Claims Resolution Specialist

6 days ago


Karachi, Sindh, Pakistan beBeeClaimsResolution Full time 500,000 - 700,000

Job Title: Claims Resolution Specialist

We are seeking a highly skilled and detail-oriented Claims Resolution Specialist to join our team. The ideal candidate will have a strong background in claims processing and be able to effectively review and resolve claims in a timely manner.

Key Responsibilities:

  • Claims Review and Processing
    • Conduct thorough reviews of claim forms to ensure all necessary documents are submitted and complete.
    • Resolve claims according to company guidelines and industry regulations.
    • Verify the accuracy of claim information and check against policy details to ensure eligibility.
  • Customer Interaction
    • Communicate with claimants to request additional information or clarify details.
    • Respond to customer inquiries regarding the status of their claims, providing updates as needed.
    • Resolve customer issues and concerns by offering timely solutions and support.
  • Claims Analysis and Reporting
    • Review claims for compliance with company policies, identifying potential fraud or discrepancies.
    • Assist in preparing claims reports according to client's requirements.
  • Continuous Improvement
    • Suggest process improvements to enhance the efficiency and accuracy of the claims processing system.

Requirements:

  • Bachelor's degree in Accounting or related field.
  • 1-3 years of experience in claims processing or a related field.
  • Familiarity with claims management software and office productivity tools.
  • Strong attention to detail and accuracy in operational activities.
  • Excellent verbal and written communication skills.
  • Ability to multitask and prioritize in a fast-paced environment.


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