
Health Insurance Claims Representative
4 days ago
The ideal candidate will have experience in health insurance claims handling and management, with a strong understanding of insurance processes and regulations. The role involves processing and evaluating health insurance claims with accuracy and fairness, verifying policy coverage and eligibility, and coordinating with hospitals, TPAs, and policyholders for seamless settlement.
Key Responsibilities:
- Process and evaluate health insurance claims with accuracy and fairness
- Verify policy coverage, eligibility, and supporting documents
- Coordinate with hospitals, TPAs, 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
Required Skills and Qualifications:
- Experience in health insurance claims handling/management (TPA/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)
Benefits:
- Be part of a growing, people-first organization
- Opportunity to make a real difference in customers' lives
- Collaborative work culture with growth opportunities
- Competitive salary & benefits package
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