Health Insurance Claims Specialist
1 day ago
Job Title: Health Insurance Claims Specialist
About the RoleWe are seeking a highly skilled and detail-oriented 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.
Key Responsibilities- Process and evaluate health insurance claims in accordance with company policies and insurance regulations.
- Verify policy coverage, eligibility, and supporting documents.
- Coordinate with hospitals, third-party administrators (TPAs), and policyholders for seamless claim settlement.
- Maintain accurate 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 or management is essential.
- Strong understanding of insurance processes and regulations.
- Excellent customer service and communication skills.
- Strong analytical, problem-solving, and attention-to-detail abilities.
- Able to work independently and as part of a team.
- Bachelor's degree in Commerce, Healthcare, Insurance, or a related field is preferred.
Join a growing, people-first organization that values its employees and provides opportunities for growth and development.
Be part of a team that makes a real difference in customers' lives.
Enjoy a competitive salary and benefits package.
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