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7 days ago
Job Title: Health Insurance Claims Representative
Role OverviewWe are seeking a dedicated professional who is passionate about delivering exceptional customer experiences and ensuring smooth claim processes. In this role, you will act as a liaison between customers, healthcare providers, and insurers – handling claims with accuracy, empathy, and efficiency.
Key Responsibilities- Process and evaluate health insurance claims with precision and fairness.
- Verify policy coverage, eligibility, and supporting documentation.
- Collaborate with hospitals, third-party administrators, and policyholders to facilitate seamless claim 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 regulatory requirements and organizational policies.
- Experience in health insurance claims management (third-party administrator or insurer background preferred).
- Strong understanding of insurance principles 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 collaboratively as part of a team.
- Bachelor's degree in a relevant field (Commerce, Healthcare, Insurance, or related field preferred).
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