
Health Insurance Claims Specialist
1 day ago
We seek an experienced Insurance Claims Specialist to process and evaluate health insurance claims with accuracy and fairness.
This key role involves handling claims, verifying policy coverage, eligibility, and supporting documents, coordinating with hospitals, TPAs, and policyholders, maintaining records, and following up on pending claims.
- Process and evaluate health insurance claims accurately and fairly.
- Verify policy coverage, eligibility, and supporting documents for claimants.
- Coordinate with hospitals, TPAs, and policyholders for seamless settlement of claims.
- Maintain accurate records and follow up on pending claims to ensure timely resolution.
- Communicate effectively with customers and provide updates on claim status.
- Previous experience in insurance claims handling or management (preferably with a TPA or insurer).
- Strong understanding of insurance processes 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 as part of a team.
- Bachelor's degree in Commerce, Healthcare, Insurance, or related field preferred.
We offer a collaborative work environment with opportunities for growth, a competitive salary and benefits package, and the chance to make a positive impact on customers' lives.
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