OPD Medical Claims Specialist

3 days ago

Karachi, Sindh, Pakistan beBeeClaims Full time 300,000 - 600,000
Medical Claims Specialist - OPD Job Description

We are seeking a Medical Claims Specialist to oversee the processing of OPD medical claims, ensuring accuracy and timely submissions. The successful candidate will have experience in claims processing and strong analytical, communication, and organizational skills.

This role is ideal for those with a passion for delivering exceptional customer service and a keen eye for detail. As a Medical Claims Specialist, you will be responsible for resolving issues with employees and healthcare providers, analyzing claims data for trends, and maintaining accurate records.

Key Responsibilities:
  • Process and manage OPD medical claims in accordance with company policies and procedures.
  • Resolve issues with employees and healthcare providers in a professional and courteous manner.
  • Analyze claims data to identify trends and maintain accurate records.
  • Provide excellent customer service to employees and external stakeholders.
Required Skills and Qualifications:
  • Education: MBBS, PharmD, or related field.
  • 1 year of claims processing experience (preferably OPD).
  • Strong analytical, communication, and organizational skills.
  • Ability to multitask and handle pressure.
  • Prior experience in customer service or a related field is an asset.
Benefits:
  • Provident Fund.
  • Health insurance (IPD & OPD).
  • Annual leave, fuel allowances, and life insurance.
How to Apply:

If you are a motivated and detail-oriented individual with a passion for delivering exceptional customer service, please submit your resume for consideration.

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