Schedule

Monday – Friday, 7:30 a.m. to 5:00 p.m. (COT) – Hybrid

Type of Contract

Permanent with benefits (Colombian Law)

Description

The Claims Analyst is responsible for evaluating and processing claims in accordance with policy benefits and contractual conditions for a leading organization in the insurance sector. This role ensures high-quality standards through the accurate adjudication of claims, maintaining meticulous attention to detail and strict adherence to policy guidelines. The successful candidate will act as a key link in the claims lifecycle, ensuring precision in financial distributions and compliance with medical and legal frameworks.

Key Responsibilities

• Review and adjudicate claims based on specific policy benefits and contractual terms.
• Refer claims to the medical department for coverage analysis in specialized or complex cases.
• Generate and manage detailed claims reports to ensure ...