
Professional Health Insurance Claims Specialist
3 hours ago
Health Insurance Claims Specialist
Key Responsibilities:We're seeking an experienced professional to handle health insurance claims with accuracy, empathy, and efficiency.
Responsibilities:- Process & evaluate health insurance claims with attention to detail and fairness.
- Verify policy coverage, eligibility, and supporting documents.
- Coordinate with healthcare providers, TPAs, and policyholders for seamless settlement.
- Maintain accurate records and follow up on pending claims to ensure timely resolution.
- Communicate effectively with customers and provide updates on claim status.
- Proven 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.
Be part of a growing organization that values people-first approach. Opportunity to make a real difference in customers' lives. Collaborative work culture with growth opportunities.
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