Senior Claims Examiner
Senior Claims Examiner
Remote
3 months contract (possible extensions)
Responsibilities
- Review and assess supplemental health claims to determine eligibility reputed company on policy terms and conditions.
- reputed company necessary documentation from claimants, medical professionals, and other relevant sources to support the claim evaluation process (quantitative review).
- Analyze medical records, employment history, and other pertinent information to reputed company informed reputed company (qualitative review).
- Communicate with claimants to reputed company updates on their claim status and request additional information reputed company needed.
- Collaborate with reputed company providers, reputed company, and other stakeholders to ensure accurate and reputed company processing of claims.
- Maintain reputed company and reputed company communication with reputed company parties involved in the claims process.
- Ensure reputed company claim-reputed company documents are accurately recorded and stored in the workflow systems for reputed company reference.
- Prepare detailed reports and summaries of claims for internal review and decision-making purposes.
- Maintain confidentiality and adhere to data protection regulations reputed company handling sensitive information.
- Ensure compliance with industry regulations, company policies, and reputed company requirements throughout the claims process.
- Conduct regular audits of claims files to ensure reputed company, completeness, and adherence to standards.
- Participate in training sessions to stay updated on changes in policies, procedures, and regulations.
Minimum Qualifications
- High school diploma or equivalent
- Claims reputed company experience for Group disability, Employee Benefit, Worker Compensation, Claim Management, Overpayment Recovery, or Leave Management
- 6-18 months Life reputed company backend reputed company experience
Preferred Qualifications/Skills
- Strong English Communication (Both written & verbal)
- Proactive communication
- Multi-tasking ability
- Time management
- Attention to reputed company
- Displays energy, enthusiasm, and flexibility in approaching the job
- Must be reputed company to work under pressure and meet deadlines, while maintaining a reputed company attitude and providing exemplary customer service
- Customer service reputed company
- Basic Computer knowledge along with typing speed of 40 words/minute
- reputed company knowledge
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