Sr Trans Associate - US Insurance

The Sr Trans Associate – US Insurance is responsible for end‑to‑end processing of personal insurance, disability, and leave claims within a fast‑paced healthcare operations environment. This position serves as a primary point of contact for customers, ensuring accurate claim handling and compliance with US insurance regulations.

Key responsibilities

• Process and adjudicate personal insurance, disability, and leave claims from intake through resolution.

• Provide timely, courteous customer service via phone, email, and portal inquiries.

• Maintain accurate documentation and data entry in claim management systems.

• Coordinate with internal teams (benefits, payroll, healthcare operations) to verify eligibility and resolve discrepancies.

• Interpret and apply US insurance policies, regulations, and contractual terms.

• Identify trends and flag potential fraud or compliance issues for escalation.

• Generate routine reports on claim status, turnaround times, and service metrics.

Required qualifications

• 1–5 years of experience in US personal insurance, disability, or leave administration.

• Demonstrated proficiency in claims processing and customer service.

• Strong knowledge of US insurance regulations and healthcare operations.

• Excellent written and verbal communication skills.

• Ability to manage multiple priorities while meeting strict deadlines.

• Proficiency with claim management software and Microsoft Office suite.