
Health Insurance Claims Specialist
21 hours ago
We're seeking a detail-oriented and empathetic professional to handle health insurance claims with accuracy, fairness, and efficiency.
About the RoleThis is an exciting opportunity to make a real difference in customers' lives by providing seamless claim experiences.
Key Responsibilities:- Process & evaluate health insurance claims with precision and compassion.
- Verify policy coverage, eligibility, and supporting documents.
- Coordinate with healthcare providers, TPAs, and policyholders for timely settlements.
- Maintain accurate records and follow up on pending claims to ensure timely resolution.
- Communicate effectively with customers and provide regular updates on claim status.
- Ensure compliance with industry regulations and company policies.
- 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 collaborative team.
- Bachelor's degree in a relevant field (Commerce, Healthcare, Insurance, etc.).
Be part of a growing organization that values people and their well-being.
Contribute to a culture that fosters growth, collaboration, and customer satisfaction.
Make a meaningful impact in the lives of customers and contribute to the success of our organization.
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