Claims Advisor

The Claims Advisor is responsible for the accurate and timely review, evaluation, and adjudication of credit-related claims in accordance with contractual provisions, product guidelines, company procedures, and applicable regulatory requirements. This position primarily focuses on analyzing claim documentation, validating eligibility and coverage, interpreting contract provisions, calculating benefits, and determining claim outcomes. The role requires sound judgment and attention to detail to approve, adjust, or deny claims while maintaining accurate records and supporting payment processing.