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Claims Analyst Professional
3 weeks ago
We are seeking an experienced professional to join our team as a Medical Claims Examiner. In this role, you will be responsible for critical analysis and processing of claims for medical expenses within a fixed turnaround time.
The Key Responsibilities
- Assess and process claims for medical expenses while maintaining confidentiality and accuracy.
- Enter data into system applications with precision and attention to detail.
- Analyze and optimize existing workflows to manage costs effectively.
- Monitor and manage your workload, taking suitable actions as needed.
- Process claims efficiently, communicating with Team Leaders about unclear claims and process improvements.
- Maintain high-quality claims handling, accurate reimbursements, and fast transactions.
- Communicate clearly about dossiers to internal stakeholders.
- Identify and report irregularities in procedures to Team Leaders.
The Requirements
- Bachelor's degree or equivalent experience.
- Active knowledge of English and passive knowledge of another language.
- Medical terminology and reference works are essential.
