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Health Insurance Claims Professional
3 weeks ago
As a Claims Handler, you will play a vital role in ensuring the accuracy and efficiency of health insurance claims. This position requires attention to detail, excellent communication skills, and the ability to work independently.
Key Responsibilities:- Claims Processing: Evaluate health insurance claims with fairness and transparency, verifying policy coverage, eligibility, and supporting documents.
- Claim Coordination: Coordinate with healthcare providers, TPAs, and policyholders for seamless settlement, ensuring timely resolution of pending claims.
- Record Maintenance: Maintain accurate records and follow up on claims to ensure compliance with regulatory requirements.
- Customer Communication: Communicate clearly with customers and provide updates on claim status, delivering exceptional customer service.
- Experience: 1-2 years of experience in health insurance claims handling or management (TPA/insurer background preferred).
- Insurance Knowledge: Strong understanding of insurance processes and regulations, including laws and industry standards.
- Communication Skills: Excellent written and verbal communication skills, with the ability to convey complex information effectively.
- Analytical Skills: Strong analytical, problem-solving, and attention-to-detail abilities, with the ability to work independently and as part of a team.
