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Claims Specialist - Claims & Quality

Location

Bulgaria

Posted

82 days ago

Salary

0

Seniority

Mid Level

English

Job Description

Claims Specialist - Claims & Quality

Disaster Care Capital

We are looking for a Claims Specialist – Claims & Quality to oversee quality tracking and compliance across our insurance claims and operations workflows. This role focuses on auditing claims, ensuring SOP and SLA adherence, improving processes, and supporting complaint oversight.

Job Requirements

  • Audit claims and case documentation for accuracy and compliance.
  • Monitor SLA performance and operational quality metrics.
  • Review technician reports and workflow processes.
  • Identify process gaps and implement quality improvements.
  • Oversee complaint tracking and escalation processes.
  • Maintain accurate records across CRM and internal systems.
  • Requirements
  • Experience in insurance claims, operations, or compliance.
  • Experience in customer service
  • Strong attention to detail and analytical skills.
  • Experience with CRM/project management systems.
  • Excellent English communication skills.

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