
Insurance Claims Expert
13 hours ago
About This Role:
We are seeking an Insurance Claims Expert to join our team. As a key member of our Claims Management department, you will be responsible for efficiently and accurately processing and managing cashless insurance claims.
The primary goal of this role is to facilitate the smooth and timely processing of cashless claims, ensuring employees receive the benefits they are entitled to.
Key Responsibilities:
- End-to-End Claim Management: Manage all aspects of cashless claims, from initial submission to final resolution, ensuring accurate and efficient processing.
- Policy Coverage Verification: Review and verify policy details to ensure eligibility for cashless processing according to insurance policy terms and conditions.
- Customer Service: Respond to inquiries from employees and stakeholders regarding claim status and related queries.
- Healthcare Provider Coordination: Communicate with healthcare providers to obtain additional information or clarify details as needed.
- Issue Resolution: Investigate and resolve discrepancies, errors, or issues that arise during claim processing to ensure timely and accurate resolution.
- Record Keeping: Maintain detailed and accurate records of all claim-related activities, communications, and transactions for documentation and audit purposes.
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