Claims Analyst

• This role will be acting as Claims Admin resource for the Manila Global Delivery Center.

• This role is expected to support day-to-day claims administration, preparing claims tracking

reports, checking of cases for follow-up and preparing settlement emails to be sent to clients.

• The colleague is expected to understand the critical and changing data that will provide the

business with the most benefit and insights.

• This role is expected to work with colleagues across Manila Global Delivery Center – H&B

NNA APAC Team

Role:

Claims Tracking: Review incoming insurance claims, ensuring all necessary documentation is

complete and accurate.

Communication: Send settlement, rejection, pending requirement to the members/clients within the

turn-around-time set.

Regulatory Compliance: Ensure claims cases aligns with regulations, company policies, and legal

requirements.

Record Keeping: Maintain detailed records of all claims, decisions, settlements in TCTO and

Benefits Engine

Follow-up: Send necessary follow-up to the insurer for cases that are nearing its turn-around-time.

Qualifications:

• Problem-Solving: Excellent problem-solving skills with the ability to troubleshoot and resolve

issues efficiently.

• Education: Bachelor's degree, or a related field.

• Highly analytic and can derive meaningful insights from data.

• Very pro-active, adaptable, and finds ways to provide a solution with urgency.

• Collaborative and works well with a team

• Good stakeholder management skills

• Excellent communication and presentation skills

• Microsoft Office tools: Excel, Word, Powerpoint, Power BI.