data sets to identify trends and patterns in health-related claims. Develop and implement effective analytical models to predict future claim outcomes. Collaborate with cross-functional teams to design and implement process improvements. Provide expert guidance on health-related risk assessment and mitigation strategies. Conduct thorough analysis of medical records to determine claim validity. Develop and maintain comprehensive reports on claim performance metrics. Job Requirements Strong knowledge of insurance industry regulations and standards. Proficient in analyzing large datasets using advanced statistical techniques. Excellent communication and interpersonal skills. Ability to work effectively in a fast-paced environment with multiple priorities. Strong problem-solving skills with attention to detail. Experience working with healthcare professionals to understand claim requirements. A graduate or postgraduate degree is required.

Claims Analyst The job profile for this position is Claims Analyst, which is a Band 2 Senior Contributor Career Track Role. Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! Our people make all the difference in our success. YOUR JOB As an SME you will support the supervisor and team manager in your relevant process. Key to the role will be building/maintaining an in-depth knowledge of (part of) the process to continuously improve the processes and share that knowledge to deliver a high quality customer centric service offering. Your role includes: - Being responsible for managing a portfolio of key clients: you engage with clients to build relationships and you educate, i.e. communicating directly via email and telephone, or processing claims within the agreed service levels (based on the process you belong to) - Building and maintaining a solid in depth knowledge in (part of) your process - Being an expert user of any of the used tools within the team and/or any of the partner set-ups in place - Being the organizational ambassador for your knowledge area within your own team and across the wider organization. You are the go to person in case of questions on your area of expertise. - In that role, being able to represent the Process / Organisation in (enterprise wide) projects, stakeholder meetings, or act as a relationship manager towards some of our (internal/external) strategic partners or act as a trainer. - Option to take over SPOC role for particular clients/accounts if required - Being proactive in identifying improvement/enhancement opportunities and be active in seeking and sharing ideas for innovation in business processes. - Striving to provide excellent service to our members and clients - Playing an active role in a culture of continuous improvement - Taking ownership of any escalated cases and providing updates to the Supervisor on any issues - Taking ownership of solving any issues (if applicable) in your area of expertise - Proactively addressing and/or escalating any risks - Developing/maintaining proactive/effective business relationships, both internally and externally to ensure a seamless delivery of service. Specific for Claims SME s: - Support the financial verification of the team, including approval of manual payments - Support of quality audits (financial verification + extra verification) with a clear focus on the financial and procedural accuracy company KPI s. You document your findings, share them with the supervisor and you discuss corrective actions on individual and team level with the Supervisor. - Responsible to provide training on specific topics where you act as a subject matter expert, be it a process or a client, including the lead of the training organisation and coordination. - Support the on boarding and training phase of newbies, or colleagues taking up new accounts, including their performance reporting. YOUR PROFILE/SKILLS Strong performance track record International mind-set, with holistic and able to work remotely with peers across locations 2 years of Cigna experience Good communication skills, and knowledge of Window tools, e.g. Excel, PowerPoint, Windows A growth mind set with a positive attitude towards change and the ability to play an active role in implementing change initiatives within your own process Action-orientated problem-solving attitude Able to seek out best practice in order to effectively deal with diverse, complex and highly sensitive issues Accountability - assume ownership for achieving personal results and collective team goals

Analyst, Sr Analyst, Claims As a Claims Analyst, you ll perform various functions which primarily involve analyzing, advising, and managing claims for various lines of business The emphasis of your job is on reviewing claims filed by policyholders for completeness and accuracy, as well as establishing that the damages are covered by their policies It also entails maintaining updated records and preparing required documentation What you ll be doing What will your essential responsibilities include? Make sure the eligibility for claims is reasonable and correct by analyzing claims and supporting documentation Adjudicate claims activities like setting up new claims, making payments, refunds, updating reserves, adding vendor details, etc in Legacy as well as a new environment called Global Claim System (GCS) Collect accurate information and documents to proceed with a claim Liaising with Claim handlers onshore, brokers, and underwriters Manage all administration aspects of the claim Adhere to legal requirements, industry regulations, and customer quality standards set by the company Ensuring good customer service for the client You will report to the Assistant Manager What you ll bring We re looking for someone who has these abilities and skills: Required Skills and Abilities: MBA in Insurance PG Diploma in General Insurance Advanced Diploma in Insurance Associate in Insurance CERT CII Desired Skills and Abilities: Attention to detail - you will need to make sure that all conditions of a claim are met to make sure that the claim can be processed and validated Excellent interpersonal and customer service skills Communication skills and confidence when dealing with people, often in difficult circumstances An analytical mind, active listening skills, and the ability to hit deadlines Ability to use initiative and work in a team Ability to work calmly under pressure Working knowledge of computers and computer programs such as Excel, Outlook, PowerPoint, and Word Technical knowledge of the insurance industry is an added advantage Who WE are AXA XL, the P&C and specialty risk division of AXA, is known for solving complex risks For mid-sized companies, multinationals and even some inspirational individuals we don t just provide re/insurance, we reinvent it How? By combining a comprehensive and efficient capital platform, data-driven insights, leading technology, and the best talent in an agile and inclusive workspace, empowered to deliver top client service across all our lines of business property, casualty, professional, financial lines and specialty With an innovative and flexible approach to risk solutions, we partner with those who move the world forward Learn more at axaxl com What we OFFER Inclusion AXA XL is committed to equal employment opportunity and will consider applicants regardless of gender, sexual orientation, age, ethnicity and origins, marital status, religion, disability, or any other protected characteristic At AXA XL, we know that an inclusive culture and enables business growth and is critical to our success That s why we have made a strategic commitment to attract, develop, advance and retain the most inclusive workforce possible, and create a culture where everyone can bring their full selves to work and reach their highest potential It s about helping one another and our business to move forward and succeed Five Business Resource Groups focused on gender, LGBTQ+, ethnicity and origins, disability and inclusion with 20 Chapters around the globe Robust support for Flexible Working Arrangements Enhanced family-friendly leave benefits Named to the Diversity Best Practices Index Signatory to the UK Women in Finance Charter Learn more at axaxl com / about-us / inclusion-and-diversity AXA XL is an Equal Opportunity Employer Total Rewards AXA XL s Reward program is designed to take care of what matters most to you, covering the full picture of your health, wellbeing, lifestyle and financial security It provides competitive compensation and personalized, inclusive benefits that evolve as you do We re committed to rewarding your contribution for the long term, so you can be your best self today and look forward to the future with confidence Sustainability At AXA XL, Sustainability is integral to our business strategy In an ever-changing world, AXA XL protects what matters most for our clients and communities We know that sustainability is at the root of a more resilient future Our 2023-26 Sustainability strategy, called Roots of resilience , focuses on protecting natural ecosystems, addressing climate change, and embedding sustainable practices across our operations Our Pillars: Valuing nature: How we impact nature affects how nature impacts us Resilient ecosystems - the foundation of a sustainable planet and society - are essential to our future We re committed to protecting and restoring nature - from mangrove forests to the bees in our backyard - by increasing biodiversity awareness and inspiring clients and colleagues to put nature at the heart of their plans Addressing climate change: The effects of a changing climate are far-reaching and significant Unpredictable weather, increasing temperatures, and rising sea levels cause both social inequalities and environmental disruption Were building a net zero strategy, developing insurance products and services, and mobilizing to advance thought leadership and investment in societal-led solutions Integrating ESG: All companies have a role to play in building a more resilient future Incorporating ESG considerations into our internal processes and practices builds resilience from the roots of our business We re training our colleagues, engaging our external partners, and evolving our sustainability governance and reporting AXA Hearts in Action: We have established volunteering and charitable giving programs to help colleagues support causes that matter most to them, known as AXA XL s Hearts in Action programs These include our Matching Gifts program, Volunteering Leave, and our annual volunteering day - the Global Day of Giving For more information, please see axaxl com/sustainability

- Ensure timely and accurate investigations are conducted to validate overpayments. - Conduct investigations into complex overpayment claims. - Develop and implement policies and procedures to enhance the overpayment process. - Provide leadership and mentorship to claimsstaff. - Analyze complex overpayment cases, including reviewing data, identifying discrepancies and determining appropriate recovery actions. - Partner with other departmentsto achieve company goals and objectives. - Collaborate with onshore leadership to align offshore team operations with strategic objectives, ensuring seamless execution of payment integrity initiatives. Claims Analyst Qualifications & Skills: - Masters degree in business administration or bachelor\u2019s degree in a related field. - 2+ years of experience in claims management with US Health care domain. - Excellent communication and interpersonalskills. - Strong analytical and problem-solving skills. - Ability to work effectively in a fast-paced and dynamic environment. - Familiarity with insurance industry regulations and standards.

Lennox (NYSE: LII) Driven by 130 years of legacy, HVAC and refrigeration success, Lennox provides our residential and commercial customers with industry-leading climate-control solutions. At Lennox, we win as a team, aiming for excellence and delivering innovative, sustainable products and services. Our culture guides us and creates a workplace where all employees feel heard and welcomed. Lennox is a global community that values each team member s contributions and offers a supportive environment for career development. Come, stay, and grow with us. Job Description Marketing Claims Analyst/Admin: Review and validate marketing claims for accuracy, compliance, and regulatory alignment. Collaborate with legal, compliance, and marketing teams to ensure claims meet industry standards. Maintain documentation and audit records related to marketing claims. Support administrative tasks, including data entry, reporting, and tracking claim approvals. Assist in updating marketing content across various platforms based on validated claims. Product Information Systems Analyst: Manage product data within internal systems, ensuring completeness, accuracy, and consistency. Work closely with cross-functional teams to maintain product attributes, specifications, and documentation. Optimize workflows and data processes to improve efficiency and minimize errors. Assist in system updates, integrations, and troubleshooting. Generate reports and insights to support business decisions related to product information. Work timings: Be available for calls until 12 noon CST (10:30 PM IST in the summer months, 11:30 PM IST in the winter months) every day to engage with business stakeholders. Qualifications 4 8 years of relevant experience in marketing claims review, administration, or product data management. Strong analytical skills with attention to detail. Proficiency in managing data within product information systems (PIM, ERP, or other relevant tools). Familiarity with marketing compliance standards and regulatory requirements. Excellent communication and collaboration skills. Ability to multitask and thrive in a fast-paced environment.

Expense Claim Analyst JOB PURPOSE: The Analyst is responsible to perform monthly Audits allocated to Him/her basis the compliance policies, report out the non-compliances and complete the operational activities as per the defined timelines YOUR TASKS AND RESPONSIBILITIES: Complete the Assigned audits within the timeline and report out the non-compliances to the stakeholders Ensure that i-docs / Accruals / Cash advance Report generation are completed as per the timelines defined Support on Clearing E-vendor open items for SPA on requirement basis To demonstrate Problem Solving Skills while addressing critical issues within the process Respond to the queries within the TAT agreed To have an eye for details in identifying gaps in compliance & process Support org wide initiatives with active participations Work on the QC feedback highlighted by the Sr Auditor/SME/Lead WORK RELATIONS: Internal: Regional Finance Team Employee s Vendors T&E operations (Experts, TL s) T&E caretakers across the regions Country WHO YOU ARE: B. Com/MBA Finance or any Accounting Degree 0-2 years of experience Attention to details Good Knowledge of MS Office- Excel and Power point Should be good in accounting Knowledge of any Foreign Language would be an added advantage Effective verbal, written communication and interpersonal skills Division: Enabling Functions Reference Code: 837097

Proven customer support experience Excellent communication & written skills Ability to respond on different type of queries Ability to multitask, prioritize & manage tasks effectively Strong customer handling skills & active listening