Associate-Claims (Administration)

It’s about finding new ways to not only better people's lives, but to better the communities and environments we live in. Encompassing our ambition of helping a billion people live Healthier, Longer, Better Lives by 2030.

And to get there, we need ambitious people who believe in playing an important part in shaping that future. People seeking unmatched career and personal growth opportunities, who are driven to work with, and learn from some of the most inspiring and supportive leaders in the business.

• Register, update and maintain major claims accurately in core claims systems by verifying completeness and validity of documents received within assigned authority limits and defined service level agreements (SLA).

• Ensure all written and system‑based communications meet company standards for clarity, accuracy, and customer experience.

• Maintain proper documentation, audit trails, and data accuracy to support internal controls, reporting, and regulatory requirements.

• Utilize digital tools, workflow systems, and automation solutions effectively to improve processing efficiency, accuracy, and turnaround times.

• Participate in continuous improvement initiatives by providing feedback on process gaps, system enhancements, or automation opportunities.

• Demonstrate adaptability by learning new systems, tools, and ways of working as claims processes evolve.

• Support a culture of collaboration, continuous learning, and service excellence within the claims team.

• Perform other operational tasks or duties assigned to support team objectives and business needs.

• Bachelor’s degree in health sciences, actuarial science, business analytics, business administration or related discipline.

• 1–3 years of relevant experience in claims assessment, healthcare administration, insurance operations or claims‑related financial reconciliation.

• Strong analytical and problem‑solving skills, with the ability to assess medical and financial information accurately and make sound claim decisions within established guidelines.

• Good digital literacy, with hands‑on experience or exposure to claims systems, workflow tools, or rule‑based processing environments.

• Basic awareness or exposure to automation, artificial intelligence (AI), or straight‑through processing concepts (e.g. automated adjudication, document recognition, system‑assisted decisioning) is an advantage.

• Ability and willingness to learn and work alongside AI‑enabled tools and automation solutions as part of daily claims operations.

• Strong follow‑up, time‑management, and prioritization skills to manage multiple tasks and meet defined turnaround times and service standards.

• Effective written and verbal communication skills for clear, professional interaction with internal stakeholders and external parties.

• Demonstrate commitment to continuous learning, skill development, and participation in process improvement initiatives.

Build a career with us as we help our customers and the community live Healthier, Longer, Better Lives.

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