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Health Insurance Claims Specialist
3 weeks ago
We are seeking a highly skilled Health Insurance Claims Specialist to join our team. In this role, you will be responsible for processing and evaluating health insurance claims with accuracy and fairness.
The ideal candidate will have a strong understanding of insurance processes and regulations, as well as excellent customer service and communication skills. They will also possess strong analytical and problem-solving abilities, with the ability to work independently and as part of a team.
This is an excellent opportunity to make a real difference in customers' lives and contribute to a growing, people-first organization. If you are passionate about helping others and ensuring smooth claim experiences, we encourage you to apply.
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.
- Experience in health insurance claims handling/management (TPA/insurer background preferred).
- 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 (Commerce, Healthcare, Insurance, or related field preferred).
- A collaborative work culture with growth opportunities.
- A competitive salary and benefits package.
- The chance to make a real difference in customers' lives.
