
Claims Review and Management Professional
1 day ago
We are looking for an experienced Junior Claims Processor to join our team.
About the Role:- Claims Review and Processing:
The ideal candidate will have a background in accounting, business administration, or a related field. They will be responsible for reviewing, processing, and managing claims submitted by customers or clients.
- Key Responsibilities:
- Receive and review claim forms, ensuring all necessary documents are submitted and complete.
- Process claims according to guidelines and industry regulations.
- Verify the accuracy of claim information against policy details to ensure eligibility.
- Customer Interaction:
- Communicate with claimants to request additional information or clarify details.
- Respond to customer inquiries regarding claim status and provide updates.
- Resolve customer issues with timely solutions and support.
- Claims Analysis and Reporting:
- Review claims for compliance, identifying potential fraud or discrepancies.
- Assist in preparing claims reports as per client requirements.
- Adherence to Procedures and Deadlines:
- Follow guidelines to ensure timely processing and settlement of claims.
- Maintain internal controls and audit requirements.
- Suggest process improvements for efficiency and accuracy.
What We're Looking For:
- Strong analytical and problem-solving skills.
- Excellent communication and interpersonal skills.
- Able to work in a fast-paced environment.
- Familiarity with claims management software and office tools.
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