Healthcare Claims Associate

1 week ago

Powai Mumbai Maharashtra, India 2 COMS CONSULTING PRIVATE LIMITED Full time

Job Title**:Healthcare Claims Associate - German Language**
- **Fluency in German (B2/C1 level or higher)** - verbal and written.

**Location**: Powai, Mumbai
**Experience Level**: 1-6 years
**Employment Type**: Full-time
**Shift**: UK shift

Job Summary:
Key Responsibilities:

- Review, verify, and process healthcare claims using internal systems.
- Analyze submitted medical documents and ensure compliance with insurance policies.
- Translate and interpret medical and insurance documents from German to English and vice versa.
- Communicate with German-speaking clients, hospitals, or insurance providers as required.
- Identify and flag any inconsistencies or fraudulent claims.
- Collaborate with internal teams to resolve claim issues and escalate when needed.
- Maintain accurate records and documentation of all claim activities.
- Ensure adherence to SLAs and quality metrics.

Qualifications & Skills:

- Bachelor's degree in Healthcare, Business Administration, or a related field.
- **Fluency in German (B2/C1 level or higher)** - verbal and written.
- 1-6 years of experience in healthcare claims processing or insurance domain preferred.
- Strong understanding of medical terminology and healthcare billing systems.
- Familiarity with ICD, CPT codes, and healthcare regulations is a plus.
- Excellent communication, analytical, and problem-solving skills.
- Ability to work in a fast-paced and deadline-driven environment.
- Experience with tools like Facets, QNXT, or other claims adjudication systems is a plus.

Preferred:

- Certification in German language (Goethe, TestDaF, or equivalent).
- Experience working with European or German healthcare clients.

Pay: ₹600,000.00 - ₹1,500,000.00 per year

Schedule:

- Night shift

Supplemental Pay:

- Shift allowance

Application Question(s):

- Are you fluent in German at a B2 level or higher (verbal and written)?
- Do you have 1-6 years of experience in healthcare claims processing or the insurance domain?
- Are you comfortable working in a UK shift from the Mumbai office location?

Work Location: In person

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