Claims Analyst (m/f/d)

Job Purpose:
The main responsibility of the new team member will be to ensure the timely and accurate processing of claims settlements, as well as providing legal advice and support to other organizational units.

Key Responsibilities:

• Activities related to the prevention and mitigation of losses (decisions on recovery, rescheduling, etc.).
• Analysis of documentation related to claims and preparation of coverage decisions (within the scope of authority).
• Handling complaints and managing the appeals process in accordance with internal guidelines.
• Preparing proposals for competent authorities in cases of insufficient authorization.
• Timely preparation of insurance benefit payments.
• Forwarding documents and instructions to the recovery officer for appropriate (extra)judicial recovery, ensuring proper progress of recovery and recourse proceedings.
• Preparing complex legal opinions for the Company’s needs, drafting and reviewing acts and contracts.
• Monitoring local and sector-specific legislation as well as case law and implementing changes into business operations.
• Managing the recovery of the Company’s receivables.
• Communicating with policyholders, attorneys, and intermediaries.
• Preparing reports in accordance with Group rules and ensuring compliance with regulations and procedures established by the Branch, the Group, and external regulators.