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Insurance Claim Examiner
3 weeks ago
We are seeking a Health Insurance Claims Representative to join our organization. In this role, you will serve as the bridge between customers, hospitals, and insurers, handling claims with accuracy, empathy, and efficiency.
Key Responsibilities:- Process and evaluate health insurance claims with accuracy and fairness.
- Verify policy coverage, eligibility, and supporting documents.
- Coordinate with hospitals, third-party administrators, 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.
- Ensure compliance with regulatory requirements and industry standards.
- Experience in health insurance claims handling/management (third-party administrator or 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.
- Bachelor's degree (Commerce, Healthcare, Insurance, or related field preferred).
