
Health Insurance Claims Specialist
11 hours ago
Health Insurance Claims Specialist Job
This role involves processing and evaluating health insurance claims with accuracy and efficiency.
Key Responsibilities:
- Process and evaluate health insurance claims using established guidelines and procedures.
- Verify policy coverage, eligibility, and supporting documents for accurate claim resolution.
- Coordinate with healthcare providers, third-party administrators (TPAs), and policyholders to ensure seamless settlement of claims.
- Maintain accurate records and follow up on pending claims to ensure timely resolution.
- Communicate clearly with customers regarding claim status and provide updates as necessary.
Requirements:
- Experience in health insurance claims handling/management (TPA/insurer background preferred).
- Strong understanding of insurance processes, regulations, and industry standards.
- Excellent customer service and communication skills, both written and verbal.
- Strong analytical, problem-solving, and attention-to-detail abilities.
- Ability to work independently and collaboratively as part of a team.
- Bachelor's degree in Commerce, Healthcare, Insurance, or a related field is preferred.
Benefits:
Nucleon-Health offers a competitive salary, comprehensive benefits package, and opportunities for professional growth and development.
About Us:
Nucleon-Health is a growing organization dedicated to providing exceptional healthcare services. We prioritize a collaborative work culture that fosters employee engagement and well-being.
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