
Senior Insurance Claims Specialist
1 day ago
The Role entails Claims resolution and management expertise, involving claims analysis, billing data submission to insurance providers, denied claims/cases resolution, identification and rectification of billing discrepancies, monitoring claim status for timely follow-up, reducing future denials, ensuring accurate payment, and escalating issues to superiors as required.
- Claims resolution and management experience
- Complete claims processing and settlement with payers
- Submit accurate billing data to relevant insurance companies
- Resolve denied claims/cases through thorough analysis
- Identify and address billing discrepancies
- Monitor aging to ensure prompt claim resolution
- Conduct periodic re-verification of insurance coverage through designated tools
- Multitask and prioritize tasks efficiently
1. Minimum 2 years of experience in claims verification.
2. Proficient in claims processing and negotiation.
3. Strong verbal and written communication skills.
4. Must possess basic knowledge of Insurance principles, risk assessments, and loss evaluation methodologies.
5. Possess analytical skills to assess fault and make informed decisions.
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Dental Claims Specialist
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