Insurance Claims Specialist
1 month ago
At Hiretalents, we are seeking a highly skilled and experienced Insurance Claims Specialist to join our team. As an ambassador for our client, you will play a crucial role in interacting with customers, hospital staff, and insurance claims teams at various insurance companies and third-party administrators.
Key Responsibilities:- Serve as a point of contact for insurance-related inquiries and provide timely and accurate responses.
- Create a consistent positive work atmosphere through effective communication and build strong relationships with hospital staff and patients.
- Close interaction with respective departments at the hospital to ensure seamless operations.
- Interact with hospital insurance patients and provide them with information on insurance claims, reimbursement, and cashless claims.
- Collect and coordinate claims support documents from patients and hospitals, and ensure smooth transfer of data to the TPA/Insurance Company.
- Send pre-auth requests and follow up on cashless approval forms from insurance companies.
- Efficiently and effectively handle grievances/issues raised by hospital staff and patients, and escalate issues to the team leader as necessary.
- Provide regular updates and follow-ups to clients.
- Bachelor's Degree or Diploma (or equivalent experience) in a relevant field.
- Excellent written and spoken English and business communication skills.
- Good analytical skills that help with planning, forecasting, and decision-making.
- Confidence in building and maintaining constant rapport with business stakeholders and being hands-on when required.
- Positive attitude, strong communication skills, and an approachable demeanor when working with all levels of staff.
- Ability to work independently, quickly learn organizational structure, and demonstrate excellent time management skills.
Insurance claims, management, communication skills, insurance, operations, analytical skills, communication, claims handling, claims management, claims review, accident claims, casualty claims, claim investigation, claims resolution, delay claims, employment claims
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