
Healthcare Claims Representative
2 days ago
We are seeking a Claims Processing Specialist to join our team. In this role, you will be responsible for processing and evaluating health insurance claims with accuracy and fairness.
You will verify policy coverage, eligibility, and supporting documents, and coordinate with hospitals, TPAs, and policyholders for seamless settlement.
Maintaining records and following up on pending claims to ensure timely resolution is also an essential part of this role.
Your excellent communication skills will enable you to clearly communicate with customers and provide updates on claim status.
Lastly, you must ensure compliance with company policies and insurance regulations.
Required Skills and Qualifications- 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)
Join our growing organization and make a real difference in customers' lives.
Enjoy a collaborative work culture with growth opportunities, a competitive salary, and benefits package.
Why Choose Us?We offer a people-first approach, providing a supportive environment where you can grow and thrive.
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