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Claims Analyst

Quality Dedicated Remote Claims Analyst Staffing


Everything you need to know about hiring and managing offshore Claims Analyst professionals for your team.

  • Claims analysts process 45% more claims monthly with 30% fewer errors1
  • Filipino analysts know Guidewire ClaimCenter, Duck Creek, and ACORD forms
  • Overnight processing means customers wake up to resolved claims
  • Teams handle medical billing codes, fraud detection, and subrogation recovery
  • Outsourcing claims processing reduces costs by 40-60%2
  • Dedicated analysts become full-time employees, not temporary contractors

Looking to hire a Claims Analyst? Let's talk!

Look, if you’re running a business that deals with insurance claims, you already know the drill. Mountains of documentation, complex verification processes, and the constant pressure to process claims quickly while maintaining accuracy. It’s the kind of work that can quickly overwhelm your in-house team, especially during peak periods or when dealing with particularly complex cases. Here’s what’s interesting though: companies that bring on dedicated claims analysts are seeing dramatic improvements in their processing times and accuracy rates. We’re talking about professionals who eat, sleep, and breathe claims processing, and when you get them from the Philippines through KamelBPO, you’re tapping into a talent pool that’s been doing this work for global insurers for years.

Why Claims Analysis Expertise Really Matters

The reality is, claims analysis isn’t just about pushing paperwork around. Your claims analysts need to understand insurance policies inside and out, spot potential fraud patterns, and make decisions that directly impact your company’s bottom line.According to recent industry data, insurers that have deployed advanced claims processing software report a reduction in claims processing time by approximately 20%, and automation systems have lowered claims handling error rates by around 80%, significantly improving accuracy and operational efficiency.1. The professionals we provide from the Philippines come with solid experience working with major insurance standards like ACORD forms and ICD-10 coding systems. They’re already familiar with the claims management platforms you’re probably using, whether that’s Guidewire ClaimCenter, Duck Creek, or even legacy systems. And because they’ve been working with US, UK, and Australian insurance companies for years, they understand the regulatory requirements and customer expectations in these markets.

What makes Filipino claims analysts particularly valuable is their combination of technical skills and communication abilities. They’re not just processing claims in isolation. They’re corresponding with policyholders, coordinating with adjusters, and working with underwriters to resolve complex cases. The time zone advantage means they can handle overnight processing, so your customers wake up to resolved claims instead of pending tickets. Plus, their professional English proficiency and understanding of Western business practices means they integrate seamlessly with your existing teams.

The Technical Side of Modern Claims Processing

Today’s claims analysis goes way beyond manual review. Your dedicated analysts need to work with sophisticated tools and understand data patterns that can make or break your loss ratios. The teams we build for you come ready to handle:

  • Complex medical billing codes and healthcare claim adjudication processes
  • Property and casualty assessment using digital inspection tools and photo analysis
  • Fraud detection through pattern recognition and database cross-referencing
  • Subrogation opportunities that can recover significant amounts for your company
  • Compliance with state-specific regulations and federal requirements like HIPAA

These aren’t entry-level processors we’re talking about. The claims analysts from KamelBPO understand loss runs, can calculate reserves accurately, and know how to handle everything from simple auto claims to complex commercial liability cases. They’re trained on industry-standard practices and many hold certifications from organizations like the American Institute for Chartered Property Casualty Underwriters. This means they can hit the ground running with minimal training on your specific processes.

Making the Numbers Work for Your Business

Here’s something that might surprise you: insurance companies that outsource claims processing to the Philippines typically see cost reductions of 40-60% compared to maintaining the same functions domestically. But it’s not just about cutting costs. It’s about getting more done with your budget. Instead of having three claims analysts struggling to keep up, you could have five or six dedicated professionals handling your claims backlog, improving customer satisfaction scores, and actually having time to identify process improvements. The professionals we provide become your full-time employees, just managed from our facilities in the Philippines. They’re not contractors who come and go. They’re committed team members who learn your business, understand your customers, and become genuine extensions of your organization.

The best part? Setting up your dedicated claims analysis team is surprisingly straightforward. We handle all the recruitment, ensuring you get analysts with the right mix of technical skills and industry experience. We manage the infrastructure, providing secure systems that meet SOC 2 and ISO 27001 standards for data protection. Your team gets ongoing training to stay current with industry changes and regulatory updates. And because these are your dedicated employees, they develop deep knowledge of your specific products, policies, and procedures over time. It’s like having your own offshore office, but without any of the headaches of actually setting one up.


All inclusive monthly cost with no hidden feesMORE DETAILS


FAQs for Claims Analyst

  • Filipino Claims Analysts are proficient in major insurance platforms like Guidewire ClaimCenter, Duck Creek Claims, FileHandler, and ClaimXperience. They're experienced with both property & casualty and health insurance claim systems, and can quickly adapt to proprietary software specific to different carriers.

  • Yes, Filipino Claims Analysts are skilled in conducting thorough liability investigations, including analyzing police reports, witness statements, medical records, and coverage determinations. They understand comparative negligence principles and can make sound recommendations on fault assessment and settlement strategies based on US state regulations.

  • Outsourced Claims Analysts excel at identifying subrogation opportunities, documenting third-party liability, and coordinating with legal teams for recovery efforts. They're familiar with inter-company arbitration processes, demand letter preparation, and tracking recovery timelines while maintaining compliance with state-specific subrogation laws.

  • Filipino Claims Analysts are well-versed in state-specific insurance regulations, including varying statute of limitations, unfair claims practices acts, and coverage mandates. She or he stays current with regulatory changes through continuous training and can handle multi-state claims while ensuring compliance with each jurisdiction's requirements.

  • Remote Claims Analysts are trained in red flag identification, ISO ClaimSearch database usage, and SIU referral protocols. They apply predictive analytics tools to spot patterns, conduct social media investigations when appropriate, and document suspicious activities following NICB guidelines and carrier-specific fraud detection procedures.

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