
Claims Professional Wanted
2 days ago
Health Insurance Claims Professional
We are seeking a dedicated and compassionate professional to process and evaluate health insurance claims with accuracy and fairness. This role plays a vital part in ensuring smooth claim experiences for customers.
- The successful candidate will be responsible for verifying policy coverage, eligibility, and supporting documents.
- They will also coordinate with hospitals, third-party administrators, and policyholders to ensure seamless settlement.
- Maintaining accurate records and following up on pending claims is essential to ensure timely resolution.
- This role requires excellent customer service skills to communicate clearly with customers and provide updates on claim status.
- Additionally, the ideal candidate must ensure compliance with company policies and insurance regulations.
Key Qualifications:
- Experience in health insurance claims handling or management (TPA/insurer background preferred).
- A strong understanding of insurance processes and regulations.
- Excellent analytical, problem-solving, and attention-to-detail abilities.
- Ability to work independently and as part of a team.
- Bachelor's degree in a related field (e.g., Commerce, Healthcare, Insurance).
Benefits:
This role offers a unique opportunity to develop your skills and expertise in health insurance claims processing. As a member of our team, you will have access to ongoing training and development opportunities to enhance your knowledge and performance.
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