
Health Insurance Claims Specialist
13 hours ago
At our organization, we're looking for a skilled professional to fill the role of Health Insurance Claims Specialist. This position is ideal for someone who is passionate about delivering excellent customer service and ensuring smooth claim experiences.
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 & regulations.
- Excellent customer service & communication skills (written & verbal).
- Strong analytical, problem-solving & attention-to-detail abilities.
- Ability to work independently and as part of a team.
- Bachelor's degree (Commerce, Healthcare, Insurance, or related field preferred).
- Be part of a growing, people-first organization.
- Opportunity to make a real difference in customers' lives.
- Collaborative work culture with growth opportunities.
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Holistic Health Specialist
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