Insurance Claims Processing Specialist

3 days ago


Chennai, Tamil Nadu, India beBeeAnalytical Full time ₹ 90,00,000 - ₹ 1,20,00,000
Job Summary

This is a challenging and dynamic role that requires an analytical professional to process insurance claims efficiently and accurately. The ideal candidate will possess excellent communication and customer service skills, with the ability to work independently and make informed decisions.

Key Responsibilities
  • Process complex insurance claims in a timely manner.
  • Meet and exceed productivity, quality, and efficiency goals.
  • Analyze medical documents, policy information, and system notes to make informed claims decisions.
  • Identify claims trends and flag potential fraud activities.
  • Provide detailed and organized responses to customer inquiries.
  • Stay up-to-date on new policies, processes, and procedures impacting claims processing.
  • Contribute to process improvements that enhance quality, productivity, and customer experience.
Requirements
  • A degree in a relevant field or equivalent experience.
  • Excellent communication, verbal, and written skills.
  • Ability to work independently, strong analytical skills, attention to detail, and multitasking abilities.
  • Decision-making skills, computer literacy, data entry experience, and proficiency in MS Office applications.
Preferred Qualifications
  • 5+ years of experience processing insurance claims in the health, life, or disability disciplines.
  • Experience working in a professional office environment utilizing Windows PC applications.
  • Background in a quality-focused role requiring attention to detail, accuracy, and accountability for work product.


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