
Health Insurance Claims Specialist
4 days ago
We are seeking a skilled Health Insurance Claims Professional to join our team. This is an exciting opportunity for someone who is passionate about delivering excellent customer service and ensuring smooth claim experiences.
In this role, you will be the bridge between customers, hospitals, and insurers. Your primary responsibility will be to process and evaluate health insurance claims with accuracy and fairness.
- Process and evaluate health insurance claims with accuracy and fairness.
- Verify policy coverage, eligibility, and supporting documents.
- Coordinate with hospitals, TPAs, and policyholders for seamless settlement.
- Maintain records and follow up on pending claims to ensure timely resolution.
- Communicate clearly with customers and provide updates on claim status.
- Experience in health insurance claims handling or management (TPA/insurer background preferred).
- Strong understanding of insurance processes and regulations.
- Excellent customer service and communication skills (written and verbal).
- Strong analytical, problem-solving, and attention-to-detail abilities.
- Ability to work independently and as part of a team.
- Bachelor's degree (Commerce, Healthcare, Insurance, or related field preferred).
- Be part of a growing organization that prioritizes people-first values.
- Opportunity to make a real difference in customers' lives.
- Collaborative work culture with growth opportunities.
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Insurance Claims Specialist
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