
Careers: Health Insurance Claims Professional
5 days ago
Health Insurance Claims Specialist
\This role involves processing and evaluating health insurance claims with accuracy and fairness. As a key member of the team, you will play a crucial part in ensuring seamless settlement processes and maintaining records for pending claims.
\Key Responsibilities:
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- Process and evaluate health insurance claims to ensure timely resolution.\
- Verify policy coverage, eligibility, and supporting documents.\
- Coordinate with healthcare providers and policyholders to facilitate claim settlements.\
- Maintain accurate records and follow up on pending claims to ensure compliance with regulations.\
- Communicate effectively with customers and stakeholders regarding claim status and progress.\
- Ensure adherence to company policies and industry standards.\
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Requirements:
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- Experience in health insurance claims handling or management.\
- Strong understanding of insurance processes, regulations, and industry trends.\
- Excellent customer service and communication skills.\
- Strong analytical and problem-solving abilities.\
- Ability to work independently and collaboratively as part of a team.\
- Relevant qualifications such as a Bachelor's degree in Commerce, Healthcare, or related field.\
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