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Senior Insurance Claims Coordinator

1 week ago

Gurgaon, Haryana, India Care Full time
Job Overview
Care is seeking a highly skilled Senior Insurance Claims Coordinator to join our team. In this role, you will be responsible for handling and responding to queries from insurance companies regarding reimbursement claims. Your key responsibilities will include coordinating with hospitals and patients to collect necessary documents or clarifications, following up on pending claims to ensure timely resolution, maintaining records of queries and follow-ups in an organized manner, communicating effectively with internal teams and external stakeholders, and ensuring adherence to insurance company policies and compliance guidelines.

Key Responsibilities
  • Respond to queries from insurance companies regarding reimbursement claims.
  • Coordinate with hospitals and patients to collect necessary documents or clarifications.
  • Follow up on pending claims to ensure timely resolution.
  • Maintain records of queries and follow-ups in an organized manner.
  • Communicate effectively with internal teams and external stakeholders.
  • Ensure adherence to insurance company policies and compliance guidelines.

Required Skills and Qualifications
  • Strong communication and coordination skills.
  • Knowledge of insurance claim processes and TPA operations.
  • Ability to handle multiple queries and follow up effectively.
  • Attention to detail and problem-solving skills.
  • Proficiency in MS Office (Excel, Word).