Claims Specialist, Accident & Health (Hybrid Work Model)

Do you like working with different cultures? Are you open-minded and able to focus on detail? We have an opportunity to join our unit within an established company, combining the dynamic spirit of the team with the backing of Swiss Re's strong organization.

About the Role

This position is responsible for reviewing and adjudicating medical stop loss claims according to department standards. In this role you will be responsible for customer service, reporting statistical detail of claims volume and establishing financial risk associated with Stop Loss claims.

This position demands exceptional organizational and computer skills, along with the capability to work independently and solve problems effectively. The role entails adhering to established departmental protocols and seeking opportunities to enhance and improve processes.

About the Team

We are a highly engaged group of individuals! We work independently yet collaborate and support each other in a highly effective way. We take great pride in our work efforts and product. Our team values integrity and a strong work ethic. We encourage and mentor each other while we move the team forward for the success of each member and the business.

About You

You thrive in an energizing environment with flexibility to handle multiple priorities while maintaining a high level of professionalism. You bring strong verbal and written communication skills and are adept at collaboration and teamwork.

• Bachelor's degree in a related field preferred, or equivalent experience, is desired but not required.
• Knowledge of common medical terminology, diseases and their related risks
• Possess a basic knowledge of Stop Loss Industry is preferred
• Overall knowledge of healthcare industry
• Strong analytical skills and the ability to read, interpret and apply contract provisions
• Excellent Excel and Word Skills

About Swiss Re

Swiss Re is one of the world's leading providers of reinsurance, insurance and other forms of insurance-based risk transfer, working to make the world more resilient. We anticipate and manage a wide variety of risks, from natural catastrophes and climate change to cybercrime. Combining experience with creative thinking and cutting-edge expertise, we create new opportunities and solutions for our clients. This is possible thanks to the collaboration of more than 14,000 employees across the world.

Our success depends on our ability to build an inclusive culture encouraging fresh perspectives and innovative thinking. We embrace a workplace where everyone has equal opportunities to thrive and develop professionally regardless of their age, gender, race, ethnicity, gender identity and/or expression, sexual orientation, physical or mental ability, skillset, thought or other characteristics. In our inclusive and flexible environment everyone can bring their authentic selves to work and their passion for sustainability.

If you are an experienced professional returning to the workforce after a career break, we encourage you to apply for open positions that match your skills and experience.

Swiss Re is an equal opportunity employer. It is our practice to recruit, hire and promote without regard to race, religion, color, national origin, sex, disability, age, pregnancy, sexual orientations, marital status, military status, or any other characteristic protected by law. Decisions on employment are solely based on an individual's qualifications for the position being filled.

During the recruitment process, reasonable accommodations for disabilities are available upon request. If contacted for an interview, please inform the Recruiter/HR Professional of the accommodation needed.

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