
Claims Processing Specialist
3 days ago
Claims Processing Specialist
Role Overview:We are seeking a Claims Processing Specialist who can handle health insurance claims with accuracy and empathy. This role involves processing and evaluating claims, verifying policy coverage, and coordinating with customers and hospitals for smooth settlement.
Responsibilities:- Process and evaluate health insurance claims with attention to detail and fairness.
- Verify policy coverage and eligibility, as well as supporting documents.
- Coordinate with customers, hospitals, and insurance providers for seamless claim resolution.
- Maintain accurate records and follow up on pending claims to ensure timely resolution.
- Communicate clearly with customers regarding claim status and provide updates as necessary.
- 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.
- Strong analytical and problem-solving abilities, with attention to detail.
- Ability to work independently and as part of a team.
- Bachelor's degree in a related field (Commerce, Healthcare, Insurance, etc.)
As a Claims Processing Specialist, you will have the opportunity to make a real difference in customers' lives by ensuring smooth and efficient claim experiences. Our collaborative work culture offers growth opportunities, and we offer a competitive salary and benefits package.
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