Claims Senior Representative

ROLE SUMMARY

As a Claims Senior Representative , you will play a critical role in delivering accurate, timely, and high‑quality operational processing across your function (e.g., Claims/Adjustments, Eligibility, Administration, Customer Service Support, Client Setup and Subrogation).

You will handle higher‑complexity cases, support workflow management, provide guidance to colleagues, and help drive quality, accuracy, and operational consistency. Acting as a reliable escalation point for Band 1 analysts, you contribute directly to operational excellence by applying deeper process knowledge, problem‑solving capability, and proactive risk identification.

This role keeps operations running smoothly by ensuring work is completed right the first time, supporting continuous improvement, and helping maintain control, compliance, and strong service outcomes.

KEY RESPONSIBILITIES

Operational Processing & Complex Case Handling