Medical Claims Analyst
4 days ago
The role of a Claims Specialist at HealthMetrics involves processing all submissions within the turnaround time, clarifying information, and providing solutions or alternatives to members, corporates, and hospitals.
Key Responsibilities
- Provide expertise by reviewing, researching, investigating, and processing claims.
- Process Guarantee Letters and manage filing systems systematically.
- Handle queries from members, corporates, and hospitals via phone and email.
- Resolve technical or contentious claims within medical knowledge and policy boundaries.
- Paperwork and administrative tasks including filing and other related duties.
Requirements
- Diploma/Degree holders in medical-related fields are preferred.
- Fresh graduates are encouraged to apply.
- Able to work with minimal supervision and adapt to new situations.
- High organisational and interpersonal skills.
- Attention to detail and ability to converse in English fluently.
- Customer service-oriented and able to work shifts/odd hours/weekends.
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