
Health Insurance Claims Processor
5 days ago
We are seeking a Health Insurance Claims Processor who is passionate about helping people and ensuring smooth claim experiences. As a bridge between customers, hospitals, and insurers, you will handle 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 company policies and insurance regulations.
- 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).
Nucleon Health offers a collaborative work culture with growth opportunities. You will have the chance to make a real difference in customers' lives and be part of a growing, people-first organization.
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