
Healthcare Claims Specialist
4 days ago
Claims Examiner Role Overview:
We are seeking an experienced Claims Examiner to process and evaluate health insurance claims with accuracy and fairness.
Responsibilities:
- Verify policy coverage, eligibility, and supporting documents
- Coordinate with healthcare providers, third-party administrators, and policyholders for efficient claim settlement
- Maintain records and follow up on pending claims to ensure timely resolution
- Communicate clearly with customers and provide updates on claim status
Requirements:
- Proven experience in health insurance claims handling/management (TPA/insurer background preferred)
- Detailed understanding of insurance regulations and industry standards
- Excellent customer service & communication skills (written & verbal)
- Strong analytical, problem-solving & attention-to-detail abilities
About Our Organization:
We value teamwork and growth opportunities. Our mission is to provide exceptional healthcare services by fostering a culture of excellence and customer satisfaction.
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