
Health Insurance Claims Specialist
15 hours ago
We are seeking a highly motivated and detail-oriented Health Insurance Claims Professional who can effectively process and evaluate health insurance claims with accuracy and fairness.
Key Responsibilities:
- Process and analyze health insurance claims in accordance with company policies and regulations.
- Verify policy coverage, eligibility, and supporting documents to ensure seamless claim settlement.
- Coordinate with hospitals, third-party administrators (TPAs), and policyholders for efficient claim resolution.
- Maintain accurate records and follow up on pending claims to ensure timely resolution.
- Communicate clearly and professionally with customers and provide updates on claim status.
To succeed in this role, you will need:
- Experience in health insurance claims handling or management (TPA/insurer background preferred).
- A 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.
- The ability to work independently and as part of a team.
- A Bachelor's degree (Commerce, Healthcare, Insurance, or related field preferred).
You will have the opportunity to:
Make a real difference in customers' lives by providing exceptional service and support.
Be part of a growing organization that values its employees and provides opportunities for growth and development.
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