
Health Insurance Claims Specialist
23 hours ago
We are seeking a highly skilled and compassionate Health Insurance Claims Specialist to join our team. In this role, you will be responsible for handling health insurance claims with accuracy, empathy, and efficiency.
About the Role:The ideal candidate will have experience in health insurance claims handling/management, a strong understanding of insurance processes & regulations, and excellent customer service & communication skills. Additionally, they will possess strong analytical, problem-solving & attention-to-detail abilities, as well as the ability to work independently and as part of a team.
- Process and evaluate health insurance claims with precision and fairness.
- Verify policy coverage, eligibility, and supporting documents.
- Coordinate with hospitals, TPAs, and policyholders for seamless settlement.
- Maintain accurate records and follow up on pending claims to ensure timely resolution.
- Provide clear and timely updates to customers on claim status.
To be successful in this role, you must have:
- Experience in health insurance claims handling/management (TPA/insurer background preferred).
- Strong understanding of insurance processes & regulations.
- Excellent customer service & communication skills (written & verbal).
- Strong analytical, problem-solving & attention-to-detail abilities.
- Ability to work independently and as part of a team.
- Bachelor's degree (Commerce, Healthcare, Insurance, or related field preferred).
We offer a collaborative work culture with growth opportunities, a competitive salary & benefits package, and the chance to make a real difference in customers' lives. If you are passionate about delivering exceptional customer experiences and ensuring smooth claim processes, we encourage you to apply for this exciting opportunity.
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