Claims Resolution Specialist

6 days ago


Lahore, Punjab, Pakistan beBee Careers Full time
Insurance Executive Role

The Insurance Claims Resolution Specialist will play a critical role in ensuring timely and accurate payment of insurance claims. This position requires excellent analytical and problem-solving skills, as well as the ability to multitask and manage time effectively.

Key Responsibilities:
  • Claims appeal and resolution experience
  • Perform completion of claims to payers
  • Submit billing data to the appropriate insurance providers
  • Analysis and resolution of denied claims/cases. Identify and resolve billing issues
  • Monitor aging to ensure timely follow-up of claims resolution, reduction of future denials, ensuring accurate payment and escalation of issues to management as identified
  • Conduct insurance re-verification as needed through various tools and initiate billings to a new payer or reprocess the claim accordingly


Requirements:
  • Minimum 2 years of experience in insurance verification.
  • Proficient in insurance claim processing.
  • Strong English Spoken, written communication skills.
  • Must know the basics of Insurance, assessment of loss/claims & risk evaluations
  • Must have the analytical skills to evaluate the party on fault.


What We Offer
  • Opportunity to work in a dynamic and fast-paced environment
  • Chance to develop and improve analytical and problem-solving skills
  • Achieve high levels of job satisfaction through successful claims resolution


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